Enabling patient-centred policy for electronic consultations: A qualitative analysis of discussions from a stakeholder meeting
Abstract
Introduction: To support the expansion of a successful regional electronic consultation (eConsult) service, we hosted a full-day national eConsult Policy Think Tank, connecting health-services researchers, clinicians, patients and policymakers to discuss policy considerations related to eConsult. In this paper, we assess the discussion arising from the Think Tank to identify and understand the policy enablers and barriers to the national spread and scale of eConsult services across Canada. Methods: We conducted a constant comparative thematic analysis of stakeholder discussions captured during the Think Tank held in Ottawa, Canada, on 5 December 2016. Forty-seven participants attended and debated the following topic areas: (a) delivery of services and standards; (b) payment considerations; and (c) equitable access. The meeting was recorded, and verbatim transcripts were analysed using qualitative approaches. Results: We identified four themes affecting spread and scale of eConsult innovation from a policy perspective: (a) patient-centredness; (b) value; (c) regulation; and (d) considerations for spread and scale. Patient-centredness was viewed as a foundational principle upon which policy shifts should be guided. Active participation of patient partners transitioned the discussions and resulting recommendations from provider-centred to patient-centred thinking around the relevant policy issues, explicitly demonstrating the importance of patient involvement in healthcare policy decision making. Discussion: eConsult was viewed as a high-value, disruptive innovation with great potential to transform access to specialists in Canada. A patient-centred approach to policy change (and not just healthcare delivery) was identified as a novel yet critical enabler to the scale and spread of eConsult across Canada.
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In our earlier work, active participation among patient partners helped shift our focus from provider-centred to patient-centred thinking around relevant policy issues.
“In our earlier work, we found that active participation among our patient partners helped shift our focus from provider-centred to patient-centred thinking around relevant policy issues [15].”
From Key factors for national spread and scale-up of an eConsult innovation (2020) · cites this paper as [15]
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Key factors for national spread and scale-up of an eConsult innovation
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- Authors
- Liddy, C., Hauteclocque, J., Moroz, I., Oppenheimer, L., Sturge, D., Burns, K. K., Horsley, T., Tuot, D., & Keely, E.
- Affiliations
- University of Ottawa (CA)
- University of Manitoba (CA)
- Central Health, Canada
- University of Alberta (CA)
- Royal College of Physicians and Surgeons of Canada (CA)
- University of California, San Francisco (US)
- Corresponding author
- Liddy, Clare
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2020-06-02
- Volume
- 28
- Issue
- 3
- Pages
- 188-196
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W3032004397
- Cited by
- 6
- References
- 24
- Citations by year
- 2024: 2 · 2023: 2 · 2020: 2
- FWCI
- 0.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Health Sciences › Health Professions › General Health Professions › Health Services Management and Policy
- Keywords
- e-consultation, patient-centered care, health policy, stakeholder engagement, patient partners, payment models, health regulation, value-based care, Canada
- MeSH terms
- Delivery of Health Care, Health Policy, Humans, Primary Health Care, Specialization, Remote Consultation
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