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ุงู„ุตุญุฉ ุงู„ุจุฏู†ูŠุฉ ุนุจุฑ ุงู„ู‡ุงุชู ุงู„ุฐูƒูŠ ุชุธู‡ุฑ ูƒูŠู ูŠู…ูƒู† ู„ุชูƒู†ูˆู„ูˆุฌูŠุง ุงู„ู‡ุงุชู ุงู„ู†ู‚ุงู„ ุฃู† ูŠุญุฏุซ ุชุญูˆู„ุงู‹ ููŠ ุงู„ุทุฑูŠู‚ุฉ ุงู„ุชูŠ ู†ุฌู…ุน ูˆู†ุฑุงู‚ุจ ุจู‡ุง ุงู„ู…ุนู„ูˆู…ุงุช ุงู„ุณุฑูŠุฑูŠุฉ.
the Smartphone Physical shows how mobile technology can transform the way we gather and monitor clinical information.
ูˆุชุณุชุฎุฏู… ุฃุญุฏุซ ุงู„ุฃุฌู‡ุฒุฉ ุงู„ู…ุณุชู†ุฏุฉ ุฅู„ู‰ ุงู„ู‡ุงุชู ุงู„ุฐูƒูŠ ู„ุฃุฎุฐ ู‚ูŠุงุณุงุช ุจุณูŠุทุฉ ู…ุซู„ ูˆุฒู† ุงู„ุฌุณู…ุŒ ุถุบุท ุงู„ุฏู…ุŒ ู…ุนุฏู„ ุถุฑุจุงุช ุงู„ู‚ู„ุจ ูˆุชุดุจุน ุงู„ุฃูƒุณุฌูŠู† ููŠ ุงู„ุฏู….
it uses the latest smartphone-based devices to take simple measurements such as body weight, blood pressure, heart rate and blood oxygen saturation.
ุฅู„ู‰ ุงู„ู‚ุฑุงุกุงุช ุงู„ุฃูƒุซุฑ ุชุนู‚ูŠุฏู‹ุง ู…ุซู„ ุชุฎุทูŠุท ุงู„ู‚ู„ุจ ุงู„ูƒู‡ุฑุจุงุฆูŠ ูˆุงู„ุชุตูˆูŠุฑ ุจุงู„ู…ูˆุฌุงุช ููˆู‚ ุงู„ุตูˆุชูŠุฉ.
to more complex readings such as electrocardiograms and ultrasound imaging.
ุงู„ู…ุงุณุญ ุจุงู„ู…ูˆุฌุงุช ููˆู‚ ุงู„ุตูˆุชูŠุฉ ุฌู†ุฑุงู„ ุฅู„ูŠูƒุชุฑูŠูƒ ููŠ ุณูƒุงู† ุงู„ุฐูŠ ุฑุฃูŠู†ุงู‡ ู‡ุฐุง ุงู„ุตุจุงุญ ู‡ูˆ ุฌู‡ุงุฒ ู…ูˆุฌุงุช ููˆู‚ ุตูˆุชูŠุฉ ู…ุญู…ูˆู„ ุจุงู„ูŠุฏ ุจุญุฌู… ุงู„ุฌูŠุจ.
GE vScan ultrasound scanner which we saw this morning is a handheld pocket-sized ultrasound device.
ูŠู…ูƒู‘ูู† ุงู„ู…ุชุฎุตุตูŠู† ููŠ ุงู„ุฑุนุงูŠุฉ ุงู„ุตุญูŠุฉ ู…ู† ูุญุต ุงู„ู…ุฑุถู‰ ูˆุฃุฌุณุงุฏู‡ู… ุฎู„ุงู„ ุงู„ูุญุต ุงู„ุจุฏู†ูŠ.
that enables healthcare professionals to examine patients and their bodies during a physical examination
ู…ุณุชุฎุฏู… ููŠ ุฃู…ุฑุงุถ ุงู„ู‚ู„ุจ ูˆุตุญุฉ ุงู„ุฃู…ู‡ุงุชุŒ ูŠู…ูƒู†ู‡ ุชุณุฑูŠุน ุงู„ุชุดุฎูŠุต ู„ู„ู…ุฑุถู‰.
used in cardiology and maternal health, it can speed up diagnosis for patients.
ุงู„ุฐูŠู† ู„ูŠุณ ู„ุฏูŠู‡ู… ูˆุตูˆู„ ู…ุชุณู‚ ู…ุน ู…ุซู„ ู‡ุฐู‡ ุงู„ุชูƒู†ูˆู„ูˆุฌูŠุง.
who do not have consistent access to such technologies.
ุงู„ุขู† ุฏุนูˆู†ุง ู†ู†ุธุฑ ุจุดูƒู„ ูƒุงู…ู„ ุฅู„ู‰ ู…ุง ุชูƒูˆู† ุจุนุถ ุงู„ุณู…ุงุช ุงู„ุฃุณุงุณูŠุฉ ู„ู‡ุฐู‡ ุงู„ู…ู†ุชุฌุงุช.
now let's look more fully at what some of the key characteristics of these products are.
ุงู„ุชูŠ ุชุฌุนู„ู‡ุง ุงู„ู€ 15 ุงู„ุฃูƒุซุฑ ุฃู‡ู…ูŠุฉ.
that make them the 15 most important.
ู‡ู„ ูŠู…ูƒู†ู†ูŠ ุฃู† ุฃุทู„ุจ ุงู„ุตุนูˆุฏ ู…ุจุงุดุฑุฉ ุฅุฐุง ุฃุฑุงุฏูˆุง.
can I ask to come up straightaway if they would.
ุจูˆู„ ุชูˆู…ุจุณูˆู†ุŒ ุงู„ุฏูƒุชูˆุฑ ุจุฑุงุซุงุจ ุฑูŠุฏูŠ ูˆ ููŠูƒุชูˆุฑ ุฌูŠ. ุฏุฒุงูˆ.
Paul Thompson, Doctor. Prathap Reddy and Victor J. Dzau.
