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Co-Designing a Provincial Virtual Health Prioritization Framework.
Pamela Melville1,2, Jonathan Wong1,3,4
1Institute of Health Policy, Management and Evaluation, University of Toronto.
Studies in Health Technology and Informatics
|February 13, 2026
Summary
British Columbia developed a Provincial Virtual Health Prioritization Framework to manage rapid virtual care expansion. This framework guides investments, improves access, and addresses fragmentation for better healthcare delivery.
Area of Science:
- Health Services Research
- Digital Health Policy
Background:
- British Columbia's health system experienced rapid expansion of virtual care services, with over 170 initiatives implemented across various clinical domains.
- This expansion improved healthcare access, especially for underserved populations, but also resulted in system fragmentation and service duplication.
Purpose of the Study:
- To address challenges of fragmentation and duplication in virtual care.
- To develop and implement a co-designed Provincial Virtual Health Prioritization Framework through extensive stakeholder engagement.
Main Methods:
- Co-design methodology involving extensive stakeholder engagement.
- Development of a framework integrating strategic alignment, equity, feasibility, and global insights.
- Establishing transparent, consensus-driven prioritization processes.
Main Results:
- A Provincial Virtual Health Prioritization Framework was successfully co-designed and developed.
- The framework provides a structured approach to guide virtual health investment decisions.
- It ensures alignment with provincial goals and local healthcare needs.
Conclusions:
- The framework facilitates transparent and consensus-driven prioritization of virtual health initiatives.
- Ongoing efforts include developing benefits realization approaches and continuous improvement mechanisms.
- This initiative aims to optimize virtual care delivery and resource allocation within the health system.
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