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Biomedical engineering in low- and middle-income settings : analysis of current state, challenges and best practices
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De Maria, Carmelo, Díaz Lantada, Andrés, Jämsä, Timo, Pecchia, Leandro and Ahluwalia, Arti (2022) Biomedical engineering in low- and middle-income settings : analysis of current state, challenges and best practices. Health and Technology, 12 . pp. 643-653. doi:10.1007/s12553-022-00657-8 ISSN 2190-7188.
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Official URL: https://doi.org/10.1007/s12553-022-00657-8
Abstract
Supporting the expansion of best practices in Biomedical Engineering (BME) can facilitate pathway toward the providing universal health coverage and more equitable and accessible healthcare technologies, especially in low- and middle-income (LMI) settings. These best practices can act as drivers of change and may involve scientific-technological issues, human intervention during technology development, educational aspects, social performance management for improved interactions along the medical technology life cycle, methods for managing resources and approaches for the establishment of regulatory frameworks.
The aim of our study was to identify weaknesses and strengths of the scientific, technological, socio-political, regulatory and educational landscape in BME in LMI resource settings. We thus analysed the current state-of-the-art through six dimensions considered fundamental for advancing quality and equity in healthcare: 1) relevant and 2) emergent technologies, 3) new paradigms in medical technology development, 4) innovative BME education, 5) regulation and standardization for novel approaches, and 6) policy making. In order to evaluate and compare their relevance, maturity and implementation challenges, they were assessed through a questionnaire to which 100 professionals from 35 countries with recognized experience in the field of BME and its application to LMI settings responded.
The results are presented and discussed, highlighting the main challenges and pinpointing relevant areas where intervention, including local lobbying and international promotion of best practices is necessary. We were also able to identify areas where minimal effort is required to make big changes in global health.
Item Type: | Journal Article | |||||||||||||||
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Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine |
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Divisions: | Faculty of Science, Engineering and Medicine > Engineering > Engineering | |||||||||||||||
SWORD Depositor: | Library Publications Router | |||||||||||||||
Library of Congress Subject Headings (LCSH): | Biomedical engineering, Healthcare -- Social aspects, Medical technology, Equality -- Health aspects, Health services accessibility | |||||||||||||||
Journal or Publication Title: | Health and Technology | |||||||||||||||
Publisher: | Springer | |||||||||||||||
ISSN: | 2190-7188 | |||||||||||||||
Official Date: | May 2022 | |||||||||||||||
Dates: |
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Volume: | 12 | |||||||||||||||
Page Range: | pp. 643-653 | |||||||||||||||
DOI: | 10.1007/s12553-022-00657-8 | |||||||||||||||
Status: | Peer Reviewed | |||||||||||||||
Publication Status: | Published | |||||||||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||||||||
Date of first compliant deposit: | 23 May 2022 | |||||||||||||||
Date of first compliant Open Access: | 24 May 2022 | |||||||||||||||
RIOXX Funder/Project Grant: |
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