ุจูˆู„ ุชูˆู…ุจุณูˆู† ููŠ ุงู„ูˆุณุท ู‡ูˆ ุฑุฆูŠุณ ุงู„ูƒู„ูŠุฉ ุงู„ู…ู„ูƒูŠุฉ ู„ู„ูู†ูˆู† ููŠ ุจุฑูŠุทุงู†ูŠุง.
Paul Thompson in the middle is the rector of the Royal College of Art in Britain.
ู…ุคูŠุฏ ุจู„ูŠุบ ู„ู„ุญุงุฌุฉ ู„ูŠุณ ูู‚ุท ู„ู„ุชุทูˆูŠุฑ ู„ูƒู† ู„ู†ุดุฑ ุงู„ุงุจุชูƒุงุฑ ุจุงุณุชุฎุฏุงู… ุชุตู…ูŠู… ู‚ุงุฆู… ุนู„ู‰ ุงู„ุฃูุฑุงุฏ ู„ุชุญุฏูŠ ูˆุชุบูŠูŠุฑ ุงู„ุทุฑู‚ ุงู„ุชู‚ู„ูŠุฏูŠุฉ ู„ู„ู‚ูŠุงู… ุจุงู„ุฃู…ูˆุฑ.
an eloquent advocate for the need not only to develop but to spread innovation using design built on people to challenge and change the traditional ways of doing things.
ุงู„ุฏูƒุชูˆุฑ ุจุฑุงุซุงุจ ุฑูŠุฏูŠ ู…ุคุณุณ ูˆุฑุฆูŠุณ ู…ุณุชุดููŠุงุช ุฃุจูˆู„ู„ูˆ.
Doctor. Prathap Reddy is founder and chairman of the Apollo Hospitals.
ุงู„ุชูŠ ุจุฏุฃุช ุจู€ 150 ุณุฑูŠุฑู‹ุง ู…ู†ุฐ 30 ุนุงู…ู‹ุง ูˆู†ู…ุช ุงู„ุขู† ุฅู„ู‰ 8500 ุณุฑูŠุฑ ููŠ 51 ู…ุณุชุดูู‰ ููŠ ุงู„ู‡ู†ุฏ ูˆุนุจุฑ ุงู„ุจุญุงุฑ.
that started with 150 beds 30 years ago and it has grown now to 8500 beds in 51 hospitals in India and overseas.
ุฃู†ู‡ุง ุชุชู…ุชุน ุจุณู…ุนุฉ ุงู„ุชููˆู‚ ูˆุงู„ุฑูŠุงุฏุฉ ููŠ ุงู„ุงุจุชูƒุงุฑ ุงู„ุทุจูŠุŒ ุงู„ุฎุฏู…ุงุช ุงู„ุณุฑูŠุฑูŠุฉ ูˆุงู„ุฃุจุญุงุซ ุงู„ู…ุชุทูˆุฑุฉ.
it has a reputation for excelling and leading advances in medical innovation, clinical services and cutting-edge research.
ุบุฑุถู‡ ู‡ูˆ ุชุญู‚ูŠู‚ ุงู„ุฑุนุงูŠุฉ ุงู„ุตุญูŠุฉ ุฐุงุช ุงู„ู…ุณุชูˆู‰ ุงู„ุนุงู„ู…ูŠ ููŠ ุงู„ู…ุชู†ุงูˆู„ ุงู„ุงู‚ุชุตุงุฏูŠ ูˆุงู„ุฌุบุฑุงููŠ ู„ู…ู„ุงูŠูŠู† ุงู„ุฃุดุฎุงุต ุงู„ุนุงุฏูŠูŠู†.
his purpose is to bring world-class healthcare within the reach economically and geographically upon millions of ordinary people.
ููŠูƒุชูˆุฑ ุฌูŠ. ุฏุฒุงูˆ ู‡ูˆ ุงู„ุฑุฆูŠุณ ูˆุงู„ุฑุฆูŠุณ ุงู„ุชู†ููŠุฐูŠ ู„ู€ ุงู„ู†ุธุงู… ุงู„ุตุญูŠ ู„ุฌุงู…ุนุฉ ุฏูŠูˆูƒ.
Victor J. Dzau is the president and CEO of Duke University Health System.
ุฃุทู„ู‚ ู…ุคุฎุฑู‹ุง ู…ุนู‡ุฏ ุฏูŠูˆูƒ ู„ู„ุงุจุชูƒุงุฑ ุงู„ุตุญูŠ ู„ุชุนุฒูŠุฒ ุงู„ุงุจุชูƒุงุฑ ุงู„ุชุญูˆูŠู„ูŠ ููŠ ุงู„ุตุญุฉ ูˆุงู„ุฑุนุงูŠุฉ ุงู„ุตุญูŠุฉ.
recently launched the Duke institute for Health innovation to promote transformative innovation in health and healthcare.
ู‡ูˆ ุดุบูˆู ุจู‚ุฏุฑุฉ ุงู„ุฅู†ุณุงู† ุนู„ู‰ ุชุญูˆูŠู„ ุงู„ุฑุนุงูŠุฉ ุงู„ุตุญูŠุฉ.
he is passionate about the human capacity to transform healthcare.
ุงู„ุขู†ุŒ ูŠุฌุจ ุฃู† ูŠูƒูˆู† ู„ุฏูŠูƒ ุงู„ู…ูŠูƒุฑูˆููˆู† ุงู„ู…ูˆุฌูˆุฏ ุนู„ู‰ ุงู„ูƒุฑุณูŠ ูˆุงู„ุฐูŠ ุณุชุญุชุงุฌ ู„ุญู…ู„ู‡ ุนู†ุฏู…ุง ุชุชุญุฏุซ.
now, you should have microphones which are on the chair which you will need to hold up when you speak.
ุจุญูŠุซ ูŠู…ูƒู† ู„ู„ุขุฎุฑูŠู† ุณู…ุงุนูƒ ุฃูŠุถู‹ุง ุจุบุถ ุงู„ู†ุธุฑ ุนู†ูŠ.
so that others apart from me can also hear you.
ููŠูƒุชูˆุฑุŒ ุงุณู…ุญูˆุง ู„ูŠ ุฃู† ุฃุจุฏุฃ ุจูƒ ุฅุฐุง ุฃู…ูƒู†.
Victor, let me start if I may with you.
