A consensus-based evaluation framework for telehealth in resource-constrained settings: evidence from a community Delphi study in Colombia

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Telehealth aims to improve healthcare access for underserved populations, yet evaluation frameworks in low-resource settings are limited.
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A Delphi study in Granizal, Colombia, developed a consensus-based evaluation framework involving community health workers and local stakeholders.
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Seven evaluation domains were prioritized, including clinical data, patient experience measures, and barriers such as limited connectivity and infrastructure.
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Community health workers were identified as crucial for patient engagement, digital literacy support, and ensuring program sustainability.
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The framework integrates clinical, social, infrastructural, and behavioral indicators, enhancing equity and relevance in telehealth evaluation.

Frontiers In Digital Health

by John Michael Diaz, Ysabel Polanco, Lara Vargas Alvarez, Camila Penso, Ashley Cardona, Juan Fernando Mesa
July 6, 2026

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