Enabling health technology innovation in Canada: Barriers and facilitators in policy and regulatory processes
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OBJECTIVES: Health care innovation and technologies can improve patient outcomes, but policies and regulations established to protect the public interest may become barriers to improvement of health care delivery. We conducted a scoping review to identify policy and regulatory barriers to, and facilitators of, successful innovation and adoption of health technologies (excluding pharmaceutical and information technologies) in Canada. METHODS: The review followed Arksey and O'Malley's methodology to assess the breadth and depth of literature on this topic and drew upon published and grey literature from 2000-2016. Four reviewers independently screened citations for inclusion. RESULTS: Sixty- seven full- text documents were extracted to collect facilitators and barriers to health technology innovation and adoption. The extraction table was themed using content analysis, and reanalyzed, resulting in facilitators and barriers under six broad themes: development, assessment, implementation, Canadian policy context, partnerships and resources. CONCLUSION: This scoping review identified current barriers and highlights numerous facilitators to create a responsive regulatory and policy environment that encourages and supports effective co-creation of innovations to optimize patient and economic outcomes while emphasizing the importance of sustainability of health technologies.
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Canada presents challenges to eHealth innovators due to its fragmented healthcare system, which consists of 13 unique provincial and territorial jurisdictions.
“In addition to its enormous size and geographically dispersed population, Canada presents challenges to eHealth innovators due to its fragmented healthcare system, which consists of 13 unique provincial and territorial jurisdictions [5].”
From Key factors for national spread and scale-up of an eConsult innovation (2020) · cites this paper as [5]
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References 76 · Cited by 65
Research works printed but not linked: 4
- Prada G. Hot topics in health, health care and wellness: value-based procure- ment: the new health care imperative. In: The conference board of Canada; 2015. Available from: http://www.conferenceboard.ca/commentaries/ healthcare/default/16-03-15/value-based procurement the new health care imperative-481875798.aspx.
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- Holliday N, Magee P, Walker-Clarke A, Available at: Proceedings of the 3rd European Conference on Design4Health; 2015 http://research.shu.ac.uk/ design4health/wp-content/uploads/2015/07/D4H Holliday et al.pdf.
- Authors
- MacNeil, M., Koch, M., Kuspinar, A., Juzwishin, D., Lehoux, P., & Stolee, P.
- Affiliations
- University of Waterloo (CA)
- McMaster University (CA)
- Alberta Health Services (CA)
- Université de Montréal (CA)
- Corresponding author
- Stolee, Paul
- Venue
- Health Policy
- Publisher
- Elsevier BV
- Published
- 2019-02
- Volume
- 123
- Issue
- 2
- Pages
- 203-214
- ISSN
- 0168-8510 (ISSN-L)
- OpenAlex
- W2896841835
- Cited by
- 65
- References
- 76
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 2 · 2023: 7 · 2022: 11 · 2021: 13 · 2020: 11 · 2019: 3
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Health Policy (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- UVic’s Research and Learning Repository (University of Victoria) (submittedVersion)
- Funders
- Government of Canada’s Networks of Centres of Excellence (NCE) Program
- AGE-WELL Graduate Fellowship
- Topics
- Health Sciences › Health Professions › Health Information Management › Healthcare Regulation
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- health technology innovation, health technology adoption, regulatory challenges, health technology assessment, innovation implementation, Canada
- MeSH terms
- Canada, Health Policy, Humans, Biomedical Technology, Inventions
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