A Framework for Digital Health Policy: Insights from Virtual Primary Care Systems Across Five Nations.

Digital health technologies used in primary care, referred to as, virtual primary care, allow patients to interact with primary healthcare professionals remotely though the current iteration of virtual primary care may also come with several unintended consequences, such as accessibility barriers an...

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Main Authors: Divya Srivastava, Robin Van Kessel, Marine Delgrange, Avi Cherla, Harpreet Sood, Elias Mossialos
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-11-01
Series:PLOS Digital Health
Online Access:https://journals.plos.org/digitalhealth/article/file?id=10.1371/journal.pdig.0000382&type=printable
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author Divya Srivastava
Robin Van Kessel
Marine Delgrange
Avi Cherla
Harpreet Sood
Elias Mossialos
author_facet Divya Srivastava
Robin Van Kessel
Marine Delgrange
Avi Cherla
Harpreet Sood
Elias Mossialos
author_sort Divya Srivastava
collection DOAJ
description Digital health technologies used in primary care, referred to as, virtual primary care, allow patients to interact with primary healthcare professionals remotely though the current iteration of virtual primary care may also come with several unintended consequences, such as accessibility barriers and cream skimming. The World Health Organization (WHO) has a well-established framework to understand the functional components of health systems. However, the existing building blocks framework does not sufficiently account for the disruptive and multi-modal impact of digital transformations. In this review, we aimed to develop the first iteration of this updated framework by reviewing the deployment of virtual primary care systems in five leading countries: Canada, Finland, Germany and Sweden and the United Kingdom (England). We found that all five countries have taken different approaches with the deployment of virtual primary care, yet seven common themes were highlighted across countries: (1) stated policy objectives, (2) regulation and governance, (3) financing and reimbursement, (4) delivery and integration, (5) workforce training and support, (6) IT systems and data sharing, and (7) the extent of patient involvement in the virtual primary care system. The conceptual framework that was derived from these findings offers a set of guiding principles that can facilitate the assessment of virtual primary care in health system settings.
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spelling doaj.art-5893fa149a0848219ffd8cf805015ec52023-11-16T05:32:29ZengPublic Library of Science (PLoS)PLOS Digital Health2767-31702023-11-01211e000038210.1371/journal.pdig.0000382A Framework for Digital Health Policy: Insights from Virtual Primary Care Systems Across Five Nations.Divya SrivastavaRobin Van KesselMarine DelgrangeAvi CherlaHarpreet SoodElias MossialosDigital health technologies used in primary care, referred to as, virtual primary care, allow patients to interact with primary healthcare professionals remotely though the current iteration of virtual primary care may also come with several unintended consequences, such as accessibility barriers and cream skimming. The World Health Organization (WHO) has a well-established framework to understand the functional components of health systems. However, the existing building blocks framework does not sufficiently account for the disruptive and multi-modal impact of digital transformations. In this review, we aimed to develop the first iteration of this updated framework by reviewing the deployment of virtual primary care systems in five leading countries: Canada, Finland, Germany and Sweden and the United Kingdom (England). We found that all five countries have taken different approaches with the deployment of virtual primary care, yet seven common themes were highlighted across countries: (1) stated policy objectives, (2) regulation and governance, (3) financing and reimbursement, (4) delivery and integration, (5) workforce training and support, (6) IT systems and data sharing, and (7) the extent of patient involvement in the virtual primary care system. The conceptual framework that was derived from these findings offers a set of guiding principles that can facilitate the assessment of virtual primary care in health system settings.https://journals.plos.org/digitalhealth/article/file?id=10.1371/journal.pdig.0000382&type=printable
spellingShingle Divya Srivastava
Robin Van Kessel
Marine Delgrange
Avi Cherla
Harpreet Sood
Elias Mossialos
A Framework for Digital Health Policy: Insights from Virtual Primary Care Systems Across Five Nations.
PLOS Digital Health
title A Framework for Digital Health Policy: Insights from Virtual Primary Care Systems Across Five Nations.
title_full A Framework for Digital Health Policy: Insights from Virtual Primary Care Systems Across Five Nations.
title_fullStr A Framework for Digital Health Policy: Insights from Virtual Primary Care Systems Across Five Nations.
title_full_unstemmed A Framework for Digital Health Policy: Insights from Virtual Primary Care Systems Across Five Nations.
title_short A Framework for Digital Health Policy: Insights from Virtual Primary Care Systems Across Five Nations.
title_sort framework for digital health policy insights from virtual primary care systems across five nations
url https://journals.plos.org/digitalhealth/article/file?id=10.1371/journal.pdig.0000382&type=printable
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