Table 2 Non-participant observation grid
Potential issues | Challenges | Solutions/strategies |
|---|---|---|
Remuneration (fees for GPs, fees for all type of providers, payment models, etc.) | ||
Recruitment of specialists (difficulties to recruit specialists, difficulty to recruit among specific specialties, etc.) | ||
Information technology (integration into electronic medical records, difficulties with the platform, patient access to the platform, etc.) | ||
Budget (financing of pilot projects, financing difficulties related to scale-up, government support, etc.) | ||
Privacy (Concerns regarding patients’ privacy, barrier to use the platform, security of the platform, etc.) | ||
Delivery of services (Definition of a ‘specialist’, which specialty is available, quality assurance, interjurisdiction eConsults, etc.) | ||
Provincial governance structure | ||
Monitoring – Dashboards | ||
Other issues | ||
Outcomes’ monitoring/Research | ||
Milat’s scale-up phases [12] | ||
Phase 1 | ||
Scalability assessment | ||
Phase 2 | ||
Develop scale-up plan | ||
Phase 3 | ||
Prepare for scale-up | ||
Phase 4 | ||
Implement scale-up plan | ||
Notes | ||