ArticleHealth research policy and systems2020
Key factors for national spread and scale-up of an eConsult innovation.
Article in Health research policy and systems, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Use of Electronic Medical Record Data to Create a Dashboard on Access to Primary Care.Healthcare policy = Politiques de sante · 2023Pooled it
- Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework.Journal of medical Internet research · 2021Pooled it
- Exploring the sustainability of virtual care interventions: A scoping review.PLOS digital health · 2025Article
- Enabling Telemedicine From the System-Level Perspective: Scoping Review.Journal of medical Internet research · 2025Article
- Artificial intelligence and social accountability in the Canadian health care landscape: A rapid literature review.PLOS digital health · 2024Review
- Successful Electronic Consultation Service Initiative in Quebec, Canada With Primary Care Physicians' and Specialists' Experiences on Acceptance and Use of Technological Innovation: Cross-Sectional Exploratory Study.JMIR formative research · 2024Article
- Assessing the sustainability and scalability of a diabetes eHealth innovation: a mixed-methods study.BMC health services research · 2023Article
- Telemedicine Support for Primary Care Providers versus Usual Care in Patients with Heart Failure: Protocol of a Pragmatic Cluster Randomised Trial within the Brazilian Heart Insufficiency with Telemedicine (BRAHIT) Study.International journal of environmental research and public health · 2023Article
- Scaling-Up eConsult: Promising Strategies to Address Enabling Factors in Four Jurisdictions in Canada.International journal of health policy and management · 2023Review
- Development of the SPREAD framework to support the scaling of de-implementation strategies: a mixed-methods study.BMJ open · 2022Review
- Implementing a general practitioner-to-general physician eConsult service (eConsultant) in Australia.BMC health services research · 2022Article
- The Use of Electronic Consultations in Outpatient Surgery Clinics: Synthesized Narrative Review.JMIR perioperative medicine · 2022Review
- Electronic consultations and economies of scale: a qualitative study of clinician perspectives on scaling up e-consult delivery.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Examining Differences in Utilization of the Ontario eConsult Service in Rural Versus Urban Settings: A Retrospective Cross-Sectional Analysis.Journal of primary care & community healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
17 authors.
Funding
Abstract
backgroundExpanding 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.
methodsWe 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.
resultsThis 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.
conclusionsEfforts 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.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.