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ุงูุตุญุฉ ุงูุจุฏููุฉ ุนุจุฑ ุงููุงุชู ุงูุฐูู ุชุธูุฑ ููู ูู
ูู ูุชูููููุฌูุง ุงููุงุชู ุงูููุงู ุฃู ูุญุฏุซ ุชุญููุงู ูู ุงูุทุฑููุฉ ุงูุชู ูุฌู
ุน ููุฑุงูุจ ุจูุง ุงูู
ุนููู
ุงุช ุงูุณุฑูุฑูุฉ. | the Smartphone Physical shows how mobile technology can transform the way we gather and monitor clinical information. |
ูุชุณุชุฎุฏู
ุฃุญุฏุซ ุงูุฃุฌูุฒุฉ ุงูู
ุณุชูุฏุฉ ุฅูู ุงููุงุชู ุงูุฐูู ูุฃุฎุฐ ููุงุณุงุช ุจุณูุทุฉ ู
ุซู ูุฒู ุงูุฌุณู
ุ ุถุบุท ุงูุฏู
ุ ู
ุนุฏู ุถุฑุจุงุช ุงูููุจ ูุชุดุจุน ุงูุฃูุณุฌูู ูู ุงูุฏู
. | it uses the latest smartphone-based devices to take simple measurements such as body weight, blood pressure, heart rate and blood oxygen saturation. |
ุฅูู ุงููุฑุงุกุงุช ุงูุฃูุซุฑ ุชุนููุฏูุง ู
ุซู ุชุฎุทูุท ุงูููุจ ุงูููุฑุจุงุฆู ูุงูุชุตููุฑ ุจุงูู
ูุฌุงุช ููู ุงูุตูุชูุฉ. | to more complex readings such as electrocardiograms and ultrasound imaging. |
ุงูู
ุงุณุญ ุจุงูู
ูุฌุงุช ููู ุงูุตูุชูุฉ ุฌูุฑุงู ุฅูููุชุฑูู ูู ุณูุงู ุงูุฐู ุฑุฃููุงู ูุฐุง ุงูุตุจุงุญ ูู ุฌูุงุฒ ู
ูุฌุงุช ููู ุตูุชูุฉ ู
ุญู
ูู ุจุงููุฏ ุจุญุฌู
ุงูุฌูุจ. | GE vScan ultrasound scanner which we saw this morning is a handheld pocket-sized ultrasound device. |
ูู
ูููู ุงูู
ุชุฎุตุตูู ูู ุงูุฑุนุงูุฉ ุงูุตุญูุฉ ู
ู ูุญุต ุงูู
ุฑุถู ูุฃุฌุณุงุฏูู
ุฎูุงู ุงููุญุต ุงูุจุฏูู. | that enables healthcare professionals to examine patients and their bodies during a physical examination |
ู
ุณุชุฎุฏู
ูู ุฃู
ุฑุงุถ ุงูููุจ ูุตุญุฉ ุงูุฃู
ูุงุชุ ูู
ููู ุชุณุฑูุน ุงูุชุดุฎูุต ููู
ุฑุถู. | used in cardiology and maternal health, it can speed up diagnosis for patients. |
ุงูุฐูู ููุณ ูุฏููู
ูุตูู ู
ุชุณู ู
ุน ู
ุซู ูุฐู ุงูุชูููููุฌูุง. | who do not have consistent access to such technologies. |
ุงูุขู ุฏุนููุง ููุธุฑ ุจุดูู ูุงู
ู ุฅูู ู
ุง ุชููู ุจุนุถ ุงูุณู
ุงุช ุงูุฃุณุงุณูุฉ ููุฐู ุงูู
ูุชุฌุงุช. | now let's look more fully at what some of the key characteristics of these products are. |
ุงูุชู ุชุฌุนููุง ุงูู 15 ุงูุฃูุซุฑ ุฃูู
ูุฉ. | that make them the 15 most important. |
ูู ูู
ูููู ุฃู ุฃุทูุจ ุงูุตุนูุฏ ู
ุจุงุดุฑุฉ ุฅุฐุง ุฃุฑุงุฏูุง. | can I ask to come up straightaway if they would. |
ุจูู ุชูู
ุจุณููุ ุงูุฏูุชูุฑ ุจุฑุงุซุงุจ ุฑูุฏู ู ูููุชูุฑ ุฌู. ุฏุฒุงู. | Paul Thompson, Doctor. Prathap Reddy and Victor J. Dzau. |