ู…ุง ู‡ูŠ ุงู„ุฃุดูŠุงุก ุงู„ุฃุณุงุณูŠุฉ ู„ูƒ ุงู„ุชูŠ ุชุนุชุจุฑ ุจุงู„ุบุฉ ุงู„ุฃู‡ู…ูŠุฉ ู„ุฌุนู„ ุงู„ุงุจุชูƒุงุฑ ุงู„ุชูƒู†ูˆู„ูˆุฌูŠ ู…ู‡ู… ุญู‚ู‹ุง.
what for you are the key things that are critical to make a technological innovation really matter.
ุญุณู†ู‹ุง ุฃูˆู„ุงู‹ุŒ ู‡ู„ ู‡ุฐุง ูŠุนู…ู„ุŸ ุตุญูŠุญ.
well first of all, is this on? right.
ู†ุนู…ุŒ ู†ุนู… ุฃู†ุช ุชุนู…ู„.
yeah, yeah you are on.
ุจุงู„ู†ุณุจุฉ ู„ู„ุงุจุชูƒุงุฑ ุงู„ุชูƒู†ูˆู„ูˆุฌูŠ ูŠุฌุจ ุฃู† ูŠูƒูˆู† ุณู‡ู„ ุงู„ุงุณุชุฎุฏุงู…ุŒ ู…ุฑุชุจุท ุฅู„ู‰ ุญุฏ ูƒุจูŠุฑ ูƒู…ุง ุณู…ุนุชู… ู‡ุฐุง ุงู„ุตุจุงุญ ู…ู† ุฌูˆู† ุฏูŠู†ูŠู† ูˆู„ู‡ ุชุทุจูŠู‚ู‹ุง ูƒุจูŠุฑู‹ุง ุญู‚ู‹ุง.
for technological innovation it has to be easy to use, highly relevant as you heard this morning from John Dineen and has really great application.
ู„ูƒู† ุฃุนุชู‚ุฏ ุฃู† ุงู„ุงุจุชูƒุงุฑ ูŠูƒู„ู ุฃูƒุซุฑ ุจูƒุซูŠุฑ ู…ู† ุงู„ุชูƒู†ูˆู„ูˆุฌูŠุง.
but I think that innovation costs a lot more than technological.
ุฅุฐุง ู†ุธุฑุชู… ุฅู„ู‰ ุจุนุถ ู‡ุคู„ุงุก ุงู„ู…ุจุชูƒุฑูŠู† ุงู„ูŠูˆู…ุŒ ู‚ุฏู…ูˆุง ุงุจุชูƒุงุฑู‹ุง ู…ู‚ุชุตุฏู‹ุง ุฃูˆ ุชูƒู†ูˆู„ูˆุฌูŠู‹ุง ุนู…ู„ูŠุฉ ุงู„ุงุจุชูƒุงุฑ.
if you look at some of these innovators today, they have done frugal innovation or process innovation technology.
ู‡ุฐุง ู‡ูˆ ู†ู…ูˆุฐุฌ ุงู„ุงุจุชูƒุงุฑ ูƒู…ุง ุฃุดูŠุฑ ุฅู„ู‰ู‡ ุณุงุจู‚ู‹ุง.
this is model innovation as been pointed out earlier.
ูˆุจุงู„ุทุจุน ุงุณุชุฎุฏุงู… ุงู„ุชูƒู†ูˆู„ูˆุฌูŠุง ุจุญูƒู…ุฉ.
and of course the use of technology wisely.
ุญุชู‰ ูŠูƒูˆู† ู‡ู†ุงูƒ ุนุฏุฏ ูƒุงู…ู„ ู…ู† ุงู„ุทุฑู‚ ู„ุชู‚ุฏูŠู… ุงู„ุงุจุชูƒุงุฑ ู„ุชุญุณูŠู† ุชู‚ุฏูŠู… ุงู„ุฑุนุงูŠุฉ ูˆุงู„ุตุญุฉ ู…ุนู‹ุง.
so there is a whole number of ways to introduce innovation to improve care delivery and health all together.
ูˆู…ุง ู‡ูŠ ุงู„ู…ูƒูˆู†ุงุช ุงู„ุฑุฆูŠุณูŠุฉ ู„ุดูŠุก ู…ุง ู„ูŠูƒูˆู† ู…ููŠุฏู‹ุง.
and what are the key components of something being useful.
ูƒู…ุง ู‚ู„ุชุŒ ุงู„ุดูŠุก ู†ูุณู‡ ู„ุง ุจุฏ ุฃู† ูŠูƒูˆู† ู„ู‡ ุณู…ุงุช ู…ุนูŠู†ุฉ.
like you said, the thing itself has to have certain characteristics.
ู„ูƒู† ู…ุง ู‡ูˆ ู…ู‡ู… ุจุงู„ู†ุณุจุฉ ู„ู‡ู… ุฃู† ูŠูƒูˆู† ู‚ุงุฏุฑู‹ุง ุนู„ู‰ ุงู„ุนู…ู„ ู„ูŠูƒูˆู† ูุนุงู„ุงู‹.
but what is important for them to be able to work to be effective.
ู†ุนู…ุŒ ุฃุนุชู‚ุฏ ุฃู† ู…ุง ู‡ูˆ ู…ู‡ู… ุญู‚ู‹ุง ููŠ ุฑุฃูŠูŠ ู‡ูˆ ุฃูˆู„ุงู‹ ุฑุฃุณ ุงู„ู…ุงู„ ุงู„ุจุดุฑูŠุŒ ุฅุดุฑุงูƒ ุงู„ู…ุฑุถู‰ ูˆุงู„ุนุงู…ู„ูŠู† ุงู„ู…ู‚ุฏู…ูŠู† ู„ุชูˆููŠุฑ ุงู„ุฑุนุงูŠุฉ.
yeah, I think what is really important in my mind is first of all the human capital, the engagement of the patients and the worker providers to provide care.
