Telehealth has become an essential component of modern healthcare delivery and a critical application domain for digital infrastructure and socio-technical systems. However, residents in underserved communities continue to face significant barriers to access and use. Gaps in broadband connectivity, limited funding, and narrowly framed policies contribute to widening inequities in digital access, with implications not only for healthcare delivery but also for participation in digital learning environments and workforce preparation in technology-enabled sectors. These structural barriers constrain equitable care delivery, limit exposure to digital skills development, and weaken community resilience within an increasingly digital society.
This work-in-progress study examines how laws and policies shape access to telehealth by focusing on the intersection of technology, regulation, and inequality within a historically marginalized urban community. Guided by the Social Determinants of Health (SDOH) and the Digital Healthcare Equity Framework (DHEF), the study applies a mixed-methods (QUAN–QUAL) design. The quantitative phase analyzes policy impact and broadband access data, while the qualitative phase explores lived experiences, legal barriers, and ethical challenges through interviews and document analysis.
Together, these methods provide a comprehensive understanding of how funding mechanisms, legal rules, policies, and governance frameworks influence access to digital health technologies as socio-technical systems. This study is designed to examine whether and how certain laws and funding models may unintentionally reinforce the digital divide, with downstream effects on digital literacy, educational access, and workforce readiness. The study aims to produce evidence-based policy recommendations that inform engineers, educators, policymakers, and healthcare leaders seeking to design, evaluate, and govern inclusive digital health and broadband systems that support equitable access, learning opportunities, and community resilience.
The full paper will be available to logged in and registered conference attendees once the conference starts on June 21, 2026, and to all visitors after the conference ends on June 24, 2026