ArticleInternational journal of health policy and management2018
The Challenges of a Complex and Innovative Telehealth Project: A Qualitative Evaluation of the Eastern Quebec Telepathology Network.
Article in International journal of health policy and management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Designing a novel hybrid healthcare teleconsultation network: a benchtop study of telepathology in Iran and a systematic review.BMC medical informatics and decision making · 2020Pooled it
- How and Why Telehealth Interventions Improve Self-Care Among Vulnerable Groups of Patients With Heart Failure: Scoping Review and Rapid Realist Synthesis.JMIR human factors · 2026Article
- Summative evaluation of the rural surgical obstetrical networks initiative: Findings from a five year retrospective qualitative study.PloS one · 2026Article
- Evaluating for learning and sustainability (ELS) framework: a realist synthesis.BMC health services research · 2025Article
- Clinical applications of telemedicine services using a regional telemedicine platform for cancer treatment: a cross-sectional study.BMC cancer · 2024Article
- Understanding the integration of artificial intelligence in healthcare organisations and systems through the NASSS framework: a qualitative study in a leading Canadian academic centre.BMC health services research · 2024Article
- To What Extent Can Digital Health Technologies Comply With the Principles of Responsible Innovation? Practice-and Policy-Oriented Research Insights Regarding an Organisational and Systemic Issue.International journal of health policy and management · 2024Article
- Cancer diagnosis in the post-coronavirus disease era: the promising role of telepathology and artificial intelligence.Revista da Associacao Medica Brasileira (1992) · 2024Article
- Health Service Implementation and Antifragile Characteristics in Rural Communities: A Dirt Research Approach.International journal of environmental research and public health · 2023Article
- TRIPLE C reporting principles for case study evaluations of the role of context in complex interventions.BMC medical research methodology · 2023Review
- Digital Pathology and Artificial Intelligence Applications in Pathology.Brain tumor research and treatment · 2022Review
- Telepathology in Nigeria for Global Health Collaboration.Annals of global health · 2022Article
- What a Pandemic Has Taught Us About the Potential for Innovation in Rural Health: Commencing an Ethnography in Canada, the United States, Sweden, and Australia.Frontiers in public health · 2021Article
- Digital Pathology: Advantages, Limitations and Emerging Perspectives.Journal of clinical medicine · 2020Review
- Clinicians' experience of providing care: a rapid review.BMC health services research · 2020Review
- Rethinking the electronic health record through the quadruple aim: time to align its value with the health system.BMC medical informatics and decision making · 2020Article
- Some Multidimensional Unintended Consequences of Telehealth Utilization: A Multi-Project Evaluation Synthesis.International journal of health policy and management · 2019Article
- The California Telepathology Service: UCLA's Experience in Deploying a Regional Digital Pathology Subspecialty Consultation Network.Journal of pathology informatics · 2019Article
- Telepathology in Low Resource African Settings.Frontiers in public health · 2019Article
- Exploring factors associated with the uneven utilization of telemedicine in Norway: a mixed methods study.BMC medical informatics and decision making · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Eastern Quebec Telepathology Network (EQTN) has been implemented in the province of Quebec (Canada) to support pathology and surgery practices in hospitals that are lack of pathologists, especially in rural and remote areas. This network includes 22 hospitals and serves a population of 1.7 million inhabitants spread over a vast territory. An evaluation of this network was conducted in order to identify and analyze the factors and issues associated with its implementation and deployment, as well as those related to its sustainability and expansion.
methodsQualitative evaluative research based on a case study using: (1) historical analysis of the project documentation (newsletters, minutes of meetings, articles, ministerial documents, etc); (2) participation in meetings of the committee in charge of telehealth programs and the project; and (3) interviews, focus groups, and discussions with different stakeholders, including decision-makers, clinical and administrative project managers, clinicians (pathologists and surgeons), and technologists. Data from all these sources were cross-checked and synthesized through an integrative and interpretative process.
resultsThe evaluation revealed numerous socio-political, regulatory, organizational, governance, clinical, professional, economic, legal and technological challenges related to the emergence and implementation of the project. In addition to technical considerations, the development of this network was associated with major changes and transformations of production procedures, delivery and organization of services, clinical practices, working methods, and clinicaladministrative processes and cultures (professional/organizational).
conclusionThe EQTN reflects the complex, structuring, and innovative projects that organizations and health systems are required to implement today. Future works should be more sensitive to the complexity associated with the emergence of telehealth networks and no longer reduce them to technological considerations.
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