ููŠ ู‡ุฐุง ุงู„ุณูŠุงู‚ ู…ุง ุฑุฃูŠู†ุงู‡ ุงู„ูƒุซูŠุฑ ู…ู† ุงู„ู‚ุฏุฑุฉ ุนู„ู‰ ุฃูˆ ู…ุง ูŠุณู…ูˆู†ู‡ ุตู‚ู„ ุงู„ู…ู‡ุงุฑุงุช ุงู„ุตุญูŠุญ.
in this context what we have seen a lot is the ability to or what they call right skilling.
ุฐู„ูƒ ู‡ูˆ ุงุณุชุฎุฏุงู… ุงู„ุนุงู…ู„ูŠู† ุงู„ู…ุฏุฑุจูŠู† ุนู„ู‰ ุงู„ู…ุณุชูˆู‰ ุงู„ุตุญูŠุญุŒ ู„ุง ูŠุฌุจ ุฃู† ูŠุชู… ุชุฏุฑูŠุจู‡ู… ุจุดูƒู„ ู…ูุฑุท ู„ุชู‚ุฏูŠู… ุงู„ุนู…ู„ ููŠ ู…ุณุชูˆู‰ ุนุงู„ูŠ ู…ู† ุงู„ู…ู‡ู†ุฉ.
that is using workers trained at the right level, do not have to be excessively trained to provide to work at the top of the profession.
ู‡ุฐุง ูŠุฒูŠุฏ ุจุดูƒู„ ูˆุงุถุญ ูƒูุงุกุฉ ุงู„ู‚ูˆู‰ ุงู„ุนุงู…ู„ุฉ. ุชู„ูƒ ูˆุงุญุฏุฉ ู…ู†ู‡ุง.
this clearly increases efficiency of the workforce. that is one of them.
ู…ู† ูุถู„ูƒ.
please.
ู†ุนู… ู…ุง ุฑุฃูŠุชู… ู…ู† ุงู„ู€15 ุงู„ุชูŠ ุฃุธู‡ุฑู†ุงู‡ุง ุจุนุฏ ุฐู„ูƒ.
Okay of what you have seen of the 15 that we showed then.
ูˆุดุงู‡ุฏุชู…ูˆู‡ู…ุŒ ู‡ู„ ุฃูŠ ู…ู†ู‡ุง ูŠุดุฑุญ ุฎุตูˆุตู‹ุง ุงู„ู†ู‚ุงุท ุงู„ุชูŠ ุชู‚ูˆู…ูˆู† ุจู‡ุง.
and you have seen them, do any of them demonstrate particularly the points you are making.
ู†ุนู…. ุงุซู†ุงู† ู…ู†ู‡ู… ูŠุฃุชูŠุงู† ุฅู„ู‰ ุฐู‡ู†ูŠ.
yeah. two of them come to my mind.
ุงู„ุฃูˆู„ ู‡ูˆ ุณุงู„ุง ุฃูˆู†ูˆ ุงู„ุฐูŠ ู‡ูˆ ุฌุฑุงุญุงุช ุงู„ุนูŠูˆู† ููŠ ุงู„ู…ูƒุณูŠูƒ.
one is SalaUno which is the eye surgery in Mexico.
ู…ุง ู‚ุงู…ูˆุง ุจู‡ ุนู„ู‰ ู†ุญูˆ ูุนุงู„ ู‡ูˆ ุฃู† ุชูุนู„ ูƒู„ ุดูŠุก ุญูˆู„ ุงู„ุชูˆุญูŠุฏ ุงู„ู‚ูŠุงุณูŠุŒ ุงู„ู…ุนุงู„ุฌุฉ ุงู„ุถุนูŠูุฉ ูˆุชุญูˆู„ ุงู„ู…ู‚ูŠุงุณ ุจุงุณุชุฎุฏุงู… ุงู„ุนุงู…ู„ูŠู† ุงู„ุฐูŠู† ุชู… ุชุฏุฑูŠุจู‡ู… ุจุดูƒู„ ุตุญูŠุญ ู„ู„ุนู…ู„ ููŠ ุบุฑูุฉ ุงู„ุนู…ู„ูŠุงุช.
what they have done effectively is to do this whole thing about standardization, lean processing and scale shifting using the right trained workers to work in the operating room.
ู„ุฒูŠุงุฏุฉ ูƒูุงุกุฉ ุฌุฑุงุญุฉ ุฅุนุชุงู… ุนุฏุณุฉ ุงู„ุนูŠู† ูˆุชู‚ู„ูŠู„ ุงู„ุชูƒู„ูุฉ.
to increase the efficiency of cataract surgery and reduce the cost.
ุงู„ุขุฎุฑ ุงู„ุฐูŠ ุฃูˆุฏ ุฃู† ุฃู‚ูˆู„ู‡ ู‡ูˆ ูˆุงู† ูุงู…ูŠู„ูŠ ู‡ูŠู„ุซ ูˆู‡ูˆ ู†ู…ูˆุฐุฌ ุงู„ุงู…ุชูŠุงุฒ ุงู„ุฐูŠ ู‡ูˆ ุงุจุชูƒุงุฑ ู†ู…ูˆุฐุฌ ุงู„ุฃุนู…ุงู„.
the other one I would say is One Family Health which is franchise model that is business model innovation.
ู…ุน ุฐู„ูƒ ุงุณุชุฎุฏู…ูˆุง ู…ู…ุฑุถุฉ ู„ุนู„ุงุฌ ุฎู…ุณุฉ ุฃูˆ ุณุชุฉ ู…ู† ุงู„ุฃู…ุฑุงุถ ุงู„ุดุงุฆุนุฉ ู…ุซู„ ุงู„ู…ู„ุงุฑูŠุงุŒ ุงู„ุฅุณู‡ุงู„.
however they used a nurse to treat five or six common diseases like malaria, diarrhea.
ูˆุฃู† ูŠูƒูˆู† ู„ุฏูŠูƒ ูƒุดูƒ ุตุบูŠุฑ ุฃู…ุงู… ููŠ ุฑูˆุงู†ุฏุง ู„ู„ู‚ุฏุฑุฉ ุนู„ู‰ ุชูˆุตูŠู„ ุงู„ุนู†ุงูŠุฉ ุจุฃุบู„ุจ ุฃู…ุฑุงุถ ุงู„ู…ุณุงูุฑูŠู† ูˆูˆู‚ุงูŠุชู‡ู… ุฃูŠุถู‹ุง.
and to have a small stall front to in Rwanda to be able to deliver care to most traveling disease and prevent them as well.
