Key factors for national spread and scale-up of an eConsult innovation
Abstract Background Expanding healthcare innovations from the local to national level is a complex pursuit requiring careful assessment of all relevant factors. In this study (a component of a larger eConsult programme of research), we aimed to identify the key factors involved in the spread and sca...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | Health Research Policy and Systems |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12961-020-00574-0 |
| _version_ | 1818959472685481984 |
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| author | Isabella Moroz Douglas Archibald Mylaine Breton Elizabeth Cote-Boileau Lois Crowe Tanya Horsley Lirjie Hyseni Gina Johar Erin Keely Katharina Kovacs Burns Craig Kuziemsky Jim Laplante Ariana Mihan Luis Oppenheimer Don Sturge Delphine S. Tuot Clare Liddy |
| author_facet | Isabella Moroz Douglas Archibald Mylaine Breton Elizabeth Cote-Boileau Lois Crowe Tanya Horsley Lirjie Hyseni Gina Johar Erin Keely Katharina Kovacs Burns Craig Kuziemsky Jim Laplante Ariana Mihan Luis Oppenheimer Don Sturge Delphine S. Tuot Clare Liddy |
| author_sort | Isabella Moroz |
| collection | DOAJ |
| description | Abstract Background Expanding healthcare innovations from the local to national level is a complex pursuit requiring careful assessment of all relevant factors. In this study (a component of a larger eConsult programme of research), we aimed to identify the key factors involved in the spread and scale-up of a successful regional eConsult model across Canada. Methods We conducted a constant comparative thematic analysis of stakeholder discussions captured during a full-day National eConsult Forum meeting held in Ottawa, Canada, on 11 December 2017. Sixty-four participants attended, representing provincial and territorial governments, national organisations, healthcare providers, researchers and patients. Proceedings were recorded, transcribed and underwent qualitative analysis using the Framework for Applied Policy Research. Results This study identified four main themes that were critical to support the intentional efforts to spread and scale-up eConsult across Canada, namely (1) identifying population care needs and access problems, (2) engaging stakeholders who were willing to roll up their sleeves and take action, (3) building on current strategies and policies, and (4) measuring and communicating outcomes. Conclusions Efforts to promote innovation in healthcare are more likely to succeed if they are based on an understanding of the forces that drive the spread and scale-up of innovation. Further research is needed to develop and strengthen the conceptual and applied foundations of the spread and scale-up of healthcare innovations, especially in the context of emergent learning health systems across Canada and beyond. |
| first_indexed | 2024-12-20T11:42:11Z |
| format | Article |
| id | doaj.art-ff64b56b167243649ce0e660978d71cd |
| institution | Directory Open Access Journal |
| issn | 1478-4505 |
| language | English |
| last_indexed | 2024-12-20T11:42:11Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Health Research Policy and Systems |
| spelling | doaj.art-ff64b56b167243649ce0e660978d71cd2022-12-21T19:41:59ZengBMCHealth Research Policy and Systems1478-45052020-06-0118111010.1186/s12961-020-00574-0Key factors for national spread and scale-up of an eConsult innovationIsabella Moroz0Douglas Archibald1Mylaine Breton2Elizabeth Cote-Boileau3Lois Crowe4Tanya Horsley5Lirjie Hyseni6Gina Johar7Erin Keely8Katharina Kovacs Burns9Craig Kuziemsky10Jim Laplante11Ariana Mihan12Luis Oppenheimer13Don Sturge14Delphine S. Tuot15Clare Liddy16C.T. Lamont Primary Health Care Research Centre, Department of Family Medicine, University of OttawaC.T. Lamont Primary Health Care Research Centre, Department of Family Medicine, University of OttawaFaculty of Medicine and Health Sciences Research, University of SherbrookeFaculty of Medicine and Health Sciences Research, University of SherbrookeC.T. Lamont Primary Health Care Research Centre, Department of Family Medicine, University of OttawaRoyal College of Physicians and Surgeons of CanadaeHealth Centre of ExcellenceSouth East Local Health Integration NetworkDepartment of Medicine, University of OttawaAlberta Health ServicesMacEwan UniversityCare PartnerC.T. Lamont Primary Health Care Research Centre, Department of Family Medicine, University of OttawaDepartment of Surgery, University of ManitobaCentral HealthDivision of Nephrology, University of California San FranciscoC.T. Lamont Primary Health Care Research Centre, Department of Family Medicine, University of OttawaAbstract Background Expanding healthcare innovations from the local to national level is a complex pursuit requiring careful assessment of all relevant factors. In this study (a component of a larger eConsult programme of research), we aimed to identify the key factors involved in the spread and scale-up of a successful regional eConsult model across Canada. Methods We conducted a constant comparative thematic analysis of stakeholder discussions captured during a full-day National eConsult Forum meeting held in Ottawa, Canada, on 11 December 2017. Sixty-four participants attended, representing provincial and territorial governments, national organisations, healthcare providers, researchers and patients. Proceedings were recorded, transcribed and underwent qualitative analysis using the Framework for Applied Policy Research. Results This study identified four main themes that were critical to support the intentional efforts to spread and scale-up eConsult across Canada, namely (1) identifying population care needs and access problems, (2) engaging stakeholders who were willing to roll up their sleeves and take action, (3) building on current strategies and policies, and (4) measuring and communicating outcomes. Conclusions Efforts to promote innovation in healthcare are more likely to succeed if they are based on an understanding of the forces that drive the spread and scale-up of innovation. Further research is needed to develop and strengthen the conceptual and applied foundations of the spread and scale-up of healthcare innovations, especially in the context of emergent learning health systems across Canada and beyond.http://link.springer.com/article/10.1186/s12961-020-00574-0Innovationspread and scale-upelectronic consultationeConsultpolicy |
| spellingShingle | Isabella Moroz Douglas Archibald Mylaine Breton Elizabeth Cote-Boileau Lois Crowe Tanya Horsley Lirjie Hyseni Gina Johar Erin Keely Katharina Kovacs Burns Craig Kuziemsky Jim Laplante Ariana Mihan Luis Oppenheimer Don Sturge Delphine S. Tuot Clare Liddy Key factors for national spread and scale-up of an eConsult innovation Health Research Policy and Systems Innovation spread and scale-up electronic consultation eConsult policy |
| title | Key factors for national spread and scale-up of an eConsult innovation |
| title_full | Key factors for national spread and scale-up of an eConsult innovation |
| title_fullStr | Key factors for national spread and scale-up of an eConsult innovation |
| title_full_unstemmed | Key factors for national spread and scale-up of an eConsult innovation |
| title_short | Key factors for national spread and scale-up of an eConsult innovation |
| title_sort | key factors for national spread and scale up of an econsult innovation |
| topic | Innovation spread and scale-up electronic consultation eConsult policy |
| url | http://link.springer.com/article/10.1186/s12961-020-00574-0 |
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