ุจูู ุชูู
ุจุณูู ูู ุงููุณุท ูู ุฑุฆูุณ ุงููููุฉ ุงูู
ูููุฉ ูููููู ูู ุจุฑูุทุงููุง. | Paul Thompson in the middle is the rector of the Royal College of Art in Britain. |
ู
ุคูุฏ ุจููุบ ููุญุงุฌุฉ ููุณ ููุท ููุชุทููุฑ ููู ููุดุฑ ุงูุงุจุชูุงุฑ ุจุงุณุชุฎุฏุงู
ุชุตู
ูู
ูุงุฆู
ุนูู ุงูุฃูุฑุงุฏ ูุชุญุฏู ูุชุบููุฑ ุงูุทุฑู ุงูุชูููุฏูุฉ ููููุงู
ุจุงูุฃู
ูุฑ. | 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. |
ุงูุฏูุชูุฑ ุจุฑุงุซุงุจ ุฑูุฏู ู
ุคุณุณ ูุฑุฆูุณ ู
ุณุชุดููุงุช ุฃุจูููู. | Doctor. Prathap Reddy is founder and chairman of the Apollo Hospitals. |
ุงูุชู ุจุฏุฃุช ุจู 150 ุณุฑูุฑูุง ู
ูุฐ 30 ุนุงู
ูุง ููู
ุช ุงูุขู ุฅูู 8500 ุณุฑูุฑ ูู 51 ู
ุณุชุดูู ูู ุงูููุฏ ูุนุจุฑ ุงูุจุญุงุฑ. | that started with 150 beds 30 years ago and it has grown now to 8500 beds in 51 hospitals in India and overseas. |
ุฃููุง ุชุชู
ุชุน ุจุณู
ุนุฉ ุงูุชููู ูุงูุฑูุงุฏุฉ ูู ุงูุงุจุชูุงุฑ ุงูุทุจูุ ุงูุฎุฏู
ุงุช ุงูุณุฑูุฑูุฉ ูุงูุฃุจุญุงุซ ุงูู
ุชุทูุฑุฉ. | it has a reputation for excelling and leading advances in medical innovation, clinical services and cutting-edge research. |
ุบุฑุถู ูู ุชุญููู ุงูุฑุนุงูุฉ ุงูุตุญูุฉ ุฐุงุช ุงูู
ุณุชูู ุงูุนุงูู
ู ูู ุงูู
ุชูุงูู ุงูุงูุชุตุงุฏู ูุงูุฌุบุฑุงูู ูู
ูุงููู ุงูุฃุดุฎุงุต ุงูุนุงุฏููู. | his purpose is to bring world-class healthcare within the reach economically and geographically upon millions of ordinary people. |
ูููุชูุฑ ุฌู. ุฏุฒุงู ูู ุงูุฑุฆูุณ ูุงูุฑุฆูุณ ุงูุชูููุฐู ูู ุงููุธุงู
ุงูุตุญู ูุฌุงู
ุนุฉ ุฏููู. | Victor J. Dzau is the president and CEO of Duke University Health System. |
ุฃุทูู ู
ุคุฎุฑูุง ู
ุนูุฏ ุฏููู ููุงุจุชูุงุฑ ุงูุตุญู ูุชุนุฒูุฒ ุงูุงุจุชูุงุฑ ุงูุชุญูููู ูู ุงูุตุญุฉ ูุงูุฑุนุงูุฉ ุงูุตุญูุฉ. | recently launched the Duke institute for Health innovation to promote transformative innovation in health and healthcare. |
ูู ุดุบูู ุจูุฏุฑุฉ ุงูุฅูุณุงู ุนูู ุชุญููู ุงูุฑุนุงูุฉ ุงูุตุญูุฉ. | he is passionate about the human capacity to transform healthcare. |
ุงูุขูุ ูุฌุจ ุฃู ูููู ูุฏูู ุงูู
ููุฑูููู ุงูู
ูุฌูุฏ ุนูู ุงููุฑุณู ูุงูุฐู ุณุชุญุชุงุฌ ูุญู
ูู ุนูุฏู
ุง ุชุชุญุฏุซ. | now, you should have microphones which are on the chair which you will need to hold up when you speak. |
ุจุญูุซ ูู
ูู ููุขุฎุฑูู ุณู