ูˆุฃูŠู† ูŠู†ุจุบูŠ ู…ู† ุงู„ู†ุงุญูŠุฉ ุงู„ู…ุซุงู„ูŠุฉ ุฃู† ูŠูˆุฌุฏ ูˆูƒูŠููŠุฉ ุชุทูˆูŠุฑู‡ุง ูˆุฅู†ุชุงุฌู‡ุง.
and where ideally should they be how developed and produced.
ู‡ู„ ู‡ู†ุงูƒ ุทุฑูŠู‚ุฉ ู…ุซุงู„ูŠุฉ ู„ูƒูŠู ุชุฑูŠุฏ ุฃู† ูŠูƒูˆู†.
is there a certain ideal of how you would like it to be.
ู†ุนู….
yeah .
ุฃู†ุง ุขุณูุŒ ุณูˆุงุก ูƒุงู† ู‡ุฐุง ูŠููŠ ุฃูˆ ู„ุง ูŠููŠ ุจุงู„ุทุฑูŠู‚ุฉ ุงู„ู…ุซุงู„ูŠุฉ.
I am sorry, whether these do or do not meet that ideal.
ุตุญูŠุญ. ูˆุฃุนุชู‚ุฏ ุฃู† ุงู„ุนุฏูŠุฏ ู…ู† ุงู„ุงุจุชูƒุงุฑุงุช ู†ุงุฌุญุฉ ููŠ ุงู„ุณูŠุงู‚ ุงู„ู…ุญู„ูŠ.
right. I think many of the innovations are successful in the local context.
ู…ุน ุฐู„ูƒุŒ ูˆุฌูˆุฏ ู†ุธุงู… ูŠุฌู…ุนู‡ู… ู…ุนู‹ุง ุงู„ุชูˆุญูŠุฏ ุงู„ู‚ูŠุงุณูŠ ุนู„ู‰ ุณุจูŠู„ ุงู„ู…ุซุงู„ุŒ ูˆุจู†ูุณ ุงู„ุทุฑูŠู‚ุฉ ู„ุชู‚ู„ูŠู„ ุงู„ุงุฎุชู„ุงู.
however, having a system that bring them together standardization for example, the same way so you reduce the variation.
ูˆูˆุฌูˆุฏ ูˆุณูŠู„ุฉ ู„ู„ุชุทูˆูŠุฑ ุณู‡ู„ุฉ ุนู„ู‰ ุงู„ู…ุฑูŠุถ ูˆุงุณุชุฎุฏุงู… ุงู„ุชูƒู†ูˆู„ูˆุฌูŠุง ุจุญูƒู…ุฉ ูˆู‡ุฐุง ู…ุซู„ ุงู„ู‡ุงุชู ุงู„ุฎู„ูˆูŠ ุจุดูƒู„ ู…ุนุฑู‚ู„.
and having a way to develop close to the patient and use technology wisely and disruptively such as the cellphone.
ู„ุฐุง ุฃุนุชู‚ุฏ ุฃู† ู‡ุฐู‡ ู‡ูŠ ุงู„ุทุฑู‚ ุงู„ุฃุณุงุณูŠุฉ ุงู„ุชูŠ ุจู‡ุง ูŠู…ูƒู† ุฃู† ูŠูƒูˆู† ุงู„ุงุจุชูƒุงุฑ ุจุณู‡ูˆู„ุฉ .
so those I think are the principle ways by which innovation can be easily .
ุชูˆุถูŠุญ ุงู„ู‡ุงุชู ุงู„ุฎู„ูˆูŠ ุฃูŠุถู‹ุงุŒ ู‡ูˆ ุงู„ู‡ุงุชู ุงู„ู…ุญู…ูˆู„ ู†ุนู….
elaborate the cell phone thought, that is the M-phone yes.
ู†ุนู…ุŒ ู†ุนู…ุŒ ุตุญูŠุญ. ุญุณู†ู‹ุง ุชุนู„ู…ูˆู†ุŒ ุฃุนู†ูŠ ุฃู†ู†ุง ู†ุนู„ู… ุฌู…ูŠุนู‹ุง ุฃู† ุงู„ู‡ูˆุงุชู ุงู„ุฎู„ูˆูŠุฉ ุชุณุชุฎุฏู… ุจุงุนุชุจุงุฑู‡ุง ูˆุณูŠู„ุฉ ู„ู…ุฌุฑุฏ ุงู„ุญุฏูŠุซ ุฃูˆ ุงุณุชุฎุฏุงู… ุงู„ุฑุณุงุฆู„ ุงู„ู†ุตูŠุฉ.
yes, yes, right. well you know, I mean we all know that cellphone used to think as a way to just talk or use text messages.
ู„ูƒู† ุงู„ุขู† ู†ุญู† ู†ุนุฑู ุฃู† ู‡ู†ุงูƒ ุชุทุจูŠู‚ุงุช ุงู„ุชูŠ ู‡ูŠ ู…ุซู„ ุงู„ูƒู…ุจูŠูˆุชุฑ ุงู„ุดุฎุตูŠ ุบุงู„ุจู‹ุง.
but now we know that there are apps which is almost like a personal computer.
ู„ุฐุงุŒ ุฅุฐุง ู†ุธุฑุช ูู‚ุท ุฅู„ู‰ ุงุณุชุฎุฏุงู… ุงู„ู‡ูˆุงุชู ุงู„ุฎู„ูˆูŠุฉ ูˆุฃุฎุฐุช ุงู„ู‡ู†ุฏ ุนู„ู‰ ุณุจูŠู„ ุงู„ู…ุซุงู„.
so, if you just look at the use of cell phones and you take India for example.
ู…ุง ูŠู‚ุฑุจ ู…ู† 85 ุฃูˆ 90ูช ู…ู† ุงู„ุฃุดุฎุงุต ู„ุฏูŠู‡ู… ู‡ูˆุงุชู ุฎู„ูˆูŠุฉ ูˆู„ูƒู†ู‡ู… ู‚ุฏ ู„ุง ูŠู…ุชู„ูƒูˆู† ุงู„ุชูƒู†ูˆู„ูˆุฌูŠุง ุงู„ุฃุฎุฑู‰.
almost 85 or 90% people have cell phones and yet they may not have other technology.
