A “Not So Quiet” Revolution: Systemic Benefits and Challenges of Telehealth in the Context of COVID-19 in Quebec (Canada)
The COVID-19 pandemic has had a major impact on health and social service systems (HSSS) worldwide. It has put tremendous pressure on these systems, threatening access, continuity, and the quality of patient care and services. In Quebec (Canada), the delivery of care and services has radically chang...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-10-01
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| Series: | Frontiers in Digital Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fdgth.2021.721898/full |
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| author | Hassane Alami Hassane Alami Pascale Lehoux Pascale Lehoux Randa Attieh Jean-Paul Fortin Jean-Paul Fortin Richard Fleet Richard Fleet Richard Fleet Marietou Niang Kevin Offredo Kevin Offredo Ronan Rouquet Mohamed Ali Ag Ahmed Mohamed Ali Ag Ahmed Birama Apho Ly |
| author_facet | Hassane Alami Hassane Alami Pascale Lehoux Pascale Lehoux Randa Attieh Jean-Paul Fortin Jean-Paul Fortin Richard Fleet Richard Fleet Richard Fleet Marietou Niang Kevin Offredo Kevin Offredo Ronan Rouquet Mohamed Ali Ag Ahmed Mohamed Ali Ag Ahmed Birama Apho Ly |
| author_sort | Hassane Alami |
| collection | DOAJ |
| description | The COVID-19 pandemic has had a major impact on health and social service systems (HSSS) worldwide. It has put tremendous pressure on these systems, threatening access, continuity, and the quality of patient care and services. In Quebec (Canada), the delivery of care and services has radically changed in a short period of time. During the pandemic, telehealth has been widely deployed and used, notwithstanding the decades-long challenges of integrating this service modality into the Quebec HSSS. Adopting a narrative-integrative approach, this article describes and discusses Quebec's experience with the deployment and utilization of telehealth in the context of COVID-19. Firstly, we introduced the achievements and benefits made with the use of telehealth. Secondly, we discussed the challenges and concerns that were revealed or accentuated by the sanitary crisis, such as: (1) training and information; (2) professional and organizational issues; (3) quality of services and patient satisfaction; (4) cost, remuneration, and funding; (5) technology and infrastructure; (6) the emergence of private telehealth platforms in a public HSSS; (7) digital divide and equity; and (8) legal and regulatory issues. Finally, the article presents recommendations to guide future research, policies and actions for a successful integration of telehealth in the Quebec HSSS as well as in jurisdictions and countries facing comparable challenges. |
| first_indexed | 2024-12-17T19:17:29Z |
| format | Article |
| id | doaj.art-1a2da8547b554980b24aa62fb41b5622 |
| institution | Directory Open Access Journal |
| issn | 2673-253X |
| language | English |
| last_indexed | 2024-12-17T19:17:29Z |
| publishDate | 2021-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Digital Health |
| spelling | doaj.art-1a2da8547b554980b24aa62fb41b56222022-12-21T21:35:43ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2021-10-01310.3389/fdgth.2021.721898721898A “Not So Quiet” Revolution: Systemic Benefits and Challenges of Telehealth in the Context of COVID-19 in Quebec (Canada)Hassane Alami0Hassane Alami1Pascale Lehoux2Pascale Lehoux3Randa Attieh4Jean-Paul Fortin5Jean-Paul Fortin6Richard Fleet7Richard Fleet8Richard Fleet9Marietou Niang10Kevin Offredo11Kevin Offredo12Ronan Rouquet13Mohamed Ali Ag Ahmed14Mohamed Ali Ag Ahmed15Birama Apho Ly16Center for Public Health Research of the University of Montreal, Montreal, QC, CanadaDepartment of Health Management, Evaluation and Policy, University of Montreal, Montreal, QC, CanadaCenter for Public Health Research of the University of Montreal, Montreal, QC, CanadaDepartment of Health Management, Evaluation and Policy, University of Montreal, Montreal, QC, CanadaResearch Centre of the University of Montreal Hospital Centre, University of Montreal, Montreal, QC, CanadaDepartment