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Cited by 233Quality and Safety in HealthcareGlobal Health and SurgeryInnovation and Socioeconomic Development

The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.

Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world?

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Perry, Lora, Malkin, Robert·2011·Medical & Biological Engineering & Computing
DOI 10.1007/s11517-011-0786-3
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Abstract

It is often said that most of the medical equipment in the developing world is broken with estimates ranging up to 96% out of service. But there is little documented evidence to support these statements. We wanted to quantify the amount of medical equipment that was out of service in resource poor health settings and identify possible causes. Inventory reports were analyzed from 1986 to 2010, from hospitals in sixteen countries across four continents. The UN Human Development Index was used to determine which countries should be considered developing nations. Non-medical hospital equipment was excluded. This study examined 112,040 pieces of equipment. An average of 38.3% (42,925, range across countries: 0.83-47%) in developing countries was out of service. The three main causes were lack of training, health technology management, and infrastructure. We hope that the findings will help biomedical engineers with their efforts toward effective designs for the developing world and NGO's with efforts to design effective healthcare interventions.

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Metadata

Authors
Perry, L., & Malkin, R.
Affiliations
Duke University (US)
Corresponding author
Malkin, Robert
ORCID
Malkin, Robert
Venue
Medical & Biological Engineering & Computing
Publisher
Springer Science and Business Media LLC
Published
2011-05-20
Volume
49
Issue
7
Pages
719-722
ISSN
  • 0140-0118 (ISSN-L)
  • 1741-0444
DOI
10.1007/s11517-011-0786-3
OpenAlex
W2043950867
Cited by
232
References
9
Citations by year
2026: 21 · 2025: 17 · 2024: 29 · 2023: 26 · 2022: 16 · 2021: 18 · 2020: 22 · 2019: 22 · 2018: 12 · 2017: 15 · 2016: 8 · 2015: 7 · 2014: 8 · 2013: 6 · 2012: 4
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • Medical & Biological Engineering & Computing (publishedVersion)
  • PubMed (publishedVersion)
Funders
World Health Organization
Topics
  • Health Sciences › Health Professions › Medical Laboratory Technology › Quality and Safety in Healthcare
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
  • Social Sciences › Business, Management and Accounting › Business and International Management › Innovation and Socioeconomic Development
Keywords
medical devices, medical equipment donation, health care system, developing countries, health technology management, lack of training, health infrastructure, humanitarian aid
MeSH terms
Developing Countries, Equipment and Supplies, Hospital, Equipment Failure, Humans, International Cooperation, Medically Underserved Area, Biomedical Technology

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