Impediments to Health Innovation in Canada: Identifying Policy Barriers in Alberta’s Precision Health Innovation and Commercialization Ecosystem
Health systems globally are shifting towards precision health (PH), the utilization of individual information to inform health and social services delivery to improve health outcomes. PH is a major area of focus for economic development across the globe, however most Canadian provinces do not have...
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| Format: | Article |
| Language: | English |
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University of Calgary
2020-04-01
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| Series: | The School of Public Policy Publications |
| Online Access: | https://dev.journalhosting.ucalgary.ca/index.php/sppp/article/view/68605 |
| _version_ | 1797754460960718848 |
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| author | Craig Scott Hubert Eng Alexander Dubyk Jennifer Zwicker |
| author_facet | Craig Scott Hubert Eng Alexander Dubyk Jennifer Zwicker |
| author_sort | Craig Scott |
| collection | DOAJ |
| description |
Health systems globally are shifting towards precision health (PH), the utilization of individual information to inform health and social services delivery to improve health outcomes. PH is a major area of focus for economic development across the globe, however most Canadian provinces do not have a clear strategy for this sector. This research examines Alberta’s PH innovation and commercialization (I&C) ecosystem to identify key policy barriers in the development of new technologies and processes.
An environmental scan of existing policies for PH through the lens of an innovation framework revealed three gaps in the PH I&C system. There is a lack of formal leadership, such as an I&C decision-making body; public policy development and implementation does not involve industry; and lastly, demand stimulating policies are absent or underrepresented.
Qualitative semi-structured interviews were conducted to identify policy challenges utilizing perspectives from senior level executives currently engaged in PH I&C in Alberta. Participants were grouped by category from the Triple Helix Model of Innovation – Government, Industry and Academia. A qualitative thematic analysis of the interviews was conducted on the interview transcripts, coded using NVivo software, to generate thematic policy challenges.
The findings from the interviews were grouped into five major policy challenges. Sub-optimal coordination between the various ecosystem players was the most consistent and prevalent findings across all groups. Most respondents identified the absence of a mandated organization for PH I&C as an impediment to decision-making. Multi-sectoral activity and collaboration were identified as concerns despite the importance of these activities in this sector. Tension between academics and government (including health service providers) was present between the research funding mechanisms “discovery-driven” versus “demand-pull”. Many respondents were concerned with the low level of local innovation public procurement by the health system.
Findings suggest the need for a stronger role of governance structures to coordinate PH innovation ecosystem activity. A group with the capacity to address the multifaceted and interdisciplinary policy challenges may improve PH I&C outcomes in Alberta. Future research is required to inform design of horizontal and vertical governance structures.
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| first_indexed | 2024-03-12T17:33:46Z |
| format | Article |
| id | doaj.art-81ea94c7b2734780b5dff30e684be07b |
| institution | Directory Open Access Journal |
| issn | 2560-8312 2560-8320 |
| language | English |
| last_indexed | 2024-03-12T17:33:46Z |
| publishDate | 2020-04-01 |
| publisher | University of Calgary |
| record_format | Article |
| series | The School of Public Policy Publications |
| spelling | doaj.art-81ea94c7b2734780b5dff30e684be07b2023-08-04T15:51:19ZengUniversity of CalgaryThe School of Public Policy Publications2560-83122560-83202020-04-0113Impediments to Health Innovation in Canada: Identifying Policy Barriers in Alberta’s Precision Health Innovation and Commercialization EcosystemCraig ScottHubert Eng0Alexander Dubyk1Jennifer Zwicker2Government of Alberta University of CalgaryUniversity of Calgary Health systems globally are shifting towards precision health (PH), the utilization of individual information to inform health and social services delivery to improve health outcomes. PH is a major area of focus for economic development across the globe, however most Canadian provinces do not have a clear strategy for this sector. This research examines Alberta’s PH innovation and commercialization (I&C) ecosystem to identify key policy barriers in the development of new technologies and processes. An environmental scan of existing policies for PH through the lens of an innovation framework revealed three gaps in the PH I&C system. There is a lack of formal leadership, such as an I&C decision-making body; public policy development and implementation does not involve industry; and lastly, demand stimulating policies are absent or underrepresented. Qualitative semi-structured interviews were conducted to identify policy challenges utilizing perspectives from senior level executives currently engaged in PH I&C in Alberta. Participants were grouped by category from the Triple Helix Model of Innovation – Government, Industry and Academia. A qualitative thematic analysis of the interviews was conducted on the interview transcripts, coded using NVivo software, to generate thematic policy challenges. The findings from the interviews were grouped into five major policy challenges. Sub-optimal coordination between the various ecosystem players was the most consistent and prevalent findings across all groups. Most respondents identified the absence of a mandated organization for PH I&C as an impediment to decision-making. Multi-sectoral activity and collaboration were identified as concerns despite the importance of these activities in this sector. Tension between academics and government (including health service providers) was present between the research funding mechanisms “discovery-driven” versus “demand-pull”. Many respondents were concerned with the low level of local innovation public procurement by the health system. Findings suggest the need for a stronger role of governance structures to coordinate PH innovation ecosystem activity. A group with the capacity to address the multifaceted and interdisciplinary policy challenges may improve PH I&C outcomes in Alberta. Future research is required to inform design of horizontal and vertical governance structures. https://dev.journalhosting.ucalgary.ca/index.php/sppp/article/view/68605 |
| spellingShingle | Craig Scott Hubert Eng Alexander Dubyk Jennifer Zwicker Impediments to Health Innovation in Canada: Identifying Policy Barriers in Alberta’s Precision Health Innovation and Commercialization Ecosystem The School of Public Policy Publications |
| title | Impediments to Health Innovation in Canada: Identifying Policy Barriers in Alberta’s Precision Health Innovation and Commercialization Ecosystem |
| title_full | Impediments to Health Innovation in Canada: Identifying Policy Barriers in Alberta’s Precision Health Innovation and Commercialization Ecosystem |
| title_fullStr | Impediments to Health Innovation in Canada: Identifying Policy Barriers in Alberta’s Precision Health Innovation and Commercialization Ecosystem |
| title_full_unstemmed | Impediments to Health Innovation in Canada: Identifying Policy Barriers in Alberta’s Precision Health Innovation and Commercialization Ecosystem |
| title_short | Impediments to Health Innovation in Canada: Identifying Policy Barriers in Alberta’s Precision Health Innovation and Commercialization Ecosystem |
| title_sort | impediments to health innovation in canada identifying policy barriers in alberta s precision health innovation and commercialization ecosystem |
| url | https://dev.journalhosting.ucalgary.ca/index.php/sppp/article/view/68605 |
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