Citation: Camacho-Leon, G.;
Faytong-Haro, M.; Carrera, K.;
Molero, M.; Melean, F.; Reyes, Y.;
Mautong, H.; De La Hoz, I.;
Cherrez-Ojeda, I. A Narrative Review
of Telemedicine in Latin America
during the COVID-19 Pandemic.
Healthcare 2022, 10, 1361. https://
doi.org/10.3390/healthcare10081361
Academic Editor: Yiannis
Koumpouros
Received: 7 June 2022
Accepted: 18 July 2022
Published: 22 July 2022
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healthcare
Review
A Narrative Review of Telemedicine in Latin America during
the COVID-19 Pandemic
Genesis Camacho-Leon
1,2
, Marco Faytong-Haro
3,4,5,
* , Keila Carrera
6
, Marlyn Molero
7
, Franhe Melean
7
,
Yuliana Reyes
7
, Hans Mautong
5
, Ivonne De La Hoz
1
and Ivan Cherrez-Ojeda
5,8,
*
1
División de Estudios para Graduados, Facultad de Medicina, Universidad del Zulia,
Maracaibo 4001, Venezuela; genesisc23@gmail.com (G.C.-L.); ivodelahoz11@gmail.com (I.D.L.H.)
2
Division of Clinical and Translational Research, Larkin Community Hospital, South Miami, FL 33143, USA
3
Sociology and Demography Department, The Pennsylvania State University, University Park, PA 16802, USA
4
Ecuadorian Development Research Lab, Daule, Guayas 090656, Ecuador
5
School of Health, Universidad de Especialidades Espíritu Santo, Samborondón, Guayas 0901952, Ecuador;
hmautong@gmail.com
6
Gastroenterology, Universidad de Oriente, El Tigre, Anzoátegui 6050, Venezuela; keilacarrera@gmail.com
7
Médicos Unidos Por Venezuela, Caracas, Distrito Capital 1000, Venezuela; marlynmolero@gmail.com (M.M.);
franhe_m@yahoo.com (F.M.); yuli939@gmail.com (Y.R.)
8
Respiralab Research Group, Guayaquil, Guayas 090512, Ecuador
* Correspondence: marco.faytong@psu.edu (M.F.-H.); ivancherrez@gmail.com (I.C.-O.)
Abstract: Background: The COVID-19 pandemic greatly impacted traditional health structures,
posing new challenges in an unprecedented health crisis. Telemedicine services were implemented in
countries with robust digital platforms to reduce hospital attendance while continuing to provide
medical care. This study aims to determine how telemedicine services have been used as a tool to en-
sure the right to health in Latin America during the pandemic. Materials and methods: We conducted
a narrative review in which words such as telemedicine, COVID-19, Latin America, access, and right
to health, were searched on scientific medical datasets such as PubMed and SciELO. Additionally, we
reviewed legislation in the Latin American health domain regarding the administration and trans-
mission of digital data. Results and conclusions: Several countries have used telemedicine to reduce
the saturation of healthcare systems and increase patient access. Issues such as broadband access
for low-income populations and adequate legal regulations for transmitting and storing confidential
data must be addressed to improve telemedicine use in Latin America.
Keywords: telemedicine; COVID-19; Latin America; access to health; right to health
1. Introduction
The healthcare systems in Latin America are fragmented between public and private
institutions and demonstrate variations in regional numbers and access to healthcare
facilities and medical personnel. To ensure healthcare coverage across the region, more
resources and effort are needed to cover the Latin American populations’ needs.
Beginning in November 2019, the rapid transmission of COVID-19 globally placed
further burden on healthcare systems and constraints on populations’ access to appropriate
medical care. Under these circumstances, telemedicine has emerged as a tool to reach out
to more people and relieve hospitals overcrowded with COVID-19 cases [1–3].
Telemedicine has become more prevalent in Latin American countries, broadening
access to care in both public and private systems, allowing patients to access care at a
lower cost than an “in-person” visit to a medical office, and lowering the risk of contracting
COVID-19 while in a hospital setting [2,4–6]. It has even been found to aid in early
diagnosis of diseases and reduce recovery time [2]. Within Latin America, Ecuador, Chile,
and Uruguay have been pioneers in the application of telemedicine services, including the
development of legal frameworks to regulate its use.
Healthcare 2022, 10, 1361. https://doi.org/10.3390/healthcare10081361 https://www.mdpi.com/journal/healthcare