ุงู„ู‡ูˆุงุชู ุงู„ุฎู„ูˆูŠุฉ ุชูุณุชุฎุฏู… ุจุฐูƒุงุก ุจุงู„ุบ ู„ู†ู‚ู„ ุงู„ุฑุณุงุฆู„ ู„ุฑุนุงูŠุฉ ุงู„ู…ุฑูŠุถ ูˆู„ุชุฎุฒูŠู† ุงู„ู…ุนู„ูˆู…ุงุช.
Cell phones are used very smartly to transmit messages to care for the patient and to store information.
ุฎุงุตุฉ ุฅุฐุง ุจุฏุฃุช ุจุงู…ุชู„ุงูƒ ู‡ูˆุงุชู ุฐูƒูŠุฉ.
Particularly if you begin to have smart phones.
ุนุฏุฏ ู…ู† ุชู„ูƒ ุงู„ุงุจุชูƒุงุฑุงุช ุงู„ุชูŠ ู†ุธุฑู†ุง ุฅู„ูŠู‡ุง ุฃูˆ ู†ุณุจุฉ ูƒุจูŠุฑุฉ ู…ู†ู‡ุง ุชู… ุชุทูˆูŠุฑู‡ุง ูˆุตู†ุนู‡ุง ู‡ู†ุง.
a number of those innovations which we have looked at or a significant proportion of them have been developed and made here.
ุจุนุถู‡ุง ูŠู…ูƒู† ุนูƒุณู‡ุŒ ุฃู„ูŠุณ ูƒุฐู„ูƒ.
some of them could be reversed, could they not.
ูŠู…ูƒู† ุตู†ุนู‡ุง ููŠ ุงู„ุฌู†ูˆุจ ูˆุฌู„ุจู‡ุง ุฅู„ู‰ ุงู„ุดู…ุงู„.
they can be made in the south and can be brought to north.
ุฃู†ุง ุฃุณุชุฎุฏู… ู‡ุฐู‡ ุงู„ู…ุตุทู„ุญุงุช ุจุดูƒู„ ุตุญูŠุญ .
I am using those terms right .
ู†ุนู…ุŒ ุญุณู†ู‹ุงุŒ ูˆุงู„ุทุฑูŠู‚ุฉ ุงู„ุชูŠ ุฃู†ุธุฑ ุจู‡ุง ุฅู„ู‰ ุฐู„ูƒ ู‡ูŠ ุฃู† ุงู„ูˆู„ุงูŠุงุช ุงู„ู…ุชุญุฏุฉุŒ ุงู„ู…ู…ู„ูƒุฉ ุงู„ู…ุชุญุฏุฉ ู†ุญู† ุฌู…ูŠุนู‹ุง ู„ุฏูŠู†ุง ู…ุดูƒู„ุงุช ู…ุน ุชูƒู„ูุฉ ุงู„ุฑุนุงูŠุฉ.
right, well, the way I look at this is that US, UK we all have problems with cost of care.
ูˆู‡ู†ุงูƒ ูƒู… ู‡ุงุฆู„ ู…ู† ุงู„ูุฑุต ุฃูˆ ุงู„ุฏุฑูˆุณ ุงู„ู…ุณุชูุงุฏุฉ ู…ู† ุงู„ู†ุธุฑ ุฅู„ู‰ ุงู„ุฅุจุฏุงุน ุงู„ุฐูŠ ุชุฑุงู‡ ููŠ ุงู„ุฌู†ูˆุจ ุฃูˆ ููŠ ุงู„ุจู„ุงุฏ ู†ุงู‚ุตุฉ ุงู„ู…ูˆุงุฑุฏ.
and there is tremendous amount of opportunity or lessons learn from looking at the innovation that you see in the south or under-resource countries.
ุฐูƒุฑุช ุจุนุถ ู…ู†ู‡ุง ุจุงู„ูุนู„.
I already mentioned some of them.
ู„ุฐุงุŒ ู‡ู†ุงูƒ ุงู„ุขู† ุฏูุนุฉ ุญู‚ูŠู‚ูŠุฉ ู†ุญูˆ ู…ุง ู†ุณู…ูŠู‡ ุงู„ุงุจุชูƒุงุฑ ุงู„ุนูƒุณูŠ.
so, there is now a real push towards what we call reverse innovation.
ุฃุนุชู‚ุฏ ุฃู†ู‡ ุณุจุจ ุฃูุถู„ ุงุณุชูŠุฑุงุฏ ุงู„ุงุจุชูƒุงุฑ ู…ู† ุฃู…ุงูƒู† ุฃุฎุฑู‰.
I think it is a better cause importing innovation from elsewhere.
ู„ุฐุง ููŠ ุจู„ุฏู†ุง ูˆุงู„ู…ุนู‡ุฏ ุฃุถุน ู…ุนู‹ุงุŒ ุฃุญุฏ ุชุฑูƒูŠุฒุงุชู†ุง ุงู„ุฑุฆูŠุณูŠุฉ ู‡ูˆ ุฃู† ุฃู‚ูˆู„ ูƒูŠู ู†ุฃุฎุฐ ู‡ุฐู‡ ุงู„ู†ู…ุงุฐุฌ.
so in our country and the institute I put together, one of our major focus is to say how do we take these models.
ุงู„ุชูŠ ุฃูˆุถุญุช ูุนุงู„ูŠุชู‡ุง ู…ุน ุงู„ุชูƒู„ูุฉ ุงู„ู…ู†ุฎูุถุฉ ูˆุงู„ุฌูˆุฏุฉ ุงู„ุฌูŠุฏุฉ ู…ุซู„ ุฃูŠ ู…ูƒุงู† ุขุฎุฑ ูƒู…ุง ููŠ ุงู„ู‡ู†ุฏุŒ ููŠ ุฃูุฑูŠู‚ูŠุง.
that has been shown to be effective with low cost and good quality elsewhere such as in India, in Africa.
