Digital Infrastructure Readiness in Supporting National Telehealth Services: A Comprehensive Review
DOI:
https://doi.org/10.62872/s1gzez67Keywords:
Digital Infrastructure, Telehealth, Telemedicine, Digital Health, Healthcare Accessibility, Digital DivideAbstract
The readiness of digital infrastructure is crucial for supporting effective national telehealth services, particularly in developing countries and remote areas. This comprehensive review examines the key factors influencing digital infrastructure readiness, including policy and regulation, connectivity and devices, digital competency and literacy, and equity of access. Through a systematic literature review of 21 scholarly publications from 2020 to 2025, this study identifies critical challenges in telehealth implementation, including infrastructure limitations, lack of trained human resources, regulatory barriers, and digital divides. The findings reveal that successful national telehealth implementation depends heavily on robust digital infrastructure, supportive policies, digital literacy, and equitable access. This research recommends strategic investments in infrastructure development, human resource training, adaptive policies, and inclusive technological solutions to ensure telehealth can truly expand access and improve healthcare service quality. The study contributes to both theoretical understanding and practical implementation of telehealth systems in resource-constrained settingsDownloads
References
Ahmad, R., Salah, K., Jayaraman, R., Yaqoob, I., Ellahham, S., & Omar, M. (2020). The role of blockchain technology in telehealth and telemedicine. International Journal of Medical Informatics, 148, 104399. https://doi.org/10.1016/j.ijmedinf.2021.104399
Baumgart, D. (2020). Digital advantage in the COVID-19 response: perspective from Canada's largest integrated digitalized healthcare system. NPJ Digital Medicine, 3. https://doi.org/10.1038/s41746-020-00326-y
Chakraborty, I., Edirippulige, S., & Ilavarasan, P. (2023). The role of telehealth startups in healthcare service delivery: A systematic review. International Journal of Medical Informatics, 174, 105048. https://doi.org/10.1016/j.ijmedinf.2023.105048
Getachew, E., Woldeamanuel, Y., & Manyazewal, T. (2022). Capacity and Readiness Assessment of Healthcare Facilities for Digital Health Interventions Against Tuberculosis and HIV in Addis Ababa, Ethiopia. Frontiers in Digital Health, 4. https://doi.org/10.3389/fdgth.2022.821390
Gil-Salmerón, A., Valejo, A., Aldasoro, E., Mora, M., Van Eenennaam, F., Barbastro, R., Pérez, S., Buijs, S., & Cunha, V. (2025). Assessing Readiness for Integrated Telerehabilitation Care: A Comparative Study in Ireland, Portugal, and Spain. International Journal of Integrated Care. https://doi.org/10.5334/ijic.icic24261
Hasan, H., Salah, K., Jayaraman, R., Yaqoob, I., Omar, M., & Ellahham, S. (2021). Blockchain-Enabled Telehealth Services Using Smart Contracts. IEEE Access, 9, 151944-151959. https://doi.org/10.1109/access.2021.3126025
Hirko, K., Kerver, J., Ford, S., Szafranski, C., Beckett, J., Kitchen, C., & Wendling, A. (2020). Telehealth in response to the COVID-19 pandemic: Implications for rural health disparities. Journal of the American Medical Informatics Association, 27(11), 1816-1818. https://doi.org/10.1093/jamia/ocaa156
Hui, C., Abdulla, A., Ahmed, Z., Goel, H., Habib, G., Hock, T., Khandakr, P., Mahmood, H., Nautiyal, A., Nurmansyah, M., Panwar, S., Patil, R., Rinawan, F., Salim, H., Satav, A., Shah, J., Shukla, A., Tanim, C., Balharry, D., & Pinnock, H. (2022). Mapping national information and communication technology (ICT) infrastructure to the requirements of potential digital health interventions in low- and middle-income countries. Journal of Global Health, 12, 04094. https://doi.org/10.7189/jogh.12.04094
Jnr., B. (2020). Implications of telehealth and digital care solutions during COVID-19 pandemic: a qualitative literature review. Informatics for Health and Social Care, 46(1), 68-83. https://doi.org/10.1080/17538157.2020.1839467
Jnr., B. (2023). Investigating the implementation of telehealth and digital technologies during public health crisis: A qualitative review. The International Journal of Health Planning and Management, 38(6), 1662-1685. https://doi.org/10.1002/hpm.3681
Jonnagaddala, J., Godinho, M., & Liaw, S. (2021). From telehealth to virtual primary care in Australia? A Rapid scoping review. International Journal of Medical Informatics, 151, 104470. https://doi.org/10.1016/j.ijmedinf.2021.104470
Kobeissi, M., & Hickey, J. (2023). An Infrastructure to Provide Safer, Higher-Quality, and More Equitable Telehealth. Joint Commission Journal on Quality and Patient Safety, 49(4), 213-222. https://doi.org/10.1016/j.jcjq.2023.01.006
Le, T., Galperin, H., & Traube, D. (2023). The impact of digital competence on telehealth utilization. Health Policy and Technology, 12(2), 100724. https://doi.org/10.1016/j.hlpt.2023.100724
Mathew, S., Fitts, M., Liddle, Z., Bourke, L., Campbell, N., Murakami-Gold, L., Russell, D., Humphreys, J., Mullholand, E., Zhao, Y., Jones, M., Boffa, J., Ramjan, M., Tangey, A., Schultz, R., & Wakerman, J. (2023). Telehealth in remote Australia: a supplementary tool or an alternative model of care replacing face-to-face consultations? BMC Health Services Research, 23, 167. https://doi.org/10.1186/s12913-023-09265-2
Poonsuph, R. (2022). The Design Blueprint for a Large-Scale Telehealth Platform. International Journal of Telemedicine and Applications, 2022, 8486508. https://doi.org/10.1155/2022/8486508
Scott, B., Miller, G., Fonda, S., Yeaw, R., Gaudaen, J., Pavliscsak, H., Quinn, M., & Pamplin, J. (2020). Advanced Digital Health Technologies for COVID-19 and Future Emergencies. Telemedicine and e-Health, 26(10), 1226-1233. https://doi.org/10.1089/tmj.2020.0140
Tomoh, B., Mustapha, A., Mbata, A., Kelvin-Agwu, M., Forkuo, A., & Kolawole, T. (2025). Assessing the impact of telehealth interventions on rural healthcare accessibility: a quantitative study. International Journal of Applied Research in Social Sciences, 7(3), 711-736. https://doi.org/10.51594/ijarss.v7i3.1861
Torous, J., Myrick, K., Rauseo-Ricupero, N., & Firth, J. (2020). Digital Mental Health and COVID-19: Using Technology Today to Accelerate the Curve on Access and Quality Tomorrow. JMIR Mental Health, 7(3), e18848. https://doi.org/10.2196/18848
Van Cleave, J., Stille, C., & Hall, D. (2022). Child Health, Vulnerability, and Complexity: Use of Telehealth to Enhance Care for Children and Youth With Special Health Care Needs. Academic Pediatrics, 22(2S), S34-S40. https://doi.org/10.1016/j.acap.2021.10.010
Ye, J., He, L., & Beestrum, M. (2023). Implications for implementation and adoption of telehealth in developing countries: a systematic review of China's practices and experiences. NPJ Digital Medicine, 6, 174. https://doi.org/10.1038/s41746-023-00908-6
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Copyright (c) 2025 Yumi Abimulyani, Suratno Kaluku (Author)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
