Pub Date : 2023-04-28DOI: 10.1136/bmjinnov-2022-001054
W. McNamara, T. Longworth, Joo Y. Sunwoo, Syed MT Rizvi, Christopha J Knee, Brandi Cole
Objective Medial tibial stress syndrome (MTSS) is common and often difficult to treat. The purpose of this study was to examine the effect of a lower leg brace on MTSS symptoms compared to a placebo. Methods A pilot of a prospective double-blinded randomised placebo-controlled trial conducted in two private sports medicine practices. Included were those with symptomatic MTSS lasting 6 weeks or more. Excluded were those with other lower limb pathologies. Fourteen participants formed the study cohort who wore the brace or placebo. The brace applied counterforce pressure to the musculotendinous junctions of the soleus, compressed periosteum at the distal third of the posteromedial tibia and applied inferomedial torsion to the soleus muscle. Additional treatment modalities were recorded. Participants completed a standardised MTSS Severity Score at 0–6, 8, 12 and 24 weeks and recorded return to full activity. Results The brace group demonstrated a significantly reduced MTSS severity score from 5 to 24 weeks (p<0.03) and had returned to full activity within 5 weeks. MTSS score in the placebo group remained unchanged (p >0.05), all participants experienced MTSS recurrence and none returned to full activity over 24 weeks. Conclusion The lower leg brace demonstrated a reduction in MTSS symptoms from 5 weeks that was sustained over 6 months with a lower rate of MTSS recurrence compared with the placebo. If similar results are seen in a larger cohort, it has potential to benefit patients with MTSS as an adjunct to current treatment modalities. Further investigation regarding efficacy is needed. Trial registration number ACTRN12620000906954.
{"title":"Treatment of medial tibial stress syndrome using an investigational lower leg brace. A pilot for a randomised controlled trial.","authors":"W. McNamara, T. Longworth, Joo Y. Sunwoo, Syed MT Rizvi, Christopha J Knee, Brandi Cole","doi":"10.1136/bmjinnov-2022-001054","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-001054","url":null,"abstract":"Objective Medial tibial stress syndrome (MTSS) is common and often difficult to treat. The purpose of this study was to examine the effect of a lower leg brace on MTSS symptoms compared to a placebo. Methods A pilot of a prospective double-blinded randomised placebo-controlled trial conducted in two private sports medicine practices. Included were those with symptomatic MTSS lasting 6 weeks or more. Excluded were those with other lower limb pathologies. Fourteen participants formed the study cohort who wore the brace or placebo. The brace applied counterforce pressure to the musculotendinous junctions of the soleus, compressed periosteum at the distal third of the posteromedial tibia and applied inferomedial torsion to the soleus muscle. Additional treatment modalities were recorded. Participants completed a standardised MTSS Severity Score at 0–6, 8, 12 and 24 weeks and recorded return to full activity. Results The brace group demonstrated a significantly reduced MTSS severity score from 5 to 24 weeks (p<0.03) and had returned to full activity within 5 weeks. MTSS score in the placebo group remained unchanged (p >0.05), all participants experienced MTSS recurrence and none returned to full activity over 24 weeks. Conclusion The lower leg brace demonstrated a reduction in MTSS symptoms from 5 weeks that was sustained over 6 months with a lower rate of MTSS recurrence compared with the placebo. If similar results are seen in a larger cohort, it has potential to benefit patients with MTSS as an adjunct to current treatment modalities. Further investigation regarding efficacy is needed. Trial registration number ACTRN12620000906954.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"1 1","pages":"257 - 263"},"PeriodicalIF":2.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75534954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-07DOI: 10.1136/bmjinnov-2022-001064
Sheng Wu, Bernardo Mariano Junior
Objective To obtain quantitative evidence for innovation management on Emerging Technologies and Global Health from existing scientific research with a bibliometric approach. Design This study generates quantitative evidence for healthcare innovation policy making, offering new insights: first, innovation quality can be measured through dynamic interactions among key innovation elements; second, as emerging technologies are impacting global health in an interdisciplinary and fast-changing manner, new theories and tools that suit the planetary innovation ecosystem need to be established. The evidence contains two aspects, the intellectual base and the research front. The software used is Citespace V.6.1.R3 and Python. Data source This study scanned the Web of Science Core Collection with an extensive range of research themed around emerging technologies and global health, resulting in a dataset of 9738 items of science literature between 2017 and 2021. Eligibility criteria for selecting studies This dataset contains literature across sciences and social sciences in the form of journal research articles, excluding systematic reviews and surveys. The search includes literature in all languages. Results This study presents the landscape of emerging technology and global health, depicts the quality of innovation, and reveals the innovation trends. It demonstrates the major players and major sources of innovation, captures innovation foci and detects research blanks. Conclusion This bibliometric analysis, which is conducted on scientific research, outlines the quality and impact of innovation in Emerging Technologies and Global Health. It shows the importance of Research and Development for generating quantitative evidence for innovation management policy making.
