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Updated: Jan 21, 2026

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Military Telehealth: A Model For Delivering Expertise To The Point Of Need In Austere And Operational Environments.

Jeremy C Pamplin1, Konrad L Davis2, Jennifer Mbuthia3

  • 1Jeremy C. Pamplin ( jeremy.c.pamplin.mil@mail.mil ) is director of the Telemedicine and Advanced Technology Research Center, Medical Research and Development Command, in Frederick, Maryland, and an associate professor of medicine at the Uniformed Services University of the Health Sciences (USUHS), in Bethesda, Maryland.

Health Affairs (Project Hope)
|August 6, 2019
PubMed
Summary

Military telehealth enhances care in austere and operational environments, improving outcomes and combat effectiveness. It addresses limitations of standard telehealth solutions in resource-scarce settings.

Keywords:
military medicine, telemedicine, cost containment, health care quality assurance, Mass Casualty Incidents

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Area of Science:

  • Medical Sciences
  • Military Health
  • Telemedicine

Background:

  • Austere and operational environments present unique challenges to healthcare delivery due to limited resources and risks to caregivers.
  • Military and civilian personnel face these conditions during conflicts, disasters, and humanitarian missions.
  • Improving local caregiver capabilities is crucial for better casualty outcomes and operational readiness.

Purpose of the Study:

  • To describe military telehealth applications in austere and operational settings.
  • To identify policy implications for telehealth in resource-limited environments.
  • To highlight the limitations of current telehealth solutions in these specific contexts.

Main Methods:

  • Review of military telehealth strategies and their relevance to austere and operational environments.
  • Analysis of the military's interest in enhancing local medical capabilities.
  • Discussion of policy considerations for telehealth implementation.

Main Results:

  • Military telehealth offers potential solutions for improving care delivery in challenging environments.
  • Current telehealth emphasis may not be suitable for austere or operational settings.
  • Enhancing local capabilities is a key military objective.

Conclusions:

  • Military telehealth is vital for improving patient outcomes and operational effectiveness in austere and operational environments.
  • Policy must consider the unique demands of these settings for effective telehealth deployment.
  • Further development is needed for telehealth solutions adaptable to resource-limited and high-risk scenarios.