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 | ||