目的运用文献计量学方法，从现有科学研究中获得新兴技术创新管理与全球健康的定量证据。本研究为医疗卫生创新政策制定提供了量化证据，提供了新的见解:第一，创新质量可以通过关键创新要素之间的动态互动来衡量;第二，随着新兴技术以跨学科和快速变化的方式影响全球卫生，需要建立适合全球创新生态系统的新理论和工具。证据包括知识基础和研究前沿两个方面。软件版本为Citespace V.6.1。R3和Python。本研究扫描了以新兴技术和全球健康为主题的广泛研究的Web of Science Core Collection，得出了2017年至2021年间9738项科学文献的数据集。本数据集包含以期刊研究文章形式出现的跨科学和社会科学文献，不包括系统综述和调查。搜索包括所有语言的文献。结果本研究呈现了新兴技术与全球健康的格局，描绘了创新的质量，揭示了创新的趋势。它展示了创新的主要参与者和主要来源，抓住了创新焦点，发现了研究空白。这项文献计量分析是对科学研究进行的，概述了新兴技术和全球健康创新的质量和影响。这表明了研究与开发对创新管理政策制定提供定量证据的重要性。
{"title":"Emerging technologies and global health: a systematic review generating bibliometric evidence for innovation management","authors":"Sheng Wu, Bernardo Mariano Junior","doi":"10.1136/bmjinnov-2022-001064","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-001064","url":null,"abstract":"Objective To obtain quantitative evidence for innovation management on Emerging Technologies and Global Health from existing scientific research with a bibliometric approach. Design This study generates quantitative evidence for healthcare innovation policy making, offering new insights: first, innovation quality can be measured through dynamic interactions among key innovation elements; second, as emerging technologies are impacting global health in an interdisciplinary and fast-changing manner, new theories and tools that suit the planetary innovation ecosystem need to be established. The evidence contains two aspects, the intellectual base and the research front. The software used is Citespace V.6.1.R3 and Python. Data source This study scanned the Web of Science Core Collection with an extensive range of research themed around emerging technologies and global health, resulting in a dataset of 9738 items of science literature between 2017 and 2021. Eligibility criteria for selecting studies This dataset contains literature across sciences and social sciences in the form of journal research articles, excluding systematic reviews and surveys. The search includes literature in all languages. Results This study presents the landscape of emerging technology and global health, depicts the quality of innovation, and reveals the innovation trends. It demonstrates the major players and major sources of innovation, captures innovation foci and detects research blanks. Conclusion This bibliometric analysis, which is conducted on scientific research, outlines the quality and impact of innovation in Emerging Technologies and Global Health. It shows the importance of Research and Development for generating quantitative evidence for innovation management policy making.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"17 1","pages":"165 - 176"},"PeriodicalIF":2.0,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75015459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-22DOI: 10.1136/bmjinnov-2021-000893.corr1
{"title":"Correction: User-centred innovation to advance safe surgery at the point of need: report on development of the SurgiField system","authors":"","doi":"10.1136/bmjinnov-2021-000893.corr1","DOIUrl":"https://doi.org/10.1136/bmjinnov-2021-000893.corr1","url":null,"abstract":"","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"162 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74311731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-13DOI: 10.1136/bmjinnov-2022-001049
Pauline Marie Padilla Tiangco, J. Mier-Alpaño, J. R. B. Cruz, J. Alacapa, Joey J. Escauso, U. Amazigo, B. Halpaap, M. Labarda, N. Juban
The Social Innovation in Health Initiative (SIHI) piloted a community engagement self-monitoring (CE-SM) strategy, where communities were actively engaged in monitoring the implementation and performance of their social innovations to ensure that their objectives were achieved. This strategy aims to empower communities to document processes, understand the factors involved and measure outcomes by developing a community-grounded self-monitoring tool and implementing their own approach. Two community comanaged social innovations were selected. For one innovation, the communities implemented the CE-SM independent of external intervention. For the second, the communities were provided with minimal assistance by SIHI. These communities identified their monitoring indicators and selected local monitors to collect data to assess performance outcomes and document the entire process. Communities chose indicators based on their perceived importance and practicality, while monitors were chosen based on their familiarity with the community. Community leaders’ proactive leadership and community members’ participation contributed significantly to its success. The important role of regular feedback sessions was also emphasised, not only as a means of monitoring progress but also for boosting their morale. The level of external support needed by a community was determined by the scope of the project and the community’s grasp of the strategy. CE-SM has been demonstrated to be a viable strategy when communities realise their capacity to monitor their own projects using an approach they deem fit. It has also enhanced their sense of ownership which could improve the chances of sustaining these initiatives and contribute to more accessible healthcare and services.
