Table 7 Summary of framework changes

Content

*Requires further investigation

Programs

*Requires further investigation

Services

*Requires further investigation

Process

Policy development

The definition of policy development was modified to include a stronger emphasis on the importance of the engagement process

Evaluation

*Requires further investigation

Collaboration and cooperation

Collaboration and cooperation are viewed as essential to maintain sustainable policies. As such, it was added to the framework as a cross-cutting activity that occurs throughout the whole process of policymaking

Actors

The definition of actors was modified to include specific wording about actors being embedded within supportive systems and composed of individuals or groups who are experts in the area

External partners

*Requires further investigation

Stakeholders

Stakeholders was added to the framework, as it was noted that external and internal partners do not compose the whole realm of stakeholders involved. Stakeholders are diverse and include citizens, patients and companies

Context

Constitutional FPT relations

*Requires further investigation

Technology (R&D and Industry) sector

The technology sector, including research and development and industry, was noted to be impactful on policymaking and was therefore added to the framework. This sector is one that creates innovations in technology. Policymaking relating to technology would not exist without developments from the technology sector

Clinical sector

The clinical sector was added to the framework as it is the one that supports the implementation and use of technologies to support patients with their care. Without the clinical sector oversight and support, self-management with technology would not be possible

Operational and organizational factors

Operational and organizational factors are composed of all system-level constraints to policymaking. They include human resource capability and financing