Center for Health Services & Outcomes Research, Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, USA.
Johns Hopkins University School of Medicine, Division of General Internal Medicine, 2024 East Monument Street, Room 2-514, Baltimore, MD, 21287, USA.
Global Health. 2018 Feb 9;14(1):19. doi: 10.1186/s12992-018-0339-8.
Reverse Innovation has been endorsed as a vehicle for promoting bidirectional learning and information flow between low- and middle-income countries and high-income countries, with the aim of tackling common unmet needs. One such need, which traverses international boundaries, is the development of strategies to initiate and sustain community engagement in health care delivery systems.
In this commentary, we discuss the Baltimore "Community-based Organizations Neighborhood Network: Enhancing Capacity Together" Study. This randomized controlled trial evaluated whether or not a community engagement strategy, developed to address patient safety in low- and middle-income countries throughout sub-Saharan Africa, could be successfully applied to create and implement strategies that would link community-based organizations to a local health care system in Baltimore, a city in the United States. Specifically, we explore the trial's activation of community knowledge brokers as the conduit through which community engagement, and innovation production, was achieved. Cultivating community knowledge brokers holds promise as a vehicle for advancing global innovation in the context of health care delivery systems. As such, further efforts to discern the ways in which they may promote the development and dissemination of innovations in health care systems is warranted.
Trial Registration Number: NCT02222909 . Trial Register Name: Reverse Innovation and Patient Engagement to Improve Quality of Care and Patient Outcomes (CONNECT). Date of Trial's Registration: August 22, 2014.
反向创新已被认可为促进中低收入国家和高收入国家之间双向学习和信息流动的手段，旨在解决共同的未满足需求。其中一个跨越国际边界的需求是制定策略，以启动和维持社区参与医疗保健提供系统。
在这篇评论中，我们讨论了巴尔的摩“社区组织邻里网络：共同增强能力”研究。这项随机对照试验评估了一种社区参与策略是否可以成功应用于创建和实施将社区组织与巴尔的摩（美国的一个城市）当地卫生保健系统联系起来的策略，该策略是为了解决撒哈拉以南非洲的中低收入国家的患者安全问题而制定的。具体来说，我们探讨了试验激活社区知识经纪人作为社区参与和创新产生的渠道。培养社区知识经纪人有望成为在医疗保健提供系统中推进全球创新的手段。因此，值得进一步努力了解它们如何促进医疗保健系统中创新的发展和传播。
试验注册号：NCT02222909。试验注册名称：反向创新和患者参与以改善医疗质量和患者结局（CONNECT）。试验注册日期：2014 年 8 月 22 日。
