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Wednesday
Apr182012

Commentary on ”Reverse Innovation”

In his new book, reverse innovation 1, Vijay Govindarajan explores the hypothesis that innovations originating from low-income countries may provide solutions that can help in developed countries. A tail wagging the dog scenario that will likely rock the ivory tower of our western life science community. I think he is spot on.

Any time you apply constraints to innovation you come up with novel untried approaches to problems that may have not been attempted in a market without these limitations. This is classically demonstrated in 1st world health care delivery where profit is the motive because people have (had) the means to pay for good health care. As this paradigm shifts and we see 60 million Americans shut out from the US health care system (a global trend not just in the US), clearly, things must change.  

On the other end of the scale look at the low-income countries with enormous challenges in providing healthcare access to, not millions, but BILLIONS of people with a fraction of the resources and limited existing infrastructure to deliver this. If health care solutions must be approached within these constraints we need to think differently about how to approach this challenge.

When our team developed a new technology to quantify HIV viral load in patients as a way of monitoring drug effectiveness, we chose a marker that would allow the assay to be run in an environment with a reduced technology footprint, and at a lower total cost of delivery.  It also happened that this approach gave us added benefits not found in the existing technology developed for the first world.  Yes, it was a novel solution designed for heavily constrained environments AND it wound up being a better solution; it is capable of detecting all subtypes of HIV, not prone to contamination, does not require a clean room, and performs on par with the existing high-cost tests.  This technology makes HIV care more accessible to millions of patients in Africa, India, and Southeast Asia where the HIV disease burden is the highest.

Now, apply this technology to a rapidly deteriorating and under-funded HIV delivery system anywhere and you begin to see the benefits of constraint-based thinking. We see demand from New York, London and Frankfurt for our technology making it state of the art for a global health care reality; supply more care with fewer resources.

The theory of constraints is not new, Eli Glodrat wrote The Goal in 1984, where he introduced the concept of constraint analysis to optimize throughput. Isn’t that what we need more of in health care delivery today; more access (throughput) by eliminating delivery constraints? We applaud this insight from 1984 industry and welcome the Immelt and Govindarajan idea that "No longer will innovations traverse the globe in only one direction they will also flow in reverse." We believe in this shift and that technology will increasingly flow in both directions.

John Reisky de Dubnic

CEO

Cavidi

 

 


1 October 2009 HBR article "How GE Is Disrupting Itself" with GE's CEO Jeff Immelt pioneered the concept of reverse innovation http://hbr.org/2009/10/how-ge-is-disrupting-itself/ar/1

