Unveiling the Path to Equitable Knowledge. Challenging Knowledge Monopoly: Access, Equity, and Quality in the Digital Era

In the digital age, the privatization and monopolization of knowledge have become prominent issues, particularly in the field of medical education and practice. Influential platforms like Amboss and the Association for the Study of Internal Fixation AO have emerged as gatekeepers, controlling access to medical knowledge through paywalls and potentially shaping treatment approaches. Concerns arise due to the selective dissemination of information, where conservative treatment approaches may be downplayed. In contrast initiatives that prioritize equal access to knowledge have been introduced, such as the WHO Surgery at the District Hospital program and internationally renowned textbooks like "Primary surgery" and "War surgery." Another area of concern is authorship, with a growing emphasis on advocating for equal cooperative authorship and challenging hierarchical structures. Alternative models promoting inclusivity and diversity in the authorship process are being explored. Additionally, there is a pressing need to prioritize quality over quantity in scientific publications. Strategies such as rigorous peer review processes and emphasizing impactful research are being discussed to address this issue. ... mehrThe implications of knowledge monopolization and dissemination are not limited to developed countries. Russian pirate platforms have significant implications for knowledge dissemination, copyright protection, and research availability, particularly in the Global South. Language barriers and biases against certain regions or nations further amplify the underrepresentation of voices in the scientific community. Interdisciplinary dialogue is crucial in advancing equitable knowledge access and exploring alternative approaches in the digital era. By fostering open discussions, the aim is to deepen the understanding of knowledge monopolies, encourage equal access to information, and seek innovative solutions in authorship, publication, and knowledge dissemination. The ultimate goal is to create a more inclusive and accessible landscape for the advancement of knowledge across various disciplines. All authors contributed equally.