ุงุนู ุฃูุถูุง ุจุบุถ ุงููุธุฑ ุนูู. | so that others apart from me can also hear you. |
ูููุชูุฑุ ุงุณู
ุญูุง ูู ุฃู ุฃุจุฏุฃ ุจู ุฅุฐุง ุฃู
ูู. | Victor, let me start if I may with you. |
ู
ุง ูู ุงูุฃุดูุงุก ุงูุฃุณุงุณูุฉ ูู ุงูุชู ุชุนุชุจุฑ ุจุงูุบุฉ ุงูุฃูู
ูุฉ ูุฌุนู ุงูุงุจุชูุงุฑ ุงูุชูููููุฌู ู
ูู
ุญููุง. | what for you are the key things that are critical to make a technological innovation really matter. |
ุญุณููุง ุฃููุงูุ ูู ูุฐุง ูุนู
ูุ ุตุญูุญ. | well first of all, is this on? right. |
ูุนู
ุ ูุนู
ุฃูุช ุชุนู
ู. | yeah, yeah you are on. |
ุจุงููุณุจุฉ ููุงุจุชูุงุฑ ุงูุชูููููุฌู ูุฌุจ ุฃู ูููู ุณูู ุงูุงุณุชุฎุฏุงู
ุ ู
ุฑุชุจุท ุฅูู ุญุฏ ูุจูุฑ ูู
ุง ุณู
ุนุชู
ูุฐุง ุงูุตุจุงุญ ู
ู ุฌูู ุฏูููู ููู ุชุทุจูููุง ูุจูุฑูุง ุญููุง. | 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. |
ููู ุฃุนุชูุฏ ุฃู ุงูุงุจุชูุงุฑ ูููู ุฃูุซุฑ ุจูุซูุฑ ู
ู ุงูุชูููููุฌูุง. | but I think that innovation costs a lot more than technological. |
ุฅุฐุง ูุธุฑุชู
ุฅูู ุจุนุถ ูุคูุงุก ุงูู
ุจุชูุฑูู ุงูููู
ุ ูุฏู
ูุง ุงุจุชูุงุฑูุง ู
ูุชุตุฏูุง ุฃู ุชูููููุฌููุง ุนู
ููุฉ ุงูุงุจุชูุงุฑ. | if you look at some of these innovators today, they have done frugal innovation or process innovation technology. |
ูุฐุง ูู ูู
ูุฐุฌ ุงูุงุจุชูุงุฑ ูู
ุง ุฃุดูุฑ ุฅููู ุณุงุจููุง. | this is model innovation as been pointed out earlier. |
ูุจุงูุทุจุน ุงุณุชุฎุฏุงู
ุงูุชูููููุฌูุง ุจุญูู
ุฉ. | and of course the use of technology wisely. |
ุญุชู ูููู ููุงู ุนุฏุฏ ูุงู
ู ู
ู ุงูุทุฑู ูุชูุฏูู
ุงูุงุจุชูุงุฑ ูุชุญุณูู ุชูุฏูู
ุงูุฑุนุงูุฉ ูุงูุตุญุฉ ู
ุนูุง. | so there is a whole number of ways to introduce innovation to improve care delivery and health all together. |
ูู
ุง ูู ุงูู
ูููุงุช ุงูุฑุฆูุณูุฉ ูุดูุก ู
ุง ููููู ู
ููุฏูุง. | and what are the key components of something being useful. |
ูู
ุง ููุชุ ุงูุดูุก ููุณู ูุง ุจุฏ ุฃู ูููู ูู ุณู
ุงุช ู
ุนููุฉ. | like you said, the thing itself has to have certain characteristics. |
ููู ู
ุง ูู ู
ูู
ุจุงููุณุจุฉ ููู
ุฃู ูููู ูุงุฏุฑูุง ุนูู ุงูุนู
ู ููููู ูุนุงูุงู. | but what is important for them to be able to work to be effective. |
ูุนู
ุ ุฃุนุชูุฏ ุฃู ู
ุง ูู ู
ูู
ุญููุง ูู ุฑุฃูู ูู ุฃููุงู ุฑุฃุณ ุงูู
ุงู ุงูุจุดุฑูุ ุฅุดุฑุงู ุงูู
ุฑุถู ูุงูุนุงู
ููู ุงูู
ูุฏู
ูู ูุชูููุฑ ุงูุฑุนุงูุฉ. | 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. |