ูˆู†ุจุฏุฃ ููŠ ุงู„ูˆุงู‚ุน ุจู…ู‚ุฏู…ุฉ ุฅู„ู‰ ู‡ูŠุฆุฉ ุงู„ุฎุฏู…ุงุช ุงู„ุตุญูŠุฉ ุงู„ูˆุทู†ูŠุฉ ุฃูˆ ุงู„ูˆู„ุงูŠุงุช ุงู„ู…ุชุญุฏุฉ ุฃูˆ ู…ูƒุงู† ุขุฎุฑ.
and actually begin to introduce into NHS or [NE:LOC United States[ or elsewhere.
ูˆุจู‡ุฐู‡ ุงู„ุทุฑูŠู‚ุฉ ู…ุง ูŠู…ูƒู†ู†ุง ุงู„ู‚ูŠุงู… ุจู‡ ู‡ูˆ ููŠ ู†ู‡ุงูŠุฉ ุงู„ู…ุทุงู ุชู‚ู„ูŠู„ ุงู„ุชูƒู„ูุฉ ูˆุงู„ุงุณุชู…ุฑุงุฑ ููŠ ุชุญุณูŠู† ุงู„ุฌูˆุฏุฉ.
and this way what we can do is end up driving down the cost and continue to have improved quality.
ู„ูƒู† ู‡ู†ุงูƒ ุงู„ูƒุซูŠุฑ ู…ู† ุงู„ู…ูˆุงู†ุน ุนู„ู‰ ุฃู† ูŠุญุฏุซ ุฐู„ูƒ ููŠ ุงู„ูˆุงู‚ุน ู„ูŠุณุช ู‡ู†ุงูƒ.
but there are a lot of inhibitions on that actually happening are not there.
ุญุชู‰ ุฅุฐุง ูƒุงู† ูŠู…ูƒู†ูƒ ุงู„ุชุนุฑู ุนู„ู‰ ู‡ุฐุง ุจุฃู†ู‡ ู…ู†ุชุฌู†ุง ุงู„ุฑุงุฆุนุŒ ููŠ ุงู„ูˆุงู‚ุน ุชุญู‚ูŠู‚ ู‡ุฐุง ุงู„ุนูƒุณูŠ ุตุนุจ ุฌุฏู‹ุง.
even if you can identify this as being our terrific product, actually achieving that reverse is quite hard.
ุฃูˆู‡ุŒ ู…ู† ุงู„ู…ุคูƒุฏ ุชู…ุงู…ู‹ุง.
oh. it is quite to be sure.
ุชุฎูŠู„ ุฃู†ู‡ ุงุฐุง ู‚ู„ุช ุฃู† ู…ู…ุฑุถุฉ ูŠู…ูƒู†ู‡ุง ุงู„ู‚ูŠุงู… ุจุฎุฒุนุฉ ุงู„ูƒุจุฏุŒ ุณูŠูƒูˆู† ุฐู„ูƒ ุตุนุจู‹ุง ู„ู„ุบุงูŠุฉ ููŠ ุงู„ูˆู„ุงูŠุงุช ุงู„ู…ุชุญุฏุฉ.
imagine that if I say that a nurse can do a liver biopsy, that will be very difficult in the United States.
ู„ูƒู† ูŠู…ูƒู† ุงู„ู‚ูŠุงู… ุจู‡ุง ููŠ ู…ูƒุงู† ุขุฎุฑ ุจุดูƒู„ ุตุญูŠุญ.
but it can be done elsewhere right.
ู„ุฐุง ุฃููƒุฑ ูƒุซูŠุฑู‹ุง ููŠ ู‡ุฐู‡ ุงู„ู…ุดูƒู„ุฉ ุญูˆู„ ู…ุง ู‡ูˆ ู…ุณุชูˆู‰ ุงู„ุฑุนุงูŠุฉ ู‡ูˆ ุงู„ุชุญุฏูŠ ุงู„ุฃุณุงุณูŠ ุงู„ุฐูŠ ู„ุฏูŠู†ุง.
so I think much of the issue about what is the standard of care is fundamental challenge that we have.
ู„ุฐุง ู„ุฏูŠูƒู… ุงู„ุฃุทุฑ ุงู„ุชู†ุธูŠู…ูŠุฉ.
so you got regulatory frameworks.
ุจุงู„ุถุจุท.
exactly .
ู„ุฏูŠูƒู… ุณูŠุงุณุฉ.
you have got policy.
ุตุญูŠุญุŒ ู„ุฐุง ุงู„ุนุงู… ุงู„ู…ุงุถูŠ ููŠ ู‡ุฐุง ุงู„ุงุฌุชู…ุงุน ููŠ ู„ู†ุฏู† ููŠ ุงู„ูˆุงู‚ุน ุงู„ู…ุฌู…ูˆุนุฉ ุงู„ุชูŠ ุดุงุฑูƒุช ู…ุน ุงู„ู…ู†ุธู…ุฉ ุงู„ุชูŠ ุฃุณุณุชู‡ุง ุชุณู…ู‰ ูƒุชุจุช ูˆุฑู‚ุฉ.
right. so last year at this meeting in London actually the group that I shared together with the organization I founded called wrote a paper.
ูˆุฑู‚ุฉ ุจูŠุถุงุก ุชู‚ูˆู„ ู…ู† ุฃุฌู„ ุฃู† ุชูƒูˆู† ู‚ุงุฏุฑู‹ุง ุนู„ู‰ ุนูƒุณ ุงู„ุงุจุชูƒุงุฑุŒ ุณุชู†ุธุฑ ููŠ ูƒูŠููŠุฉ ุฅุตู„ุงุญ ูˆุชุดุฑูŠุน ุงู„ุจูŠุฆุฉ.
a white paper that says in order to be able to reverse innovate, you are going to have to look at how to reform and legislate the environment.
