• Br J Surg · Jan 2015

    Review

    Innovation in income-poor environments.

    • F C Oppong.
    • Colorectal Unit, Derriford Hospital, Plymouth PL6 8DH, UK.
    • Br J Surg. 2015 Jan 1;102(2):e102-7.

    BackgroundAt the core of surgical development in any economic environment lies innovation. Innovation in high-income countries (HICs) often derives from research, whereas innovation in low- and middle-income countries (LMICs) may be spontaneous owing to a desperate drive to meet a local need. The local needs are substantial because of the unequal access to healthcare in LMICs.MethodsThe experience of the author in working in LMICs through Operation Hernia, a medical charity, provides a backdrop for this review. Other published innovative devices and models are discussed.ResultsInnovation in income-poor countries has provided cost-effective but efficient solutions to local health needs. Some innovations have been enhanced and adopted worldwide.ConclusionHICs can learn more from innovative strategies adopted in LMICs.© 2015 BJS Society Ltd. Published by John Wiley & Sons Ltd.

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