ูู ูุฐุง ุงูุณูุงู ู
ุง ุฑุฃููุงู ุงููุซูุฑ ู
ู ุงููุฏุฑุฉ ุนูู ุฃู ู
ุง ูุณู
ููู ุตูู ุงูู
ูุงุฑุงุช ุงูุตุญูุญ. | in this context what we have seen a lot is the ability to or what they call right skilling. |
ุฐูู ูู ุงุณุชุฎุฏุงู
ุงูุนุงู
ููู ุงูู
ุฏุฑุจูู ุนูู ุงูู
ุณุชูู ุงูุตุญูุญุ ูุง ูุฌุจ ุฃู ูุชู
ุชุฏุฑูุจูู
ุจุดูู ู
ูุฑุท ูุชูุฏูู
ุงูุนู
ู ูู ู
ุณุชูู ุนุงูู ู
ู ุงูู
ููุ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 ูุฒูุฏ ุจุดูู ูุงุถุญ ููุงุกุฉ ุงูููู ุงูุนุงู
ูุฉ. ุชูู ูุงุญุฏุฉ ู
ููุง. | this clearly increases efficiency of the workforce. that is one of them. |
ู
ู ูุถูู. | please. |
ูุนู
ู
ุง ุฑุฃูุชู
ู
ู ุงูู15 ุงูุชู ุฃุธูุฑูุงูุง ุจุนุฏ ุฐูู. | Okay of what you have seen of the 15 that we showed then. |
ูุดุงูุฏุชู
ููู
ุ ูู ุฃู ู
ููุง ูุดุฑุญ ุฎุตูุตูุง ุงูููุงุท ุงูุชู ุชููู
ูู ุจูุง. | and you have seen them, do any of them demonstrate particularly the points you are making. |
ูุนู
. ุงุซูุงู ู
ููู
ูุฃุชูุงู ุฅูู ุฐููู. | yeah. two of them come to my mind. |
ุงูุฃูู ูู ุณุงูุง ุฃููู ุงูุฐู ูู ุฌุฑุงุญุงุช ุงูุนููู ูู ุงูู
ูุณูู. | one is SalaUno which is the eye surgery in Mexico. |
ู
ุง ูุงู
ูุง ุจู ุนูู ูุญู ูุนุงู ูู ุฃู ุชูุนู ูู ุดูุก ุญูู ุงูุชูุญูุฏ ุงูููุงุณูุ ุงูู
ุนุงูุฌุฉ ุงูุถุนููุฉ ูุชุญูู ุงูู
ููุงุณ ุจุงุณุชุฎุฏุงู
ุงูุนุงู
ููู ุงูุฐูู ุชู
ุชุฏุฑูุจูู
ุจุดูู ุตุญูุญ ููุนู
ู ูู ุบุฑูุฉ ุงูุนู
ููุงุช. | 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. |
ูุฒูุงุฏุฉ ููุงุกุฉ ุฌุฑุงุญุฉ ุฅุนุชุงู
ุนุฏุณุฉ ุงูุนูู ูุชูููู ุงูุชูููุฉ. | to increase the efficiency of cataract surgery and reduce the cost. |
ุงูุขุฎุฑ ุงูุฐู ุฃูุฏ ุฃู ุฃูููู ูู ูุงู ูุงู
ููู ูููุซ ููู ูู
ูุฐุฌ ุงูุงู
ุชูุงุฒ ุงูุฐู ูู ุงุจุชูุงุฑ ูู
ูุฐุฌ ุงูุฃุนู
ุงู. | the other one I would say is One Family Health which is franchise model that is business model innovation. |
ู
ุน ุฐูู ุงุณุชุฎุฏู
ูุง ู
ู
ุฑุถุฉ ูุนูุงุฌ ุฎู
ุณุฉ ุฃู ุณุชุฉ ู
ู ุงูุฃู
ุฑุงุถ ุงูุดุงุฆุนุฉ ู
ุซู ุงูู
ูุงุฑูุงุ ุงูุฅุณูุงู. | however they used a nurse to treat five or six common diseases like malaria, diarrhea. |
ูุฃู ูููู ูุฏูู ูุดู ุตุบูุฑ ุฃู
ุงู
ูู ุฑูุงูุฏุง ูููุฏุฑุฉ ุนูู ุชูุตูู ุงูุนูุงูุฉ ุจุฃุบูุจ ุฃู
ุฑุงุถ ุงูู
ุณุงูุฑูู ูููุงูุชูู
ุฃูุถูุง. | 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. |
ูุฃูู ููุจุบู ู
