The telehealth advantage: Supporting humanitarian disasters with remote solutions




telehealth, COVID-19, pandemic, remote


Telehealth support can rapidly and significantly increase access to healthcare. For example, during the COVID-19 pandemic, telehealth not only supported patients with COVID symptoms but also improved access to the entire continuum of care, from critical care to mental health services.


Author Biographies

Shuhan He, MD

Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts

Sammer Marzouk

Harvard University, Cambridge, Massachusetts

Adi Balk

Ben Gurion University of the Negev, Beersheva, Israel

Tehnaz Boyle, MD, PhD

Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts

Jarone Lee, MD, MPH

Associate Professor, Harvard Medical School, Boston, Massachusetts


Curfman AL, Hackell JM, Herendeen NE, et al.: Telehealth: Improving Access to and Quality of Pediatric Health Care. Pediatrics. 2021; 148(3): e2021053129. DOI: 10.1542/peds.2021-053129.

Gujral K, Van Campen J, Jacobs J, et al.: Mental Health Service Use, Suicide Behavior, and Emergency Department Visits Among Rural US Veterans Who Received Video-Enabled Tablets During the COVID-19 Pandemic. JAMA Netw Open. 2022; 5(4): e226250. DOI: 10.1001/jamanetworkopen.2022.6250.

Pamplin JC, Scott BK, Quinn MT, et al.: Technology and Disasters: The Evolution of the National Emergency Tele-Critical Care Network. Critical Care Medicine. 2021; 49(7): 1007-1014. DOI: 10.1097/CCM.0000000000005001.

Murphy A, Fuhr D, Roberts B, et al.: The health needs of refugees from Ukraine. BMJ. 2022; 377: o864. DOI: 10.1136/bmj.o864.

Health Resources & Services Administration: What is Tele - health? March 2022. Available at: Accessed October 19, 2022.

Sharma V, Feldman M, Sharma R: Telehealth Technologies in Diabetes Self-management and Education. J Diabetes Sci Tech. 2022; 1(1): 193229682210930. DOI: 10.1177/19322968221093078.

Ghai B, Malhotra N, Bajwa SS: Telemedicine for chronic pain management during COVID-19 pandemic. Indian J Anaesthesia. 2020; 64(6): 456. DOI: 10.4103/ija.ija_652_20.

Van Dyk L: A Review of Telehealth Service Implementation Frameworks. International J Environmental Research Public Health. 2014; 11(2): 1279-1298. DOI: 10.3390/ijerph110201279.

Simmons S, Alverson D, Poropatich R, et al.: Applying Telehealth in Natural and Anthropogenic Disasters. Telemedicine and e-Health. 2008; 14(9): 968-971. DOI: 10.1089/tmj.2008.0117.

Doarn CR, Merrell RC: Telemedicine and e-Health in Disaster Response. Telemedicine and e-Health. 2014; 20(7): 605-606. DOI: 10.1089/tmj.2014.9983.

Burkle FM, Garshnek V: Disaster Telemedicine—Part I: The Evolving Role of Telemedicine and Telecommunications in Disaster Response. Prehospital and Disaster Medicine. 1999; 14(S1): S68. DOI: 10.1017/s1049023x00034294.

Latifi, MD, FACS R, Tilley EH: Telemedicine for disaster management: Can it transform chaos into an organized, structured care from the distance? Amer J Dis Med. 2014; 9(1): 25-37. DOI: 10.5055/ajdm.2014.0139.

Xiong W, Bair A, Sandrock C, et al.: Implementing Telemedicine in Medical Emergency Response: Concept of Operation for a Regional Telemedicine Hub. J Med Sys. 2010; 36(3): 1651-1660. DOI: 10.1007/s10916-010-9626-5.

Gomez E, Poropatich R, Karinch MA, et al.: Tertiary Telemedicine Support During Global Military Humanitarian Missions. Telemedicine J. 1996; 2(3): 201-210. DOI: 10.1089/tmj.1.1996.2.201.

Wootton R, Geissbuhler A, Jethwani K, et al.: Long-running telemedicine networks delivering humanitarian services: experience, performance and scientific output. Bulletin WHO. 2012; 90(5): 341-347. DOI: 10.2471/blt.11.09914.

