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The Complexity of Transferring Remote Monitoring and Virtual Care Technology Between Countries: Lessons From an International Workshop

Pham, Quynh; Wong, David; Pfisterer, Kaylen J; Aleman, Dionne; Bansback, Nick; Cafazzo, Joseph A; Casson, Alexander J; ... Van der Veer, Sabine; + view all (2023) The Complexity of Transferring Remote Monitoring and Virtual Care Technology Between Countries: Lessons From an International Workshop. The Journal of Medical Internet Research (JMIR) , 25 , Article e46873. 10.2196/46873. Green open access

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Abstract

International deployment of remote monitoring and virtual care (RMVC) technologies would efficiently harness their positive impact on outcomes. Since Canada and the United Kingdom have similar populations, health care systems, and digital health landscapes, transferring digital health innovations between them should be relatively straightforward. Yet examples of successful attempts are scarce. In a workshop, we identified 6 differences that may complicate RMVC transfer between Canada and the United Kingdom and provided recommendations for addressing them. These key differences include (1) minority groups, (2) physical geography, (3) clinical pathways, (4) value propositions, (5) governmental priorities and support for digital innovation, and (6) regulatory pathways. We detail 4 broad recommendations to plan for sustainability, including the need to formally consider how highlighted country-specific recommendations may impact RMVC and contingency planning to overcome challenges; the need to map which pathways are available as an innovator to support cross-country transfer; the need to report on and apply learnings from regulatory barriers and facilitators so that everyone may benefit; and the need to explore existing guidance to successfully transfer digital health solutions while developing further guidance (eg, extending the nonadoption, abandonment, scale-up, spread, sustainability framework for cross-country transfer). Finally, we present an ecosystem readiness checklist. Considering these recommendations will contribute to successful international deployment and an increased positive impact of RMVC technologies. Future directions should consider characterizing additional complexities associated with global transfer.

Type: Article
Title: The Complexity of Transferring Remote Monitoring and Virtual Care Technology Between Countries: Lessons From an International Workshop
Location: Canada
Open access status: An open access version is available from UCL Discovery
DOI: 10.2196/46873
Publisher version: https://doi.org/10.2196/46873
Language: English
Additional information: Copyright © Quynh Pham, David Wong, Kaylen J Pfisterer, Dionne Aleman, Nick Bansback, Joseph A Cafazzo, Alexander J Casson, Brian Chan, William Dixon, Gerasimos Kakaroumpas, Claudia Lindner, Niels Peek, Henry WW Potts, Barbara Ribeiro, Emily Seto, Charlotte Stockton-Powdrell, Alexander Thompson, Sabine van der Veer. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 01.08.2023. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included.
Keywords: Digital health innovation; digital health intervention; digital health landscape; digital health solution; health care system; regulatory pathway; remote monitoring; remote monitoring; technology transfer; virtual care
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics > CHIME
URI: https://discovery.ucl.ac.uk/id/eprint/10174553
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