ู ุงููุงุญูุฉ ุงูู
ุซุงููุฉ ุฃู ููุฌุฏ ูููููุฉ ุชุทููุฑูุง ูุฅูุชุงุฌูุง. | and where ideally should they be how developed and produced. |
ูู ููุงู ุทุฑููุฉ ู
ุซุงููุฉ ูููู ุชุฑูุฏ ุฃู ูููู. | is there a certain ideal of how you would like it to be. |
ูุนู
. | yeah . |
ุฃูุง ุขุณูุ ุณูุงุก ูุงู ูุฐุง ููู ุฃู ูุง ููู ุจุงูุทุฑููุฉ ุงูู
ุซุงููุฉ. | I am sorry, whether these do or do not meet that ideal. |
ุตุญูุญ. ูุฃุนุชูุฏ ุฃู ุงูุนุฏูุฏ ู
ู ุงูุงุจุชูุงุฑุงุช ูุงุฌุญุฉ ูู ุงูุณูุงู ุงูู
ุญูู. | right. I think many of the innovations are successful in the local context. |
ู
ุน ุฐููุ ูุฌูุฏ ูุธุงู
ูุฌู
ุนูู
ู
ุนูุง ุงูุชูุญูุฏ ุงูููุงุณู ุนูู ุณุจูู ุงูู
ุซุงูุ ูุจููุณ ุงูุทุฑููุฉ ูุชูููู ุงูุงุฎุชูุงู. | however, having a system that bring them together standardization for example, the same way so you reduce the variation. |
ููุฌูุฏ ูุณููุฉ ููุชุทููุฑ ุณููุฉ ุนูู ุงูู
ุฑูุถ ูุงุณุชุฎุฏุงู
ุงูุชูููููุฌูุง ุจุญูู
ุฉ ููุฐุง ู
ุซู ุงููุงุชู ุงูุฎููู ุจุดูู ู
ุนุฑูู. | and having a way to develop close to the patient and use technology wisely and disruptively such as the cellphone. |
ูุฐุง ุฃุนุชูุฏ ุฃู ูุฐู ูู ุงูุทุฑู ุงูุฃุณุงุณูุฉ ุงูุชู ุจูุง ูู
ูู ุฃู ูููู ุงูุงุจุชูุงุฑ ุจุณูููุฉ . | so those I think are the principle ways by which innovation can be easily . |
ุชูุถูุญ ุงููุงุชู ุงูุฎููู ุฃูุถูุงุ ูู ุงููุงุชู ุงูู
ุญู
ูู ูุนู
. | elaborate the cell phone thought, that is the M-phone yes. |
ูุนู
ุ ูุนู
ุ ุตุญูุญ. ุญุณููุง ุชุนูู
ููุ ุฃุนูู ุฃููุง ูุนูู
ุฌู
ูุนูุง ุฃู ุงูููุงุชู ุงูุฎูููุฉ ุชุณุชุฎุฏู
ุจุงุนุชุจุงุฑูุง ูุณููุฉ ูู
ุฌุฑุฏ ุงูุญุฏูุซ ุฃู ุงุณุชุฎุฏุงู
ุงูุฑุณุงุฆู ุงููุตูุฉ. | 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. |
ููู ุงูุขู ูุญู ูุนุฑู ุฃู ููุงู ุชุทุจููุงุช ุงูุชู ูู ู
ุซู ุงููู
ุจููุชุฑ ุงูุดุฎุตู ุบุงูุจูุง. | but now we know that there are apps which is almost like a personal computer. |
ูุฐุงุ ุฅุฐุง ูุธุฑุช ููุท ุฅูู ุงุณุชุฎุฏุงู
ุงูููุงุชู ุงูุฎูููุฉ ูุฃุฎุฐุช ุงูููุฏ ุนูู ุณุจูู ุงูู
ุซุงู. | so, if you just look at the use of cell phones and you take India for example. |
ู
ุง ููุฑุจ ู
ู 85 ุฃู 90ูช ู
ู ุงูุฃุดุฎุงุต ูุฏููู
ููุงุชู ุฎูููุฉ ูููููู
ูุฏ ูุง ูู
ุชูููู ุงูุชูููููุฌูุง ุงูุฃุฎุฑู. | almost 85 or 90% people have cell phones and yet they may not have other technology. |
