确定印度医院内3D设计工程设施的研发重点

Q1 Arts and Humanities Journal of Design, Business and Society Pub Date : 2020-10-01 DOI:10.1386/dbs_00011_1
D. Eggbeer, D. Mehrotra, K. Beverley, Steven Hollisey-Mclean, P. Evans
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引用次数: 1

摘要

先进的三维(3D)设计和工程技术已经彻底改变了患者特定的植入物,修复体和医疗设备,特别是在颅颌面和口腔医学领域。最近,成本的降低,再加上将设计和生产技术更接近医疗保健交付点所带来的好处,鼓励医院实施自己的3D设计和工程服务。大多数学术文献都报告了影响高收入国家此类服务可持续发展的因素。但是,对定制颅面装置需求很高的低收入和中等收入国家呢?在资源受限的环境中实施院内服务的独特挑战是什么?本文报告了一个名为Co-MeDDI(协作医疗设备设计计划)的合作项目的结果,该项目汇集了一个英国团队,该团队在英国与印度北方邦地区一家公立医院的颌面科一起建立和运行了基于医院的3D服务,该团队最近获得了建立类似能力的资金。我们描述了一种结构化的设计研究方法,该方法由项目生命周期内发生的一系列交流活动组成,比较了印度和英国3D服务医疗创新生态系统的不同方面。根据不同活动的结果,我们确定了影响印度采用此类服务的关键因素。研究结果对资源受限环境下的医疗保健政策制定者和公立医院管理者,以及从事医疗保健举措协同输出的学者和从业人员具有重要意义。
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Identifying research and development priorities for an in-hospital 3D design engineering facility in India
Advanced three-dimensional (3D) design and engineering technologies have revolutionized patient-specific implants, prostheses and medical devices, particularly in the cranio-maxillofacial and oral medical fields. Lately, decreasing costs, coupled with the reported benefits of bringing design and production technology closer to the point of healthcare delivery, have encouraged hospitals to implement their own 3D design and engineering services. Most academic literature reports on the factors that influence the sustainable development of such services in high-income countries. But what of low- and middle-income countries where demand for custom craniofacial devices is high? What are the unique challenges to implement in-hospital services in resource-constrained environments? This article reports the findings of a collaborative project, Co-MeDDI (Collaborative Medical Device Design Initiative), that brought together a UK-based team with the experience of setting up and running a hospital-based 3D service in the United Kingdom with the Maxillofacial Department of a public hospital in the Uttar Pradesh region of India, which had recently received funding to establish a similar capability. We describe a structured design research approach consisting of a series of exchange activities taking place during the lifetime of the project that compared different aspects of the healthcare innovation ecosystem for 3D services in India and the United Kingdom. Based on the findings of the different activities, we identify key factors that influence the adoption of such services in India. The findings are of relevance to healthcare policy-makers and public hospital managers in resource-constrained environments, and to academics and practitioners engaging in collaborative export of healthcare initiatives.
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来源期刊
Journal of Design, Business and Society
Journal of Design, Business and Society Arts and Humanities-Visual Arts and Performing Arts
CiteScore
1.40
自引率
0.00%
发文量
6
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