{"title":"Community engagement self-monitoring (CE-SM) strategy for social innovations in health: pilot implementation in the Philippines","authors":"Pauline Marie Padilla Tiangco, J. Mier-Alpaño, J. R. B. Cruz, J. Alacapa, Joey J. Escauso, U. Amazigo, B. Halpaap, M. Labarda, N. Juban","doi":"10.1136/bmjinnov-2022-001049","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-001049","url":null,"abstract":"The Social Innovation in Health Initiative (SIHI) piloted a community engagement self-monitoring (CE-SM) strategy, where communities were actively engaged in monitoring the implementation and performance of their social innovations to ensure that their objectives were achieved. This strategy aims to empower communities to document processes, understand the factors involved and measure outcomes by developing a community-grounded self-monitoring tool and implementing their own approach. Two community comanaged social innovations were selected. For one innovation, the communities implemented the CE-SM independent of external intervention. For the second, the communities were provided with minimal assistance by SIHI. These communities identified their monitoring indicators and selected local monitors to collect data to assess performance outcomes and document the entire process. Communities chose indicators based on their perceived importance and practicality, while monitors were chosen based on their familiarity with the community. Community leaders’ proactive leadership and community members’ participation contributed significantly to its success. The important role of regular feedback sessions was also emphasised, not only as a means of monitoring progress but also for boosting their morale. The level of external support needed by a community was determined by the scope of the project and the community’s grasp of the strategy. CE-SM has been demonstrated to be a viable strategy when communities realise their capacity to monitor their own projects using an approach they deem fit. It has also enhanced their sense of ownership which could improve the chances of sustaining these initiatives and contribute to more accessible healthcare and services.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"55 1","pages":"185 - 191"},"PeriodicalIF":2.0,"publicationDate":"2023-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88499567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-26DOI: 10.1136/bmjinnov-2022-000996
Helen Surana
{"title":"Non-communicable diseases in a time of infection","authors":"Helen Surana","doi":"10.1136/bmjinnov-2022-000996","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-000996","url":null,"abstract":"","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"105 1","pages":"1 - 2"},"PeriodicalIF":2.0,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78618290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-05DOI: 10.1136/bmjinnov-2022-001028
K. VanKoevering, Julia Brennen, Rachel Fenberg, Samuel D. Dolphin, Natalia von Windheim, L. Matrka, B. D. De Silva, M. Spector, S. Chinn, P. Choi, Songzhu Zhao, K. Casper, G. Green
Objective Despite being life-saving, tracheostomies carry numerous social, functional and quality of life (QOL) drawbacks. The aim of this study was to design and test the use of small, discrete, customised tracheostomy stoma plugs in patients who are not tracheostomy-dependent during the day, with the overall goals to demonstrate the feasibility of creating these patient-specific devices and obtain preliminary results of impact on QOL. Methods We developed and evaluated a novel patient-specific ‘stoma plug’ to improve the lives of those with tracheostomies who did not have a daytime ventilation requirement. The stoma plug was designed and manufactured using three-dimensional printing for each subject. Measurements of the patient’s fistula were obtained in the clinic and the features of the stoma plug were created to match the fistula and trach tube dimensions. Patients were monitored for any changes in their eligibility status and for complications associated with using the ‘stoma plug’. A survey questionnaire examining multiple QOL domains was performed predevice and at 1 and 6 months of use. Results Devices were designed and produced for 35 patients enrolled across two institutions. The survey results demonstrate statistically significant improvement in quality-of-life scores (p<0.05) in all six domains queried (Overall QOL, voice strength, voice clarity, water tolerance, swallowing and breathing) with substantial improvements in social isolation and skin irritation reported. Conclusion Our study demonstrates that a patient specific device can be created to ameliorate many of the drawbacks associated with a tracheostomy tube, with the potential to revolutionise tracheostomy care.
