Evaluation of Policy Domains of ehealth and Telehealth in the Philippines: A Discourse on Policy Analysis

Background. Electronic health (eHealth) refers to “a set of statements, directives, regulations, laws, and judicial interpretations that direct and manage the life cycle of eHealth.” Analytical observations on the policy framework governing eHealth and telehealth in the Philippines highlight important regulatory gaps and implementation challenges. The COVID-19 pandemic has caused substantial physical and social disruption; however, its long-term impact may be mitigated through a clear and structured pathway toward health coverage expansion using eHealth and telehealth. Establishing a coherent policy framework within the Philippine context is a critical first step.

Objective. This study aimed to conduct an updated environmental scan and policy analysis of existing regulatory frameworks and initiatives related to eHealth in the Philippines. Such analysis is vital to support the implementation of the Universal Health Care Law, as it provides overarching principles and a foundational structure for eHealth integration.

Methods. Guided by the Scope of Policy Issues in eHealth framework developed by Khoja et al., an Internet-based review of relevant laws, regulations, policies, and strategic plans was conducted using national agency websites and public databases. Documents published up to May 2021 were included to capture recent developments in Philippine eHealth policy. Identified policies were categorized according to the four policy domains described by Khoja et al.

Results. This study presents an updated environmental scan and analysis of policy and regulatory frameworks, as well as public and private sector initiatives related to eHealth in the Philippines. Using Khoja’s framework, policies were examined across four domains: (1) networked care, (2) interjurisdictional practice, (3) diffusion of eHealth and the digital divide, and (4) integration of eHealth with existing health systems. The findings demonstrate expanded policy activity across these domains, reflecting growing institutional recognition and support for eHealth.

Conclusion. There is strong momentum for continued eHealth policy development in the Philippines, driven by the COVID-19 pandemic, formal recognition of national eHealth governance structures, implementation of the Universal Health Care Law, and support from innovators and funding partners. The study identified an increasing number of policies across the four domains aimed at addressing historical implementation barriers and promoting the integration of eHealth as a standard component of healthcare delivery, education, and research. The four-domain framework remains a useful guide for policy inventory and analysis amid evolving national and global developments.