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

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

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Article numbere46873
Number of pages11
Publication statusPublished - 1 Aug 2023


  • Digital health innovation
  • Digital health intervention
  • Digital health landscape
  • Digital health solution
  • Health care system
  • Regulatory pathway
  • Remote monitoring
  • Technology transfer
  • Virtual care


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