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Innovation in income-poor environments
1Colorectal Unit, Derriford Hospital, Plymouth PL6 8DH, UK.
Background:
At 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.
Methods:
The 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.
Results:
Innovation in income-poor countries has provided cost-effective but efficient solutions to local health needs. Some innovations have been enhanced and adopted worldwide.
Conclusion:
HICs can learn more from innovative strategies adopted in LMICs.
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