Bashshur RL: Critical Issues in Telemedicine. Telemedicine J. 1997; 3(2): 113-126. DOI: 10.1089/tmj.1.1997.3.113.

Snoswell CL, Taylor ML, Comans TA, et al.: Determining if Telehealth Can Reduce Health System Costs: Scoping Review. J Med Internet Res. 2020; 22(10): e17298. DOI: 10.2196/17298.

Sanders JH, Bashshur RL: Challenges to the Implementation of Telemedicine. Telemedicine J. 1995; 1(2): 115-123. DOI: 10.1089/tmj.1.1995.1.115.

Solimini R, Busardò FP, Gibelli F, et al.: Ethical and Legal Challenges of Telemedicine in the Era of the COVID-19 Pandemic. Medicina. 2021; 57(12): 1314. DOI: 10.3390/medicina57121314. Available at: Accessed October 19, 2022.

Alipour J, Hayavi-Haghighi MH: Opportunities and Challenges of Telehealth in Disease Management during COVID-19 Pandemic: A Scoping Review. Applied Clin Informatics. 2021; 12(04): 864-876. DOI: 10.1055/s-0041-1735181.

Delaigue S, Bonnardot L, Steichen O, et al.: Seven years of telemedicine in Médecins Sans Frontières demonstrate that offering direct specialist expertise in the frontline brings clinical and educational value. J Glob Health. 2018; 8(2): 020414. DOI: 10.7189/jogh.08.020414.

Avitzur O: Neurologists Volunteer Telemedicine Services to Ukrainians in Need. Neurology Today. 2022; 22(11): 6-7.

Doarn CR: What Comes Next in the Face of Human Tragedy? Telemedicine and e-Health. 2022; 28(4): 441-442.

Nesbitt TS: The Evolution of Telehealth: Where Have We Been and Where Are We Going? National Academies Press (US), 2012. Available at: Accessed October 19, 2022.

Ambroise B, Beneteau H, Prevost R, et al.: The contribution of telemedicine to humanitarian surgery. J Cranio-Maxillofacial Surg. 2018; 46(8): 1368-1372. DOI: 10.1016/j.jcms.2018.05.037.

Englander L: Telehealth and Digital Technology. Telehealth Med Today. 2018; 1(1). DOI: 10.30953/tmt.v1.62

Paruk F, Pillay U, Rech D, et al.: Telehealth opportunities for South Africa have been brought into focus by the COVID-19 pandemic. South African Med J. 2022; 112(4): 251-251. DOI: 10.7196/samj.2022.v112i4.16382.

Edwards MA, Patel AC: Telemedicine in the State of Maine: A Model for Growth Driven by Rural Needs. Telemed J e-Health. 2003; 9(1): 25-39. DOI: 10.1089/153056203763317620.

Franken EA, Whitten P, Smith WL: Teleradiology services for a rural hospital: a case study. J Telemed Telecare. 1996; 2(3): 155- 160. DOI: 10.1258/1357633961929989.

Kesler C, Balch D: Development of a Telemedicine and Distance Learning Network in Rural Eastern North Carolina. J Telemed Telecare. 1995; 1(3): 178-182. DOI: 10.1177/1357633x 9500100308.

Scott RE: Future proofing telehealth in developing countries. J Telemed Telecare. 2007; 13(3_suppl): 70-72. DOI: 10.1258/135763307783247437.

Heinzelmann PJ, Lugn NE, Kvedar JC: Telemedicine in the future. J Telemed Telecare. 2005; 11(8): 384-390. DOI: 10.1177/1357633X0501100802. Available at: Accessed October 19, 2022.

Brownsell SJ, Williams G, Bradley DA, et al.: Future systems for remote health care. J Telemed Telecare. 1999; 5(3): 141-152. DOI: 10.1258/1357633991933503.



How to Cite

He, MD, S., S. Marzouk, A. Balk, T. Boyle, MD, PhD, and J. Lee, MD, MPH. “The Telehealth Advantage: Supporting Humanitarian Disasters With Remote Solutions”. American Journal of Disaster Medicine, vol. 17, no. 2, Apr. 2022, pp. 95-99, doi:10.5055/ajdm.2022.0423.