{"title":"Patient-specific tracheal stoma plug improves quality of life for tracheostomy patients","authors":"K. VanKoevering, Julia Brennen, Rachel Fenberg, Samuel D. Dolphin, Natalia von Windheim, L. Matrka, B. D. De Silva, M. Spector, S. Chinn, P. Choi, Songzhu Zhao, K. Casper, G. Green","doi":"10.1136/bmjinnov-2022-001028","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-001028","url":null,"abstract":"Objective Despite being life-saving, tracheostomies carry numerous social, functional and quality of life (QOL) drawbacks. The aim of this study was to design and test the use of small, discrete, customised tracheostomy stoma plugs in patients who are not tracheostomy-dependent during the day, with the overall goals to demonstrate the feasibility of creating these patient-specific devices and obtain preliminary results of impact on QOL. Methods We developed and evaluated a novel patient-specific ‘stoma plug’ to improve the lives of those with tracheostomies who did not have a daytime ventilation requirement. The stoma plug was designed and manufactured using three-dimensional printing for each subject. Measurements of the patient’s fistula were obtained in the clinic and the features of the stoma plug were created to match the fistula and trach tube dimensions. Patients were monitored for any changes in their eligibility status and for complications associated with using the ‘stoma plug’. A survey questionnaire examining multiple QOL domains was performed predevice and at 1 and 6 months of use. Results Devices were designed and produced for 35 patients enrolled across two institutions. The survey results demonstrate statistically significant improvement in quality-of-life scores (p<0.05) in all six domains queried (Overall QOL, voice strength, voice clarity, water tolerance, swallowing and breathing) with substantial improvements in social isolation and skin irritation reported. Conclusion Our study demonstrates that a patient specific device can be created to ameliorate many of the drawbacks associated with a tracheostomy tube, with the potential to revolutionise tracheostomy care.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"19 1","pages":"177 - 184"},"PeriodicalIF":2.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89096976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-03DOI: 10.1136/bmjinnov-2022-000962
Yonatan G. Keschner, A. Raja, J. Margolin, Hui Zheng, K. Olson
Background Eye protection is a mandatory component of the personal protective equipment in healthcare settings, especially for suspected or confirmed cases of COVID-19 and during aerosolising procedures. Fogging of protective eyewear is a frequent problem experienced by providers. The hydrophilic property of a sulfonated polymer, BiaXam, may be able to decrease fogging through wicking moisture from the lens. In this study, we tested the anti-fogging properties of this polymer when applied to protective eyewear. Methods An investigator-initiated prospective, randomised, single-blinded cross-over study was conducted in an emergency department in a large, tertiary care hospital. Participants were blinded and randomised first to either a pair of anti-fog coated or uncoated eyewear, and then to the alternative pair after 2 hours. Study participants completed an identical survey at the end of each 2-hour period. Results 50 emergency medicine healthcare providers were enrolled and 48 completed the study. Results demonstrated a significant difference in fogging between the coated and uncoated eyewear, as 81% of the participants reported fogging of the uncoated lenses and only 55% of the participants reported fogging in the coated pair (p=0.0029). Participants reported that the uncoated lenses fogged two times as frequently on a 10-point Likert scale (4.5±3.3 vs 2.1±2.5; p<0.0001). Subgroup analysis of participants who wore only a surgical mask demonstrated even more efficacious results with coated eyewear. Conclusion Overall, sulfonated polymer-coated eyewear improved provider visualisation, user experience and perceived mitigation of potential medical errors.
