Telehealth has become a critical tool for ensuring healthcare continuity, especially during crises such as pandemics, natural disasters, or technological disruptions. Yet, sustaining telehealth access in minority and underserved communities remains a major challenge. Many communities face compounded barriers—limited broadband access and inequitable resource distribution—that reduce the resilience of telehealth systems. These challenges underscore the need for a systematic review of strategies that support sustainable and adaptable telehealth delivery.
This work-in-progress study aims to systematically review and synthesize existing frameworks, strategies, and challenges in sustaining telehealth resilience amid disruptions. Guided by resilience and digital equity frameworks, the study evaluates how social, technological, and policy factors interact to support long-term telehealth access. Using the PRISMA framework, peer-reviewed studies published between 2019 and 2024 are analyzed from Scopus, PubMed, and ProQuest. Inclusion criteria require studies to explicitly link broadband access to telehealth adoption or outcomes, with a defined exclusion window outside the five-year publication range.
The synthesis is expected to yield effective frameworks and strategies for making telehealth systems adaptable and sustainable in minority communities. The study provides evidence-based insights for policymakers and healthcare organizations to design inclusive, culturally responsive, and equitable telehealth systems capable of withstanding future disruptions.
http://orcid.org/https://0000-0002-8521-5769
Morgan State University
[biography]
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