Yasser Bhatti is a research fellow in frugal innovation, Institute of Global Health Innovation, Imperial College London, in the United Kingdom.
Andrea Taylor is senior research manager at Innovations in Healthcare and the Global Health Innovation Center, Duke University, in Durham, North Carolina.
Health Aff (Millwood). 2017 Nov;36(11):1912-1919. doi: 10.1377/hlthaff.2017.0480.
In a 2015 global study of low-cost or frugal innovations, we identified five leading innovations that scaled successfully in their original contexts and that may provide insights for scaling such innovations in the United States. We describe common themes among these diverse innovations, critical factors for their translation to the United States to improve the efficiency and quality of health care, and lessons for the implementation and scaling of other innovations. We highlight promising trends in the United States that support adapting these innovations, including growing interest in moving care out of health care facilities and into community and home settings; the growth of alternative payment models and incentives to experiment with new approaches to population health and care delivery; and the increasing use of diverse health professionals, such as community health workers and advanced practice providers. Our findings should inspire policy makers and health care professionals and inform them about the potential for globally sourced frugal innovations to benefit US health care.
在 2015 年一项针对低成本或节俭创新的全球研究中，我们确定了五项在其原始背景下成功推广的领先创新，这些创新可能为在美国推广此类创新提供思路。我们描述了这些不同创新之间的共同主题、将这些创新引入美国以提高医疗保健效率和质量的关键因素，以及实施和推广其他创新的经验教训。我们强调了美国支持采用这些创新的有希望的趋势，包括越来越关注将护理从医疗机构转移到社区和家庭环境中；替代支付模式的增长以及激励尝试新方法来改善人群健康和护理服务；以及越来越多地使用各种卫生专业人员，如社区卫生工作者和高级执业护士。我们的研究结果应该为政策制定者和医疗保健专业人员提供启示，并使他们了解源自全球的节俭创新可能为美国医疗保健带来的益处。
