Table 4 Infrastructures and mechanisms for telehealth systems and services.

From: Implications for implementation and adoption of telehealth in developing countries: a systematic review of China’s practices and experiences

Infrastructure layer

Mechanisms

Service examples

Examples developing countries or LMICs and regions

Wearables, high-resolution cameras, cloud data storage, health information exchange, medical equipment, robots

Real-time and continuous health data syncing, remote control for real-time treatment.

• Remote monitoring systems for quarantined patients49.

• Remote monitoring of blood pressure92.

• Real-time teleretinal photocoagulation27.

• Urban China, Urban Brazil97

Devices with audio and cameras, and stable internet connection

Audio and video-based remote consultation, video conferencing

• Mobile application for remote dermatology diagnosis based on photos and videos sent by patients51.

• Saudi Arabia98, Pakistan99

Basic internet connection, computers/smartphones

Patient-initiated, text-based remote consultation; hotline

• Mental health hotline52.

• Rural China, Sri Lanka100

Cell phones with basic functions, Short Message Service (SMS)

Emergency notification and public education through short messages; making appointments

• Short messages for knowledge dissemination48.

• Short messages for making and changing appointments96.

• Kenya101, Rwanda102