ุงู„ู†ุธุฑ ููŠ ู…ูˆุงุกู…ุฉ ุงู„ุญูˆุงูุฒ ุจุดูƒู„ ุฎุงุต ุงู„ู…ูƒุงูุขุช ุฃูˆ ุบูŠุฑู‡ุง ู…ู† ุงู„ุญูˆุงูุฒ ูˆุงู„ู†ุธุฑ ุฃูŠุถู‹ุง ููŠ ูƒูŠููŠุฉ ุฅู†ุชุงุฌู‡ุง ุจุดูƒู„ ู…ุดุชุฑูƒ ู…ุน ุงู„ุนุงุฆู„ุงุชุŒ ุงู„ู…ุฑุถู‰ ูˆุงู„ู…ุฌุชู…ุน.
looking at aligning incentive particularly payment or other incentive and also looking at how to co-produce with families, patients and community.
ูˆุณูˆู ูŠูƒูˆู† ุนู„ูŠู†ุง ุชุญุฏูŠุซ ุงู„ุชุนู„ูŠู… ู„ุฏูŠู†ุง ุฌู…ูŠุนู‹ุง.
and we are going to have to modernize our education all together.
ููŠ ุฃูˆู„ ูˆุงุญุฏ ุฅุฐุง ูƒู†ุช ุชุชุฎูŠู„ุŒ ุฃู† ููŠ ุจู„ุฏู†ุง ููŠ ุงู„ูˆุงู‚ุน ุจุนุถ ุงู„ุฃุดูŠุงุก ุงู„ุชูŠ ู„ุง ูŠุณู…ุญ ู„ู„ู…ู…ุฑุถุงุช ุงู„ู‚ูŠุงู… ุจู‡ุง.
on the first one if you imagine, that in our country in fact certain things that nurses are not permitted to do.
ู„ุฐุง ุงู„ุทุฑูŠู‚ุฉ ุงู„ูˆุญูŠุฏุฉ ู„ู„ู‚ูŠุงู… ุจุฐู„ูƒุŒ ุณูŠูƒูˆู† ู„ุฏูŠูƒ ุฅุตู„ุงุญ ุงู„ุจูŠุฆุฉ ุงู„ุชู†ุธูŠู…ูŠุฉ ู…ุซู„ ุงู„ู…ุฌู„ุณ ุงู„ุทุจูŠ ูˆุบูŠุฑู‡ุง ุชู…ุงู…ู‹ุงุŒ ุฃูŠุถู‹ุง.
so the one way to do that, you are going to have reform the regulatory environment such as the medical board and others right, likewise.
ูˆุงู„ุจุฑูˆุชูˆูƒูˆู„ ูƒู„ู‡ ู„ู„ู…ุถูŠ ุจุฐู„ูƒ.
and all the protocol to go with that.
ูˆุฌู…ูŠุน ุงู„ุจุฑูˆุชูˆูƒูˆู„ุงุช ูˆูƒุฐู„ูƒ ุงู„ุฏูุน. ู„ู† ูŠุชู… ุงู„ุฏูุน ู„ู‡ู… ู…ู‚ุงุจู„ ู…ุง ูŠูุนู„ูˆู†.
and all the protocols and likewise payment. they will not be paid for what they do.
ู„ุฐุงุŒ ููŠ ุงู„ูˆุฑู‚ุฉ ุงู„ุชูŠ ูƒุชุจู†ุงู‡ุงุŒ ู†ู†ุงู‚ุด ุฃู† ุงู„ูุฑุฏ ูŠุฌุจ ุนู„ูŠู‡ ุฅุนุงุฏุฉ ุงู„ู†ุธุฑุŒ ููŠ ูƒูŠููŠุฉ ุงู„ู‚ูŠุงู… ุจุงู„ู„ู…ุณุฉ ุงู„ุตุญูŠุญุฉ ู„ู„ุชู†ุธูŠู….
so, in the paper we wrote, we argue that one has to re-look at how to do the right touch regulation.
ุฐู„ูƒ ู‡ูˆ ุนู„ู‰ ุณุจูŠู„ ุงู„ู…ุซุงู„ ุฅุฐุง ู‚ู„ุช ุฃู† ุงู„ู…ุฌู„ุณ ุงู„ุทุจูŠ ูˆู‚ุงู„ ุงู„ู†ุงุณ ููŠ ูƒุซูŠุฑ ู…ู† ุงู„ุฃุญูŠุงู† ุฃู† ุงู„ุฃุทุจุงุก ูŠุญู…ูˆู† ุงู„ู†ููˆุฐ.
that is for example if you say the medical board and people have frequently said that doctors are protecting the turf.
ู„ุฃู†ู‡ู… ู„ุง ูŠุฑูŠุฏูˆู† ุฏุฎูˆู„ ุงู„ุขุฎุฑูŠู† ุฅู„ู‰ ุงู„ู…ู†ุทู‚ุฉ ุญูŠุซ ุฑุจู…ุง ุชูˆุฌุฏ ู…ุดูƒู„ุงุช ุงู„ุฏูุน ูˆุฃุณุจุงุจ ุฃุฎุฑู‰.
because they do not want others to enter to the area where it is perhaps is payment issues and other reasons.
ูˆุจุงู„ุชุฃูƒูŠุฏ ู…ู† ู…ู†ุตุจ ุฃุนู„ูŠุŒ ู‡ู… ูŠูุนู„ูˆู† ู…ู† ุฃุฌู„ ุญู…ุงูŠุฉ ุงู„ู…ุฑุถู‰.
and of course in a high ground, they are doing it in order to protect the patients.
ู„ูƒู† ููŠ ูƒุซูŠุฑ ู…ู† ุงู„ุฃุญูŠุงู† ุชุนู„ู…ูˆู† ุงู„ู†ุงุณ ูŠุดูƒูƒูˆู† ููŠู…ุง ุฅุฐุง ูƒุงู† ู‡ุฐุง ู‡ูˆ ุงู„ุฏุงูุน ุงู„ูˆุญูŠุฏ.
but frequently you know people are skeptical whether it is the only motivation.
ูˆุณุชูƒูˆู† ุงู„ููƒุฑุฉ ู‡ูŠ ุฅุนุงุฏุฉ ุงู„ู„ุฌู†ุฉ ุงู„ุชู†ุธูŠู…ูŠุฉ ุฅุฐุง ูƒู†ุช ุณุชูุนู„ ู„ุชุดู…ู„ ุงู„ู…ุฑุถู‰.
the idea will be to redo the regulatory committee if you will to include patients.