ุงูููุงุชู ุงูุฎูููุฉ ุชูุณุชุฎุฏู
ุจุฐูุงุก ุจุงูุบ ูููู ุงูุฑุณุงุฆู ูุฑุนุงูุฉ ุงูู
ุฑูุถ ููุชุฎุฒูู ุงูู
ุนููู
ุงุช. | Cell phones are used very smartly to transmit messages to care for the patient and to store information. |
ุฎุงุตุฉ ุฅุฐุง ุจุฏุฃุช ุจุงู
ุชูุงู ููุงุชู ุฐููุฉ. | Particularly if you begin to have smart phones. |
ุนุฏุฏ ู
ู ุชูู ุงูุงุจุชูุงุฑุงุช ุงูุชู ูุธุฑูุง ุฅูููุง ุฃู ูุณุจุฉ ูุจูุฑุฉ ู
ููุง ุชู
ุชุทููุฑูุง ูุตูุนูุง ููุง. | a number of those innovations which we have looked at or a significant proportion of them have been developed and made here. |
ุจุนุถูุง ูู
ูู ุนูุณูุ ุฃููุณ ูุฐูู. | some of them could be reversed, could they not. |
ูู
ูู ุตูุนูุง ูู ุงูุฌููุจ ูุฌูุจูุง ุฅูู ุงูุดู
ุงู. | they can be made in the south and can be brought to north. |
ุฃูุง ุฃุณุชุฎุฏู
ูุฐู ุงูู
ุตุทูุญุงุช ุจุดูู ุตุญูุญ . | I am using those terms right . |
ูุนู
ุ ุญุณููุงุ ูุงูุทุฑููุฉ ุงูุชู ุฃูุธุฑ ุจูุง ุฅูู ุฐูู ูู ุฃู ุงูููุงูุงุช ุงูู
ุชุญุฏุฉุ ุงูู
ู
ููุฉ ุงูู
ุชุญุฏุฉ ูุญู ุฌู
ูุนูุง ูุฏููุง ู
ุดููุงุช ู
ุน ุชูููุฉ ุงูุฑุนุงูุฉ. | right, well, the way I look at this is that US, UK we all have problems with cost of care. |
ูููุงู ูู
ูุงุฆู ู
ู ุงููุฑุต ุฃู ุงูุฏุฑูุณ ุงูู
ุณุชูุงุฏุฉ ู
ู ุงููุธุฑ ุฅูู ุงูุฅุจุฏุงุน ุงูุฐู ุชุฑุงู ูู ุงูุฌููุจ ุฃู ูู ุงูุจูุงุฏ ูุงูุตุฉ ุงูู
ูุงุฑุฏ. | 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. |
ุฐูุฑุช ุจุนุถ ู
ููุง ุจุงููุนู. | I already mentioned some of them. |
ูุฐุงุ ููุงู ุงูุขู ุฏูุนุฉ ุญููููุฉ ูุญู ู
ุง ูุณู
ูู ุงูุงุจุชูุงุฑ ุงูุนูุณู. | so, there is now a real push towards what we call reverse innovation. |
ุฃุนุชูุฏ ุฃูู ุณุจุจ ุฃูุถู ุงุณุชูุฑุงุฏ ุงูุงุจุชูุงุฑ ู
ู ุฃู
ุงูู ุฃุฎุฑู. | I think it is a better cause importing innovation from elsewhere. |
ูุฐุง ูู ุจูุฏูุง ูุงูู
ุนูุฏ ุฃุถุน ู
ุนูุงุ ุฃุญุฏ ุชุฑููุฒุงุชูุง ุงูุฑุฆูุณูุฉ ูู ุฃู ุฃููู ููู ูุฃุฎุฐ ูุฐู ุงููู
ุ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. |
ุงูุชู ุฃูุถุญุช ูุนุงููุชูุง ู
ุน ุงูุชูููุฉ ุงูู
ูุฎูุถุฉ ูุงูุฌูุฏุฉ ุงูุฌูุฏุฉ ู
ุซู ุฃู ู
ูุงู ุขุฎุฑ ูู
ุง ูู ุงูููุฏุ ูู ุฃูุฑูููุง. | that has been shown to be effective with low cost and good quality elsewhere such as in India, in Africa. |
ููุจุฏุฃ ูู ุงููุงูุน ุจู
ูุฏู
ุฉ ุฅูู ููุฆุฉ ุงูุฎุฏู
ุงุช ุงูุตุญูุฉ ุงููุทููุฉ ุฃู ุงูููุงูุงุช ุงูู
