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      Health diplomacy through health entrepreneurship: using hackathons to address Palestinian-Israeli health concerns

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      1 , 1 , 2 ,
      BMJ Global Health
      BMJ Publishing Group
      health policy, health systems

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          Abstract

          The universally shared values of improving health and well-being of populations make health a suitable diplomacy tool that transcends populations. The role of entrepreneurship in improving health and contributing to sustainable development is increasingly used in conjunction with traditional health diplomacy. In this paper, we present healthcare entrepreneurship as an effective health diplomacy tool that can spur economic growth, improve healthcare and generate sustainable development in communities. Improvements in health require involvement of diverse stakeholders including healthcare and non-health professionals to generate and implement sustainable problem-focused solutions. We illustrate the utility of early-stage innovation events, such as hackathons, in sparking entrepreneurship, interdisciplinary collaboration, ideation and innovation around problems specific to a local community. Specifically, we describe a hackathon organised in Nazareth, Israel as a means to bridge multicultural communities to address common health issues across the population. We suggest that health entrepreneurship is an important component of health diplomacy, and a critical ingredient for improved health, economic growth and sustainable development.

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          Why encouraging more people to become entrepreneurs is bad public policy

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            The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013

            The Eastern Mediterranean Region (EMR) is witnessing an increase in chronic disorders, including mental illness. With ongoing unrest, this is expected to rise. This is the first study to quantify the burden of mental disorders in the EMR. We used data from the Global Burden of Disease study (GBD) 2013. DALYs (disability-adjusted life years) allow assessment of both premature mortality (years of life lost–YLLs) and nonfatal outcomes (years lived with disability–YLDs). DALYs are computed by adding YLLs and YLDs for each age-sex-country group. In 2013, mental disorders contributed to 5.6% of the total disease burden in the EMR (1894 DALYS/100,000 population): 2519 DALYS/100,000 (2590/100,000 males, 2426/100,000 females) in high-income countries, 1884 DALYS/100,000 (1618/100,000 males, 2157/100,000 females) in middle-income countries, 1607 DALYS/100,000 (1500/100,000 males, 1717/100,000 females) in low-income countries. Females had a greater proportion of burden due to mental disorders than did males of equivalent ages, except for those under 15 years of age. The highest proportion of DALYs occurred in the 25–49 age group, with a peak in the 35–39 years age group (5344 DALYs/100,000). The burden of mental disorders in EMR increased from 1726 DALYs/100,000 in 1990 to 1912 DALYs/100,000 in 2013 (10.8% increase). Within the mental disorders group in EMR, depressive disorders accounted for most DALYs, followed by anxiety disorders. Among EMR countries, Palestine had the largest burden of mental disorders. Nearly all EMR countries had a higher mental disorder burden compared to the global level. Our findings call for EMR ministries of health to increase provision of mental health services and to address the stigma of mental illness. Moreover, our results showing the accelerating burden of mental health are alarming as the region is seeing an increased level of instability. Indeed, mental health problems, if not properly addressed, will lead to an increased burden of diseases in the region.
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              Small business activity does not measure entrepreneurship.

              Entrepreneurship policy mainly aims to promote innovative Schumpeterian entrepreneurship. However, the rate of entrepreneurship is commonly proxied using quantity-based metrics, such as small business activity, the self-employment rate, or the number of startups. We argue that those metrics give rise to misleading inferences regarding high-impact Schumpeterian entrepreneurship. To unambiguously identify high-impact entrepreneurs we focus on self-made billionaires (in US dollars) who appear on Forbes Magazine's list and who became wealthy by founding new firms. We identify 996 such billionaire entrepreneurs in 50 countries in 1996-2010, a systematic cross-country study of billionaire entrepreneurs. The rate of billionaire entrepreneurs correlates negatively with self-employment, small business ownership, and firm startup rates. Countries with higher income, higher trust, lower taxes, more venture capital investment, and lower regulatory burdens have higher billionaire entrepreneurship rates but less self-employment. Despite its limitations, the number of billionaire entrepreneurs appears to be a plausible cross-country measure of Schumpeterian entrepreneurship.
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                Author and article information

                Journal
                BMJ Glob Health
                BMJ Glob Health
                bmjgh
                bmjgh
                BMJ Global Health
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                2059-7908
                2019
                10 July 2019
                : 4
                : 4
                : e001548
                Affiliations
                [1 ]departmentHealth Sciences and Technology , Massachusetts Institute of Technology , Cambridge, Massachusetts, USA
                [2 ]departmentDepartment of Global Health and Population, Harvard TH Chan School of Public Health , Harvard University , Boston, Massachusetts, USA
                Author notes
                [Correspondence to ] Dr Rifat Atun; ratun@ 123456hsph.harvard.edu
                Author information
                http://orcid.org/0000-0002-5864-2386
                http://orcid.org/0000-0002-1531-5983
                Article
                bmjgh-2019-001548
                10.1136/bmjgh-2019-001548
                6626517
                31354974
                fa51544e-c7e5-4038-9370-cafb7d9534d2
                © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 03 March 2019
                : 15 May 2019
                : 25 May 2019
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                health policy,health systems
                health policy, health systems

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