Beyond reverse innovation in healthcare: A step towards global health justice through reciprocity

L. Vroonen, K. Moraes, C. Masquillier, H. Bastiaens, Edwin Wouters, K. De Wet
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Abstract

Reverse innovation is the flow of ideas from lower to higher income countries. This has received growing attention in healthcare research for its potential to provide cost-effective solutions to pervasive health inequities, human resource shortages and rising health expenditures. Even though the underlying premise has its merits, the use of the term itself has become controversial as some argue it implies that innovation normally flows in the other direction. In this commentary, we first discuss some of the criticisms voiced against the term. With these in mind, we subsequently make the case for an alternative approach and describe how we work to implement this in our own research project. More specifically, we suggest a move towards reciprocal innovation as a more equitable, mutually beneficial form of learning and knowledge sharing. We present the COMPASS (Community Health Workers for Primary Care Access) project which will provide an empirically grounded example of reciprocal innovation in practice. The aim of the COMPASS project is to adapt a community health worker intervention from Brazil and South Africa for implementation in Belgium. The project has the potential to provide valuable lessons for all parties involved.
超越医疗保健领域的逆向创新:通过互惠实现全球健康正义
逆向创新是指思想从低收入国家流向高收入国家。这在医疗保健研究中日益受到关注,因为它有可能提供具有成本效益的解决方案,解决普遍存在的医疗不公平、人力资源短缺和医疗支出增加等问题。尽管这一基本前提有其可取之处,但该术语的使用本身已引起争议,因为有些人认为它意味着创新通常是反向流动的。在本评论中,我们首先讨论对该术语提出的一些批评意见。有鉴于此,我们随后提出了另一种方法,并介绍了我们如何在自己的研究项目中实施这种方法。更具体地说,我们建议将互惠创新作为一种更加公平、互利的学习和知识共享形式。我们将介绍 COMPASS(社区保健工作者促进初级保健普及)项目,该项目将为互惠创新的实践提供一个以经验为基础的范例。COMPASS 项目的目的是将巴西和南非的社区卫生工作人员干预措施应用于比利时。该项目有可能为有关各方提供宝贵的经验教训。
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