ุชุญุฏุฉ ุฃู ู
ูุงู ุขุฎุฑ. | and actually begin to introduce into NHS or [NE:LOC United States[ or elsewhere. |
ูุจูุฐู ุงูุทุฑููุฉ ู
ุง ูู
ูููุง ุงูููุงู
ุจู ูู ูู ููุงูุฉ ุงูู
ุทุงู ุชูููู ุงูุชูููุฉ ูุงูุงุณุชู
ุฑุงุฑ ูู ุชุญุณูู ุงูุฌูุฏุฉ. | and this way what we can do is end up driving down the cost and continue to have improved quality. |
ููู ููุงู ุงููุซูุฑ ู
ู ุงูู
ูุงูุน ุนูู ุฃู ูุญุฏุซ ุฐูู ูู ุงููุงูุน ููุณุช ููุงู. | but there are a lot of inhibitions on that actually happening are not there. |
ุญุชู ุฅุฐุง ูุงู ูู
ููู ุงูุชุนุฑู ุนูู ูุฐุง ุจุฃูู ู
ูุชุฌูุง ุงูุฑุงุฆุนุ ูู ุงููุงูุน ุชุญููู ูุฐุง ุงูุนูุณู ุตุนุจ ุฌุฏูุง. | even if you can identify this as being our terrific product, actually achieving that reverse is quite hard. |
ุฃููุ ู
ู ุงูู
ุคูุฏ ุชู
ุงู
ูุง. | oh. it is quite to be sure. |
ุชุฎูู ุฃูู ุงุฐุง ููุช ุฃู ู
ู
ุฑุถุฉ ูู
ูููุง ุงูููุงู
ุจุฎุฒุนุฉ ุงููุจุฏุ ุณูููู ุฐูู ุตุนุจูุง ููุบุงูุฉ ูู ุงูููุงูุงุช ุงูู
ุชุญุฏุฉ. | imagine that if I say that a nurse can do a liver biopsy, that will be very difficult in the United States. |
ููู ูู
ูู ุงูููุงู
ุจูุง ูู ู
ูุงู ุขุฎุฑ ุจุดูู ุตุญูุญ. | but it can be done elsewhere right. |
ูุฐุง ุฃููุฑ ูุซูุฑูุง ูู ูุฐู ุงูู
ุดููุฉ ุญูู ู
ุง ูู ู
ุณุชูู ุงูุฑุนุงูุฉ ูู ุงูุชุญุฏู ุงูุฃุณุงุณู ุงูุฐู ูุฏููุง. | so I think much of the issue about what is the standard of care is fundamental challenge that we have. |
ูุฐุง ูุฏููู
ุงูุฃุทุฑ ุงูุชูุธูู
ูุฉ. | so you got regulatory frameworks. |
ุจุงูุถุจุท. | exactly . |
ูุฏููู
ุณูุงุณุฉ. | you have got policy. |
ุตุญูุญุ ูุฐุง ุงูุนุงู
ุงูู
ุงุถู ูู ูุฐุง ุงูุงุฌุชู
ุงุน ูู ููุฏู ูู ุงููุงูุน ุงูู
ุฌู
ูุนุฉ ุงูุชู ุดุงุฑูุช ู
ุน ุงูู
ูุธู
ุฉ ุงูุชู ุฃุณุณุชูุง ุชุณู
ู ูุชุจุช ูุฑูุฉ. | 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. |
ูุฑูุฉ ุจูุถุงุก ุชููู ู
ู ุฃุฌู ุฃู ุชููู ูุงุฏุฑูุง ุนูู ุนูุณ ุงูุงุจุชูุงุฑุ ุณุชูุธุฑ ูู ููููุฉ ุฅุตูุงุญ ูุชุดุฑูุน ุงูุจูุฆุฉ. | 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. |
ุงููุธุฑ ูู ู
ูุงุกู
ุฉ ุงูุญูุงูุฒ ุจุดูู ุฎุงุต ุงูู
ูุงูุขุช ุฃู ุบูุฑูุง ู
ู ุงูุญูุงูุฒ ูุงููุธุฑ ุฃูุถูุง ูู ููููุฉ ุฅูุชุงุฌูุง ุจุดูู ู
ุดุชุฑู ู
ุน ุงูุนุงุฆูุงุชุ ุงูู
ุฑุถู ูุงูู
ุฌุชู
ุน. | looking at aligning incentive particularly payment or other incentive and also looking at how to co-produce with families, patients and community. |
