Evidence map›Paper›PMID 42232833›Full record

ArticleBulletin of the World Health Organization2026

Policy analysis and expert consultation on cross-border telehealth services.

Caroline Perrin Franck, Salim Azzabi, Joscelyn Magdeleine, Pierre Sauvé, Derrick Muneene, Alain Labrique

Abstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Caroline Perrin FranckUniversity of Geneva, Campus Biotech, Chemin des Mines 9, 1202Geneva, Switzerland.
Salim AzzabiDepartment of Data and Analytics, Digital Health and Delivery for Impact, World Health Organization, Geneva, Switzerland.
Joscelyn MagdeleineTrade in Services and Investment Division, World Trade Organization, Geneva, Switzerland.
Pierre SauvéWorld Trade Institute, University of Bern, Bern, Switzerland.
Derrick MuneeneDepartment of Data and Analytics, Digital Health and Delivery for Impact, World Health Organization, Geneva, Switzerland.
Alain LabriqueDepartment of Data and Analytics, Digital Health and Delivery for Impact, World Health Organization, Geneva, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evidence suggests telehealth can be cost-effective and improve outcomes, including in cross-jurisdictional settings. We examined how cross-border telehealth could support health system transformation and consulted experts to identify priority policy considerations for integrating services across jurisdictions. We conducted a multimethod policy analysis comprising a narrative review informed by targeted searches and policy mapping, pre-Delphi working-group discussions, and a three-round modified Delphi consensus process with 18 experts in health policy, health-care regulation, telehealth implementation and international trade. We then made our draft findings available for World Health Organization-hosted public consultation, incorporating feedback and updating our narrative review. Our finalized challenge-policy matrix included 20 key challenges that we categorized within seven domains: knowledge and awareness; policy and governance; technology and operational issues; data security and privacy; quality and ethical standards; financial and economic factors; and adaptability and resilience. In our detailed challenge-policy matrix we identify national and international required policy actions for all 20 key challenges, which we summarize as: reinforce regulatory frameworks and international commitments; strengthen governance and coordination; build digital health capacity; ensure data privacy and security; and promote sustainable financing models. From a public health perspective, cross-border telehealth is essential for the strengthening of global health systems. Tackling the challenges of regulatory heterogeneity, exclusion from international trade agreements, digital literacy, language barriers and financial constraints requires that regulatory, technological and operational constraints be addressed through international policy cooperation. Priorities include interoperable regulatory frameworks, reduction or removal of unnecessary barriers, infrastructure investment, data protection, sustainable financing and emergency preparedness.

Indexed as

Health PolicyPolicy MakingTelemedicineDelphi TechniqueDigital HealthHumansInternational Cooperation

Identifiers

PMID42232833
PMCPMC13223688

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.