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This is particularly hard in low-resource environments and traditional software vendors are known to skip solutions for such markets. Unlike closed source or proprietary black-box applications, FOSS leverages the cumulative knowledge of the broader global community to bring innovation, accessibility and knowledge to healthcare providers and patients. This doesn’t mean that you don’t need to have or develop any internal capabilities at all, but that would be true of proprietary software too. Even in cases where you need a specific domain or tech expertise, you are likely to find help on forums, documentation updates, software commits, or the partner community.
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This is very hard to find in proprietary tools that are hidden behind an impenetrable wall of intellectual property rights.įOSS is often quicker to adopt or upgrade because the skills needed to build, support, upgrade, etc., are readily available. The community will maintain a publicly visible defect tracker, have open discussions and be willing to democratically take the product in a direction that benefits the group’s core goals. Moreover, FOSS is also transparent about decision-making, product roadmap, competence, etc. One can easily evaluate an open source software for design/code maturity, something that’s nearly impossible in proprietary software, where one has to rely on contracts, promises and third-party certifications. FOSS ensures transparency through peer reviews and independently testable environments. So, healthcare must be conducted within an ethical (tech) ecosystem - one would not want another obstetric forceps scenario where a life-saving tool was inaccessible to the broader community for over 150 years.

Moreover, healthcare tech uses AI/ML for diagnosis, clinical algorithms for decision support, messaging/videos to share patients' personal information and more. Access to a patient’s medical history is becoming fundamental to healthcare delivery. Today, healthcare is growing increasingly digital. But that is just the first of the many benefits that FOSS can offer the rapidly evolving healthcare industry. Moreover, as there are no vendor lock-ins, healthcare providers can build their solutions without paying the hefty fees to ‘certified’ knowledge partners.


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Generally, when a healthcare organization chooses Free and Open Source Software (FOSS), they do so for financial reasons: no license fees, often no upgrade cost and a significantly low total cost of ownership. Authors: Angshuman Sarkar, Principal Consultant, Global Health Practice and Gurpreet Luthra, Tech Principal, Social Change Group
