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Telehealth policy maturity

How well each country's policy and regulatory environment supports telehealth, across the eleven domains of the Telehealth Policy Maturity Assessment Framework.

What the scores measureThe policy and regulatory environment for telehealth, not whether services are running or improving care. This is a tool for improvement and peer learning, not a ranking.

Results coming soon.

The assessment is in progress. Published results will appear here.

Method

How the scores are calculated

  1. Each of 15 parts is scored 0–4 from the country's official documents: 0 not addressed, 1 mentioned, 2 partially, 3 substantively, 4 fully addressed. Parts that can't be evaluated, or rest on interviews only, are left out.
  2. Domain scores: four of the eleven domains have two parts, which are averaged, so every domain counts equally.
  3. Overall score: the average of the eleven domain scores.
  4. Level: the band the overall score falls in (see below).
  5. Minimum conditions: Level 4 needs governance, legal recognition, service standards, data protection and implementation all at 2 or more. Level 5 needs them all at 3 or more, no part at 0, and financing at 2 or more. A country that doesn't meet them stays at the highest level it does meet.
  6. Two further scores show the rules for remote clinical care (telehealth-specific) and the wider digital health environment (system readiness) side by side.

Telehealth Policy Maturity Assessment Framework, VillageReach for the Global Telehealth Community of Practice.

What the levels mean

  • Level 1 · NascentTelehealth is not formally recognised in policy, law, regulation, strategy or official guidance. Assigned only where absence has been verified.
  • Level 2 · EmergingTelehealth is mentioned in broader documents, but provisions are high-level, fragmented, aspirational or not operationalised.
  • Level 3 · DevelopingTelehealth is addressed through dedicated provisions or guidelines; key issues are partially defined but important gaps remain.
  • Level 4 · EstablishedA comprehensive framework with defined governance, service standards, data protection, implementation arrangements and some financing provisions.
  • Level 5 · AdvancedTelehealth is institutionalised: implemented, financed, monitored, integrated with digital health systems and periodically reviewed.