The potential for virtual healthcare to improve access to primary care services in Canada has long been a topic of discussion; however, implementation has been slow despite growing interest among the public. Non-essential service lockdowns implemented in 2020 in response to the COVID-19 pandemic catalyzed rapid and widespread uptake of virtual healthcare delivery. It is important to consider how to maintain equitable access to virtual care following the pandemic. We conducted a narrative scoping review to understand barriers related to the sustained adoption of virtual primary care delivery in Canada. Barriers at the system, healthcare provider, and patient levels were related to digital health infrastructure, and the regulatory environment governing virtual care provision and remuneration for healthcare professionals. The article identifies areas where policy shifts by health system leaders could sustain the longer-term availability of Canadian virtual care services.

By late May, 2020, in Ontario COVID-19 cases among long-term care (LTC) residents constituted 5,157 of the province’s 28,499 cases. In British Columbia, there were 339 cases among LTC residents compared to a provincial total of 2,562 cases. While the LTC sectors in these two provinces have some differences, this article reviews their pre-pandemic LTC staffing policies and compares their staffing-related COVID-19 prevention measures in 2020. Ontario’s policies before 2020 corresponded with lower staff-to-patient ratios than B.C.’s, which may have constrained Ontario’s pandemic responses. Implementation of standards or guidelines, and changes to funding could help achieve LTC sector staffing resiliency.

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