Table 4 Infrastructures and mechanisms for telehealth systems and services.
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. | |
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. |