护眼是医疗机构中个人防护装备的强制性组成部分，特别是对于COVID-19疑似或确诊病例以及在雾化过程中。护目镜起雾是供应商经常遇到的问题。磺化聚合物BiaXam的亲水性可以通过吸干透镜中的水分来减少起雾。在这项研究中，我们测试了这种聚合物在防护眼镜上的防雾性能。方法在一家大型三级医院的急诊科进行了一项研究者发起的前瞻性、随机、单盲交叉研究。参与者被盲法随机分为两组，一组戴有防雾涂层的眼镜，另一组戴无防雾涂层的眼镜，两小时后再戴另一组。研究参与者在每两小时结束时完成一份相同的调查。结果纳入50名急诊医疗服务提供者，48名完成研究。结果表明，涂层眼镜和未涂层眼镜在起雾方面存在显著差异，81%的参与者报告未涂层眼镜起雾，而只有55%的参与者报告涂层眼镜起雾(p=0.0029)。参与者报告说，未涂覆的镜片在10分李克特量表(4.5±3.3 vs 2.1±2.5;p < 0.0001)。对只戴外科口罩的参与者的亚组分析表明，戴涂层眼镜的结果更有效。总体而言，磺化聚合物涂层眼镜改善了提供者的可视化，用户体验和潜在医疗差错的感知缓解。
{"title":"Effectiveness of an anti-fog polymer coating in protective eyewear: a blinded, randomised controlled cross-over trial with healthcare providers in an emergency department setting","authors":"Yonatan G. Keschner, A. Raja, J. Margolin, Hui Zheng, K. Olson","doi":"10.1136/bmjinnov-2022-000962","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-000962","url":null,"abstract":"Background Eye protection is a mandatory component of the personal protective equipment in healthcare settings, especially for suspected or confirmed cases of COVID-19 and during aerosolising procedures. Fogging of protective eyewear is a frequent problem experienced by providers. The hydrophilic property of a sulfonated polymer, BiaXam, may be able to decrease fogging through wicking moisture from the lens. In this study, we tested the anti-fogging properties of this polymer when applied to protective eyewear. Methods An investigator-initiated prospective, randomised, single-blinded cross-over study was conducted in an emergency department in a large, tertiary care hospital. Participants were blinded and randomised first to either a pair of anti-fog coated or uncoated eyewear, and then to the alternative pair after 2 hours. Study participants completed an identical survey at the end of each 2-hour period. Results 50 emergency medicine healthcare providers were enrolled and 48 completed the study. Results demonstrated a significant difference in fogging between the coated and uncoated eyewear, as 81% of the participants reported fogging of the uncoated lenses and only 55% of the participants reported fogging in the coated pair (p=0.0029). Participants reported that the uncoated lenses fogged two times as frequently on a 10-point Likert scale (4.5±3.3 vs 2.1±2.5; p<0.0001). Subgroup analysis of participants who wore only a surgical mask demonstrated even more efficacious results with coated eyewear. Conclusion Overall, sulfonated polymer-coated eyewear improved provider visualisation, user experience and perceived mitigation of potential medical errors.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"149 12","pages":"144 - 149"},"PeriodicalIF":2.0,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72576042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-26DOI: 10.1136/bmjinnov-2022-000936
Shuhan He, D. Lai, Grace Jin, Jarone Lee
Across various industries, the right to repair (RTR) movement has gained momentum as more than 20 states have proposed RTR laws to expand access to repair of consumer products. Medical device equipment shortages during the COVID-19 pandemic demonstrated that stronger repair mechanisms are necessary for the US health system to become more efficient, affordable and sustainable. We propose a 5-point SAFER framework including safety and security, adaptability, fiscal, environmental and regulatory factors for consideration in implementing medical device RTR. The healthcare community can help advance RTR legislation in a manner that serves our patients and healthcare system best.
