The consequential economic impact obtrudes national concern of advantages and disadvantages on patient outcomes stemming from the increase of mobile health, advanced technology, telemedicine, telecare, and its socioeconomic implications from past and present treatment options. The determination of healthcare is selectively different based on income status, environmental location, cultural relationship, house full size, and race. Recurrent epidemics and pandemics exposed the spotlight on telemedicine as it proposes hope for underserved communities and rural areas.

Rural areas are classified as areas of any population and housing not located in an urban area. These areas are organized into two categories. Urbanized areas often have a population of 50,000 or more. Urban clusters are populations of 2,500 and less than 50,000. Rural communities are limited with reduced access to proper healthcare and wellness needs. These areas tend to have poverty, with a higher percentage of older adults more suitable for chronic illnesses such as diabetes, heart disease, hypertension renal failure. Barriers to healthcare decline the overall outcome of patient care .