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Commentary

When Jurisdictional Boundaries Become Barriers to Good Patient Care

1
BC Cancer Agency, Provincial Psychosocial Oncology Program, Vancouver, BC, Canada
2
Sunnybrook Odette Cancer Centre, Toronto, ON, Canada
3
Thunder Bay Regional Health Sciences Centre, Thunder Bay, ON, Canada
4
Tom Baker Cancer Centre, Calgary, AB, Canada
5
Cancer Care Manitoba, Winnipeg, MB, Canada
6
Cross Cancer Institute, Edmonton, AB, Canada
7
Dalhousie University, Halifax, NS, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2013, 20(1), 10-13; https://doi.org/10.3747/co.20.1209
Submission received: 9 January 2013 / Revised: 10 January 2013 / Accepted: 14 January 2013 / Published: 1 February 2013

Abstract

Canada is a pioneer in remote cancer care delivery to underserved populations; however, it is trailing behind on policies that would support clinicians in providing care using distance technologies. The current policy framework is disjointed, and discussions by professional boards about online jurisprudence associated with licensure appear to be regressive. We hope that by addressing the discrepancies in interjurisdictional practice and focusing on the key issue of “where therapy resides,” we will be able to nudge dialogue and thinking closer toward the reasoning and recommendations of national telehealth organizations. We present this discussion of jurisdictional issues and e-health practice in the context of a pan-Canadian online support program developed for cancer patients and family members. Although the present paper uses online support groups as a springboard to advocate for e-health, it ultimately addresses a broader audience: that of all Canadian health care stakeholders.
Keywords: e-Health; online support groups; policy; jurisdictional boundaries e-Health; online support groups; policy; jurisdictional boundaries

Share and Cite

MDPI and ACS Style

Stephen, J.; Fergus, K.; Sellick, S.; Speca, M.; Taylor–Brown, J.; Turner, J.; Collie, K.; McLeod, D.; Rojubally, A. When Jurisdictional Boundaries Become Barriers to Good Patient Care. Curr. Oncol. 2013, 20, 10-13. https://doi.org/10.3747/co.20.1209

AMA Style

Stephen J, Fergus K, Sellick S, Speca M, Taylor–Brown J, Turner J, Collie K, McLeod D, Rojubally A. When Jurisdictional Boundaries Become Barriers to Good Patient Care. Current Oncology. 2013; 20(1):10-13. https://doi.org/10.3747/co.20.1209

Chicago/Turabian Style

Stephen, J., K. Fergus, S. Sellick, M. Speca, J. Taylor–Brown, J. Turner, K. Collie, D. McLeod, and A. Rojubally. 2013. "When Jurisdictional Boundaries Become Barriers to Good Patient Care" Current Oncology 20, no. 1: 10-13. https://doi.org/10.3747/co.20.1209

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