of Social and Preventive Medicine, Faculty of Medicine, Laval University, Quebec, QC, CanadaVITAM Research Centre on Sustainable Health, Laval University, Quebec, QC, CanadaVITAM Research Centre on Sustainable Health, Laval University, Quebec, QC, CanadaDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine, Laval University, Quebec, QC, CanadaResearch Chair in Emergency Medicine Laval University-Affiliated University Hospital Centre Hôtel-Dieu de Lévis, Levis, QC, CanadaFaculty of Nursing Science, Laval University, Quebec, QC, CanadaFaculty of Dental Medicine, Rennes 1 University, Rennes, France0French Society of Digital Health, Paris, France1Hauts-de-France Regional Health Agency (ARS), Amiens, France2Research Chair on Chronic Diseases in Primary Care, Sherbrooke University, Chicoutimi, QC, Canada3Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium4Faculty of Pharmacy, University of Sciences, Techniques and Technologies of Bamako, Bamako, MaliThe COVID-19 pandemic has had a major impact on health and social service systems (HSSS) worldwide. It has put tremendous pressure on these systems, threatening access, continuity, and the quality of patient care and services. In Quebec (Canada), the delivery of care and services has radically changed in a short period of time. During the pandemic, telehealth has been widely deployed and used, notwithstanding the decades-long challenges of integrating this service modality into the Quebec HSSS. Adopting a narrative-integrative approach, this article describes and discusses Quebec's experience with the deployment and utilization of telehealth in the context of COVID-19. Firstly, we introduced the achievements and benefits made with the use of telehealth. Secondly, we discussed the challenges and concerns that were revealed or accentuated by the sanitary crisis, such as: (1) training and information; (2) professional and organizational issues; (3) quality of services and patient satisfaction; (4) cost, remuneration, and funding; (5) technology and infrastructure; (6) the emergence of private telehealth platforms in a public HSSS; (7) digital divide and equity; and (8) legal and regulatory issues. Finally, the article presents recommendations to guide future research, policies and actions for a successful integration of telehealth in the Quebec HSSS as well as in jurisdictions and countries facing comparable challenges.https://www.frontiersin.org/articles/10.3389/fdgth.2021.721898/fullCOVID-19Quebec (Canada)telehealthsustainabilityquality of careremuneration |
| spellingShingle | Hassane Alami Hassane Alami Pascale Lehoux Pascale Lehoux Randa Attieh Jean-Paul Fortin Jean-Paul Fortin Richard Fleet Richard Fleet Richard Fleet Marietou Niang Kevin Offredo Kevin Offredo Ronan Rouquet Mohamed Ali Ag Ahmed Mohamed Ali Ag Ahmed Birama Apho Ly A “Not So Quiet” Revolution: Systemic Benefits and Challenges of Telehealth in the Context of COVID-19 in Quebec (Canada) Frontiers in Digital Health COVID-19 Quebec (Canada) telehealth sustainability quality of care remuneration |
| title | A “Not So Quiet” Revolution: Systemic Benefits and Challenges of Telehealth in the Context of COVID-19 in Quebec (Canada) |
| title_full | A “Not So Quiet” Revolution: Systemic Benefits and Challenges of Telehealth in the Context of COVID-19 in Quebec (Canada) |
| title_fullStr | A “Not So Quiet” Revolution: Systemic Benefits and Challenges of Telehealth in the Context of COVID-19 in Quebec (Canada) |
| title_full_unstemmed | A “Not So Quiet” Revolution: Systemic Benefits and Challenges of Telehealth in the Context of COVID-19 in Quebec (Canada) |
| title_short | A “Not So Quiet” Revolution: Systemic Benefits and Challenges of Telehealth in the Context of COVID-19 in Quebec (Canada) |
| title_sort | not so quiet revolution systemic benefits and challenges of telehealth in the context of covid 19 in quebec canada |
| topic | COVID-19 Quebec (Canada) telehealth sustainability quality of care remuneration |
| url | https://www.frontiersin.org/articles/10.3389/fdgth.2021.721898/full |
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