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    癫痫患者不能做哪些事情 对于人来说,我们从小就被告知要注意不能做的事情 辽源癫痫病专业医院 ,因此我们对于不能做的事 癫痫病 情印象都非常深刻。医生通常会告诉患者在疾病的治疗期间不能干什么事情,这主要是为了使疾病能够真正的得到治疗和恢复,癫痫病是一种常见的顽固性疾病,对人体的伤害较大,尤其是在其发作中对人体的伤害最严重。那么,癫痫患者不能做哪些事情呢。   就此问题,癫痫病医院的专家指出,癫痫病患者为了防止疾病 癫痫病的危害大吗 的频繁发作在日常生活中不能做的事情非常多,所以患者需要对这些不能做的事情进行重视,防止其导致疾病的发作而给自身
  • Response
    小儿癫痫 癫痫病 久治不愈是什 癫痫病医院 么原因引起的_成都神康癫痫病医院 小儿癫痫久治不愈是什么原因引起的?癫痫病医院专家介绍说,癫痫多年来一直是不治之症的代名词,多少人承受着癫痫的折磨。我们的生活中小儿患上癫痫的几率,虽然目 治疗癫痫的偏方 前癫痫已经可以临床临床有效控制,但是出现小儿癫痫久治不愈的例子还是数不胜数,那小儿癫痫久治不愈是什么原因引起的?癫痫病医院的专家为我们解说,治疗癫痫的偏方。   1、癫痫病医院专家指出,小儿癫痫虽然可以临床有效控制,但是治疗中易受到各种因素的影响。小儿癫痫患者家长如果不遵医嘱进行不规
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    癫痫病哪些治疗方法好 在临床上癫痫病哪些 郴州癫痫病医院地址 治疗方法好,有些疾病如肺结核、细菌性痢疾等,病因明确,只要经过有效治疗,把致病的细菌消灭,患者很快会恢复健康癫痫病哪些治疗 羊羔疯 方法好,病也就从病理上“治疗”了。然而,在临床上还有一些疾病,病因不很清楚,如高血压、慢性胃炎等,很难去掉“病根”,郴州癫痫病医院地址,医师只能用药物来控制症状,让它不表现出来,这种情况就可以理解为治疗了。相当一部分癫痫,属于后一种情况。具体我们来看下文分析介绍。 易引起羊羔疯发作的原因有哪些? 易引起 羊羔疯 羊羔疯发作的
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    心理障碍会影响癫痫病的康复吗 患者咨询:心理障碍会 癫痫病的早期症状 影响癫痫病的康复吗,癫痫病的早期症状?   一些患者因为对癫痫病的康 癫痫病 复缺乏信心,往往不积极的进行治疗和预防护理。这是引起癫痫病反复发病的原因之一。所以很多医生都会对癫痫病人进行必要的心理辅导治疗,减少患者的心理障碍。其实癫痫病作为一种可以治愈的疾病,怎么才可以早日的恢复健康呢?那心理障碍会影响癫痫病的康复吗?   针对癫痫病患者采取心理治疗,癫痫病医院陈江文主任表示:   你 癫痫病医院 好!心理的调节治疗是可以很好的控制癫痫病发作症状,避免癫痫病
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    吃盐与癫痫发作有关系吗 患者提问:我在一本书上看到:癫痫病患者盐吃多了也会引发癫痫病发作,拉萨癫痫病专科医院,当时我觉得不可能。吃盐难道也会引发癫痫病发 拉萨癫痫病专科医院 作吗?但是最 保定癫痫病医院 近遇到一位患了癫痫病的亲戚,因为喜欢吃味道重的饭菜,使得癫痫病发作了。所以我想弄明白吃盐与癫痫病发作有关系吗?希望癫痫病医院的专家能为我解答这个问题。   专家回答:你好,保定癫痫病医院!能够引起癫痫病发作的因素很多,所以很多时候患者不注意一些生活上的细节,是导致癫痫病发作的主要原因之一,漳州癫痫病医院地址。能诱 漳州癫痫病医院地址 发
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    儿童失神性癫痫怎么治 儿童时期是人类最为羸弱、最需要照顾的时 南京癫痫病医院地址 期,南京癫痫病医院地址,因为这个时期的孩子体质非常脆弱的,并且很多疾病在这个时期都表现出非常强劲的侵袭能力,所以需要对孩子进行非常性的照顾。儿童失神性癫痫病 癫痫病医院 是一种儿童时期非常常见的疾病。为了帮助各位家长,癫痫病医院的专家向大家普及儿童失神性癫痫怎么治的知识。   癫痫病医院的专家指出,额头失神性癫痫病是一种发作频率低,零星散发,平均每天少于一次,多数在觉醒时出现,意识改变较轻的癫痫病,并且孩子常能对发作情况有部分感知,汕尾癫痫 汕尾癫痫病专业医院 病
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    小儿癫痫发作有哪些急救方法 小儿癫痫发作有哪些急救方法?生活中,文昌癫痫病专业医院,小儿癫痫病一直是发病最多的,很多 文昌癫痫病专业医院 家长都对孩子频繁发作 癫痫病医院 的癫痫疾病痛恨不已,因为很多孩子因为癫痫病的突然发作而出现各种伤害。癫痫病医院詹伟华院长表示:为了减少小儿癫痫患儿的各种意外伤,家长一定要掌握癫痫发作的急救护理方法,减少孩子受到伤害的可能性。那小儿癫痫发作有哪些急救方法呢?   癫痫病医院詹伟华院长为家长们接受小儿癫痫发作的急救方法 小儿癫痫 :   1、生活中,家长发现孩子出现癫痫病发作症状时,一定要及时的对孩子进