ูุณูู ูููู ุนูููุง ุชุญุฏูุซ ุงูุชุนููู
ูุฏููุง ุฌู
ูุนูุง. | and we are going to have to modernize our education all together. |
ูู ุฃูู ูุงุญุฏ ุฅุฐุง ููุช ุชุชุฎููุ ุฃู ูู ุจูุฏูุง ูู ุงููุงูุน ุจุนุถ ุงูุฃุดูุงุก ุงูุชู ูุง ูุณู
ุญ ููู
ู
ุฑุถุงุช ุงูููุงู
ุจูุง. | on the first one if you imagine, that in our country in fact certain things that nurses are not permitted to do. |
ูุฐุง ุงูุทุฑููุฉ ุงููุญูุฏุฉ ููููุงู
ุจุฐููุ ุณูููู ูุฏูู ุฅุตูุงุญ ุงูุจูุฆุฉ ุงูุชูุธูู
ูุฉ ู
ุซู ุงูู
ุฌูุณ ุงูุทุจู ูุบูุฑูุง ุชู
ุงู
ูุงุ ุฃูุถูุง. | 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. |
ูุงูุจุฑูุชูููู ููู ููู
ุถู ุจุฐูู. | and all the protocol to go with that. |
ูุฌู
ูุน ุงูุจุฑูุชููููุงุช ููุฐูู ุงูุฏูุน. ูู ูุชู
ุงูุฏูุน ููู
ู
ูุงุจู ู
ุง ููุนููู. | and all the protocols and likewise payment. they will not be paid for what they do. |
ูุฐุงุ ูู ุงููุฑูุฉ ุงูุชู ูุชุจูุงูุงุ ููุงูุด ุฃู ุงููุฑุฏ ูุฌุจ ุนููู ุฅุนุงุฏุฉ ุงููุธุฑุ ูู ููููุฉ ุงูููุงู
ุจุงููู
ุณุฉ ุงูุตุญูุญุฉ ููุชูุธูู
. | so, in the paper we wrote, we argue that one has to re-look at how to do the right touch regulation. |
ุฐูู ูู ุนูู ุณุจูู ุงูู
ุซุงู ุฅุฐุง ููุช ุฃู ุงูู
ุฌูุณ ุงูุทุจู ููุงู ุงููุงุณ ูู ูุซูุฑ ู
ู ุงูุฃุญูุงู ุฃู ุงูุฃุทุจุงุก ูุญู
ูู ุงููููุฐ. | that is for example if you say the medical board and people have frequently said that doctors are protecting the turf. |
ูุฃููู
ูุง ูุฑูุฏูู ุฏุฎูู ุงูุขุฎุฑูู ุฅูู ุงูู
ูุทูุฉ ุญูุซ ุฑุจู
ุง ุชูุฌุฏ ู
ุดููุงุช ุงูุฏูุน ูุฃุณุจุงุจ ุฃุฎุฑู. | because they do not want others to enter to the area where it is perhaps is payment issues and other reasons. |
ูุจุงูุชุฃููุฏ ู
ู ู
ูุตุจ ุฃุนููุ ูู
ููุนููู ู
ู ุฃุฌู ุญู
ุงูุฉ ุงูู
ุฑุถู. | and of course in a high ground, they are doing it in order to protect the patients. |
ููู ูู ูุซูุฑ ู
ู ุงูุฃุญูุงู ุชุนูู
ูู ุงููุงุณ ูุดูููู ููู
ุง ุฅุฐุง ูุงู ูุฐุง ูู ุงูุฏุงูุน ุงููุญูุฏ. | but frequently you know people are skeptical whether it is the only motivation. |
ูุณุชููู ุงูููุฑุฉ ูู ุฅุนุงุฏุฉ ุงููุฌูุฉ ุงูุชูุธูู
ูุฉ ุฅุฐุง ููุช ุณุชูุนู ูุชุดู
ู ุงูู
ุฑุถู. | the idea will be to redo the regulatory committee if you will to include patients. |
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