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Related Experiment Video

Updated: May 2, 2026

Modifying the Bank Erosion Hazard Index BEHI Protocol for Rapid Assessment of Streambank Erosion in Northeastern Ohio

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Published on: February 13, 2015

Rivers of evidence.

Clive E Adams¹

¹Cochrane Schizophrenia Group, Institute of Mental Health, University of Nottingham, UK.

International Journal of Health Policy and Management

|March 6, 2014

Summary

Global healthcare evidence is shifting. Research from low- and middle-income countries is now influencing worldwide medical practices, demonstrating a crucial two-way flow of medical evidence.

Area of Science:

Global Health
Medical Research
Evidence-Based Practice

Background:

Historically, medical evidence predominantly flowed from high-income countries, shaping global healthcare practices.
Reviews summarizing this evidence have directed patient care internationally.
A paradigm shift is occurring, with evidence now originating from diverse global settings.

Purpose of the Study:

To highlight the changing dynamics of medical evidence generation and dissemination.
To emphasize the increasing importance of research from low- and middle-income countries (LMICs).
To advocate for a bidirectional flow of medical evidence globally.

Main Methods:

The abstract discusses a shift in evidence origination, citing specific examples.

Keywords:

Randomised Trials Research Capacity Systematic Reviews

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Last Updated: May 2, 2026

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It contrasts historical evidence flow with contemporary global research contributions.

No specific experimental methods are detailed; it's a conceptual discussion.

Main Results:

Eclampsia treatment has been refined globally due to a trial from an LMIC.
Global heart disease care is significantly influenced by studies from China.
Psychosis-related aggression management requires reconsideration based on research from Brazil and India.

Conclusions:

Medical evidence generation is no longer a one-way street from high-income nations.
Research from LMICs is critically impacting and refining global healthcare standards.
A balanced, bidirectional flow of evidence is essential for equitable and effective worldwide healthcare.