This issue of Telehealth and Medicine Today (THMT) showcases a powerful collection of research and case studies at
the forefront of digital and connected health. From diagnostic innovation to telehealth delivery for underserved populations, the featured works exemplify the diversity and depth of transformation underway in healthcare.
We encourage you to cite the articles in the new issue of Telehealth and Medicine Today (THMT) — your citations help advance the field, validate emerging research, and support the authors
driving innovation in digital health and telemedicine. Each citation amplifies visibility, fosters collaboration, and helps shape standards and best practices across telehealth and medical innovation - contributing to the growing body of evidence driving digital health transformation — supporting rigor, reproducibility, and real world impact.
An Architectural Framework for Telemedicine Systems: Components, Roles, and Implementation Challenges
S. Hemalatha, PhD, Kiran Mayee Adavala, PhD, P. Kumaravel, PhD, N. Muthuvairavan Pillai, PhD, G. Krishna Mohan, PhD, Pullela SVVSR Kumar, PhD
The
rapid expansion of telemedicine, accelerated by the COVID-19 pandemic, has transformed healthcare delivery by enabling remote consultation, monitoring, and diagnostics. However, existing telemedicine systems often suffer from fragmented architectures, limited interoperability, and inadequate alignment with regulatory and operational requirements. This paper proposes a comprehensive architectural framework for telemedicine systems that integrates key technological components, stakeholder roles,
and implementation considerations into a unified model. Through a systematic review and comparative analysis of established frameworks including outcome-oriented models, semantic healthcare standards, and emerging technology-driven architectures critical gaps were identified in current telemedicine design approaches. The proposed framework delineates modular layers encompassing user interfaces, communication protocols, service components (e.g., electronic health records and AI engines), data
management, integration with third-party systems, and governance mechanisms to ensure privacy and compliance. Additionally, the framework explicitly defines the roles and responsibilities of patients, healthcare providers, system administrators, institutions, and regulatory bodies to facilitate coordinated operation and oversight. Implementation challenges such as data security, infrastructure limitations in rural areas, interoperability across diverse EHR systems, scalability, user training,
and deployment costs are thoroughly discussed. This work offers a foundational reference model to guide researchers, developers, and policymakers in advancing telemedicine platforms that are scalable, secure, and interoperable. Future efforts will focus on validating the framework through simulation, prototype development, and pilot studies to enhance practical adoption and impact.
A Systematic Review of Internet of Things Technologies and Their Applications in The Early Detection And Management Of Diabetes Complications.
Olapeju Ajibade, PhD student, MSc, Oluwaseyi Akpor, PhD, Sunday, Afolalu, PhD, Gloria Oluwakorede,
Alao, BNSc, RN, Bose Ogunlowo, BNSc, Oluwatosin Ogunmuyiwa, MSc, BNSc, , Akingbade Oluwadamilare, PhD
This study investigated the influence of Internet of Things (IoT) technology on early diagnosis and management of diabetes complications. A search of MEDLINE, PubMed, Scopus, CINAHL, and AJOL discovered 17 randomized controlled trials from 2003 papers, focused on publications in low-resource countries from 2010 to 2024.
Only 5.9% of included trials blinded outcome assessors, although 82.4% used genuine randomization. Most of the 14 mobile HbA1c apps studied showed significant benefits, especially those with tailored feedback or physician participation. IoT treatments may help manage diabetes, but they need instructional resources and struggle with accessibility. Health outcomes should be improved via oversight and personalized comments in future research.