{"title":"SAFER framework for moving forward on the medical device right to repair","authors":"Shuhan He, D. Lai, Grace Jin, Jarone Lee","doi":"10.1136/bmjinnov-2022-000936","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-000936","url":null,"abstract":"Across various industries, the right to repair (RTR) movement has gained momentum as more than 20 states have proposed RTR laws to expand access to repair of consumer products. Medical device equipment shortages during the COVID-19 pandemic demonstrated that stronger repair mechanisms are necessary for the US health system to become more efficient, affordable and sustainable. We propose a 5-point SAFER framework including safety and security, adaptability, fiscal, environmental and regulatory factors for consideration in implementing medical device RTR. The healthcare community can help advance RTR legislation in a manner that serves our patients and healthcare system best.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"75 1","pages":"97 - 102"},"PeriodicalIF":2.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82291560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The delay in seeking emergency obstetric care leads to significant maternal morbidity and mortality and can worsen during pandemics, especially in humanitarian conflict settings with low uptake of obstetric services. To mitigate the challenges related to the second delay caused by lack of transport in the COVID-19 pandemic, the organisation United Nations Population Fund implements a community-based referral project called Referral Hub in the Rohingya refugee population in Bangladesh. The objective of the paper is to describe the implementation process of the Referral hub and present clients' utilisation and perception of the service.
Methods: Findings from part of a larger mixed-method study, the analysis of the standard operating protocol of the intervention, secondary data of routine utilisation of the 12 referral hubs between January and August 2020, 21 key informant interviews and a community survey among 100 pregnant women are presented in this paper.
Results: The findings show an increasing trend in the referral hub utilisation and a strong recommendation of the service.
Conclusion: Due to a robust referral mechanism by collaborating with the community and engaging accessible and free of cost transport service, the intervention has high potential to improve access to facility care in low-resource and humanitarian contexts, especially during pandemics.
{"title":"Implementation of a community-based referral project to improve access to emergency obstetric and newborn care in Rohingya population during COVID-19 pandemic in Bangladesh.","authors":"Mrittika Barua, Avijit Saha, Srizan Chowdhury, Sayantan Chowdhury, Stenly Hely Sajow, Malabika Sarker","doi":"10.1136/bmjinnov-2021-000831","DOIUrl":"https://doi.org/10.1136/bmjinnov-2021-000831","url":null,"abstract":"<p><strong>Introduction: </strong>The delay in seeking emergency obstetric care leads to significant maternal morbidity and mortality and can worsen during pandemics, especially in humanitarian conflict settings with low uptake of obstetric services. To mitigate the challenges related to the second delay caused by lack of transport in the COVID-19 pandemic, the organisation United Nations Population Fund implements a community-based referral project called Referral Hub in the Rohingya refugee population in Bangladesh. The objective of the paper is to describe the implementation process of the Referral hub and present clients' utilisation and perception of the service.</p><p><strong>Methods: </strong>Findings from part of a larger mixed-method study, the analysis of the standard operating protocol of the intervention, secondary data of routine utilisation of the 12 referral hubs between January and August 2020, 21 key informant interviews and a community survey among 100 pregnant women are presented in this paper.</p><p><strong>Results: </strong>The findings show an increasing trend in the referral hub utilisation and a strong recommendation of the service.</p><p><strong>Conclusion: </strong>Due to a robust referral mechanism by collaborating with the community and engaging accessible and free of cost transport service, the intervention has high potential to improve access to facility care in low-resource and humanitarian contexts, especially during pandemics.</p>","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"8 4","pages":"247-254"},"PeriodicalIF":2.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10156895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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