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    患者家长热点关注:儿童 癫痫病能治愈吗 癫痫病能治愈吗-癫痫病医院 儿童是我国癫痫病的 癫痫病医院 高发人群,对于儿童癫痫病患者的家长最关心的莫过于儿童癫痫病能治愈吗。中医医院的专家指出儿童癫痫病相对于成人癫痫病可能更好治疗,但是儿童正处于身体发育期,如果不及时治疗的话,后果更加严重。下面我们看看专家儿童癫痫病能治愈吗这个问题的解析。 专家说前我国约有900万癫 癫痫病能治愈吗 痫患者,每年新增患者40万人。10岁以下和60岁以上,是癫痫病发作的两个高峰期,其中,国内0-9岁的癫痫患者占38.5%,随州治疗癫痫病医院,10-29岁的患者占4
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    小儿癫痫病 宁波治疗癫痫病医院 的治疗 了解癫痫病的征兆是很重要的,如果我们尽早的 小儿癫痫 了解到癫痫病的发作征兆,就会避免癫痫病的发作,由于现在生活压力的增加,会经常性的失去意识,于是就会有很多人都有这样的疑问,虽然说癫痫并不是不治之症,但是癫痫对于患者的心理是有一定的 来宾癫痫病治疗医院 影响的,所以为了的健康,宁波治疗癫痫病医院,那么我们最重要的找到好的治疗方法。 说到底癫痫病可以治好吗 1、药物治疗癫痫包括抗癫痫药物治疗和精神障碍治疗,首先应该调整抗癫痫药物控制癫痫发作小儿癫痫病的治疗,精神行为异常也可以相应地减轻或缓
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    癫痫病开颅手术治疗有哪些缺点 癫痫病开颅手术治疗有哪些优缺点?癫痫病虽然是一种顽疾,但是医学技术发展,使得癫痫病治疗难度越来越小。西药治疗、中医中药治 癫痫大发作 疗、饮食治疗、手术治疗等,都是癫痫病治疗的科学方法,癫痫病患者可以 什么是癫痫病 根据自己的癫痫病情,选择适合的治疗方法,对症治疗癫痫病是最佳的治疗选择。对于选择手术治疗癫痫患者来说,癫痫病开颅手术治疗有哪些优缺点呢?   针对手术治疗癫痫病的优点和缺点,癫痫病医院詹伟华院长给出了以下的介绍:   1、手术治疗癫痫病,就是对癫痫患者进行开颅手术,对癫痫 北海癫痫医院 病
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    如何判断小孩是不是得了癫,天水癫痫病医院地址 癫痫是一种很复杂的疾病,如果要细分,可以分为几十种类型 天水癫痫病医院地址 ,并且癫痫也不能只靠观察 癫痫病医院 是否抽搐来做判断,因为癫痫还会有其他症状的出现,癫痫还会有其他哪些症状呢?癫痫病医院专家是这样解释的:   癫痫分为大发作和小发作。癫痫大发作主要是指癫痫患者在发作时会出现全身抽搐的症状,并且有的还会伴随着口吐白沫的症状。癫痫小发作主要是指神经上出现的一些小症状,癫痫小发作包括了失神型癫痫、睡眠型癫痫等,并且癫痫小发作主要人群是儿童。   失神性癫痫在临床上 癫痫大发作 主要表
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    Response: baidu
    舒俊爬起身朝着身后的战友走去,开心地呼道:“你们怎么会在这里?” 那人一身迷彩装备,应着舒俊的问话而将自己的伪装给卸 哪些是牛皮癣的病因 了下来,伸手将自己脸上的油墨给抹掉,开口笑道:“舒俊你怎么了?我们不是一起过来查案的吗?你说我们为什么会在这儿!” 哪些是牛皮癣的 baidu 病因当那人卸掉所有的伪装之后,舒俊定睛一看,对方居然是小胡!而小胡的身后还有葛家生! 这……这到底是怎么一回事?为什么小胡和葛家生会一副野战军的装备呢?难不成他们也是特种作战部队的? 正当舒俊摸不着头脑苦思之际,梁依依的声音突然 儿童初期牛皮癣症状 从
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    Response: 江苏牛皮癣
    "中国式父亲"林永健教育被呛 坑娃行为应被杜绝 《爸爸 老年人喝奶有什么好处? 3》刚开 山西牛皮癣专科医院 播,大家都还沉浸在萌娃们的欢笑声中,很多网友针对林永健的中国式教育和夏克立的西方教育产生不同的看法,引发了一场激烈的大讨论。 《爸爸去哪儿3》刚开播,大家都还沉浸在五个萌娃带来的欢笑声中,老年人喝奶有什么好处?,就有不少人被湖南卫视制造出的爆点所击中。针对林永健的中国式教育和夏克立的西方教育产生不同的看法,认为两个 云南牛皮癣 爸爸之间产生了分歧,甚至发生了不愉快的冲突。正巧,有个作家写了一篇名为《朋友要交林永健 爸爸要选夏克立》的文章

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