THE CHALLENGES OF A COMPLEX AND INNOVATIVE TELEHEALTH PROJECT: A QUALITATIVE EVALUATION OF THE EASTERN QUEBEC TELEPATHOLOGY NETWORK

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ALAMI HASSANE; FORTIN JEAN PAUL; GAGNON MARIE PIERRE; POLLENDER HUGO; TETU BERNARD; TANGUAY FRANCE

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Journal: International Journal of Health Policy and Management Year:2018 | Volume:7 | Issue:5 Page(s): 421-432

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Title

THE CHALLENGES OF A COMPLEX AND INNOVATIVE TELEHEALTH PROJECT: A QUALITATIVE EVALUATION OF THE EASTERN QUEBEC TELEPATHOLOGY NETWORK

Author(s)

Keywords

TELEPATHOLOGY NETWORK

TELEHEALTH IMPLEMENTATION

EVALUATION

SUSTAINABILITY

HEALTHCARE SERVICES

Abstract

Background: The 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.Methods: Qualitative 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.Results: The 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 clinical-administrative processes and cultures (professional/organizational).Conclusion: The 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.

Cites

Some Multidimensional Unintended Consequences of Telehealth Utilization: A Multi-Project Evaluation Synthesis

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APA: Copy

ALAMI, HASSANE, FORTIN, JEAN PAUL, GAGNON, MARIE PIERRE, POLLENDER, HUGO, TETU, BERNARD, & TANGUAY, FRANCE. (2018). THE CHALLENGES OF A COMPLEX AND INNOVATIVE TELEHEALTH PROJECT: A QUALITATIVE EVALUATION OF THE EASTERN QUEBEC TELEPATHOLOGY NETWORK. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, 7(5), 421-432. SID. https://sid.ir/paper/338428/en

Vancouver: Copy

ALAMI HASSANE, FORTIN JEAN PAUL, GAGNON MARIE PIERRE, POLLENDER HUGO, TETU BERNARD, TANGUAY FRANCE. THE CHALLENGES OF A COMPLEX AND INNOVATIVE TELEHEALTH PROJECT: A QUALITATIVE EVALUATION OF THE EASTERN QUEBEC TELEPATHOLOGY NETWORK. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT[Internet]. 2018;7(5):421-432. Available from: https://sid.ir/paper/338428/en

IEEE: Copy

HASSANE ALAMI, JEAN PAUL FORTIN, MARIE PIERRE GAGNON, HUGO POLLENDER, BERNARD TETU, and FRANCE TANGUAY, “THE CHALLENGES OF A COMPLEX AND INNOVATIVE TELEHEALTH PROJECT: A QUALITATIVE EVALUATION OF THE EASTERN QUEBEC TELEPATHOLOGY NETWORK,” INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, vol. 7, no. 5, pp. 421–432, 2018, [Online]. Available: https://sid.ir/paper/338428/en

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