Maggie MacNeil1, Melissa Koch1, Ayse Kuspinar2, Don Juzwishin3, Pascale Lehoux4, Paul Stolee5. 1. School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, N2L 3G1, Canada. 2. School of Rehabilitation Science, McMaster University, Hamilton, Ontario, L8S 1C7, Canada. 3. Health Technology Assessment & Innovation, Alberta Health Services, Edmonton, Alberta, T5J 3E4, Canada; Health Information Science, University of Victoria, Victoria, British Columbia, V8P5C2, Canada. 4. École de santé publique, Université de Montréal, Montréal, Québec, H3N 1X9, Canada. 5. School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, N2L 3G1, Canada. Electronic address: stolee@uwaterloo.ca.
Abstract
OBJECTIVES: Health care innovation and technologies can improve patient outcomes, but policies and regulations established to protect the public interest may become barriers to improvement of health care delivery. We conducted a scoping review to identify policy and regulatory barriers to, and facilitators of, successful innovation and adoption of health technologies (excluding pharmaceutical and information technologies) in Canada. METHODS: The review followed Arksey and O'Malley's methodology to assess the breadth and depth of literature on this topic and drew upon published and grey literature from 2000-2016. Four reviewers independently screened citations for inclusion. RESULTS: Sixty- seven full- text documents were extracted to collect facilitators and barriers to health technology innovation and adoption. The extraction table was themed using content analysis, and reanalyzed, resulting in facilitators and barriers under six broad themes: development, assessment, implementation, Canadian policy context, partnerships and resources. CONCLUSION: This scoping review identified current barriers and highlights numerous facilitators to create a responsive regulatory and policy environment that encourages and supports effective co-creation of innovations to optimize patient and economic outcomes while emphasizing the importance of sustainability of health technologies.
OBJECTIVES: Health care innovation and technologies can improve patient outcomes, but policies and regulations established to protect the public interest may become barriers to improvement of health care delivery. We conducted a scoping review to identify policy and regulatory barriers to, and facilitators of, successful innovation and adoption of health technologies (excluding pharmaceutical and information technologies) in Canada. METHODS: The review followed Arksey and O'Malley's methodology to assess the breadth and depth of literature on this topic and drew upon published and grey literature from 2000-2016. Four reviewers independently screened citations for inclusion. RESULTS: Sixty- seven full- text documents were extracted to collect facilitators and barriers to health technology innovation and adoption. The extraction table was themed using content analysis, and reanalyzed, resulting in facilitators and barriers under six broad themes: development, assessment, implementation, Canadian policy context, partnerships and resources. CONCLUSION: This scoping review identified current barriers and highlights numerous facilitators to create a responsive regulatory and policy environment that encourages and supports effective co-creation of innovations to optimize patient and economic outcomes while emphasizing the importance of sustainability of health technologies.
Authors: Brian Lo; Timothy Zhang; Kevin Leung; Rohan Mehta; Craig Kuziemsky; Richard G Booth; Anna Chyjek; Sarah Collins Rossetti; Drew McLean; Elizabeth Borycki; David McLay; Justin Noble; Shawn Carter; Gillian Strudwick Journal: Res Involv Engagem Date: 2020-05-18
Authors: Ziyuan Sun; Man Wang; Weiwei Zhang; Yanli Li; Dan Wang; Feng Dong Journal: Int J Environ Res Public Health Date: 2019-05-07 Impact factor: 3.390
Authors: Michelle LA Nelson; Alana Armas; Rachel Thombs; Hardeep Singh; Joseph Fulton; Heather V Cunningham; Sarah Munce; Sander Hitzig; Janet Prvu Bettger Journal: BMJ Open Date: 2021-07-05 Impact factor: 2.692