Driving Business Value Through Telemonitoring: Integrating ESG and Digital Health Equity in Healthcare Organizations

Abstract

In the context of accelerating digital transformation in global healthcare systems, telemedicine and, in particular, telemonitoring are emerging as pivotal tools for promoting equitable access to care. This study presents a comprehensive literature review that explores how telemonitoring services can be leveraged to advance Digital Health Equity (DHE), particularly for underserved and marginalized populations. The review synthesizes evidence from peer-reviewed literature in the domains of implementation science, health informatics and organizational management, identifying key factors that influence successful adoption of telemonitoring. These factors include digital literacy, infrastructure readiness, ethical governance and socio-technical alignment. The findings emphasize that while telemedicine offers considerable potential in enhancing healthcare delivery, its impact on equity is contingent upon addressing disparities in digital access, trust in technology, and health system responsiveness. The review also highlights the role of Environmental, Social, and Governance (ESG) frameworks in embedding sustainability and accountability into telehealth strategies. The study concludes by proposing a conceptual foundation for healthcare organizations to co-design inclusive and resilient telemonitoring models that align with long-term public health and digital equity goals.