New peer-reviewed research published in digital health We found that a significant proportion of Chinese recent immigrants to the United States use China-based telemedicine applications for medical advice while living in the United States. This is often in response to barriers within the U.S. health care system itself.
Researchers from the University of Texas at San Antonio and Sam Houston State University found that 15% of Chinese immigrants living in the United States surveyed used China-based telemedicine apps for medical consultations. Importantly, some participants said they would utilize these services as a first line of care rather than seeking U.S.-based medical services first.
Key factors likely to drive the use of cross-border telemedicine
This study identified several characteristics that are strongly associated with the use of China-based telemedicine apps.
- Lack of health insurance, which was the strongest predictor of use
- High levels of medical discrimination in the United States
- Young age and female gender
- Live in an area with a large Chinese immigrant community
Participants cited lower costs, ease of access, and the ability to communicate in their native language as the main advantages of China-based platforms. These apps allow users to consult Chinese doctors via text, image upload, or voice call, often for less than $10 each.
How are immigrants using these apps?
Survey and focus group data revealed that Chinese immigrants are using cross-border telemedicine apps to address a wide range of concerns, including respiratory infections, musculoskeletal pain, dermatological issues, medication questions, and medical information translation assistance. Some participants said they relied on advice from China-based doctors to guide subsequent treatment decisions in the United States, including whether to undergo imaging, testing, and medication locally.
Impact on U.S. healthcare providers
While cross-border telemedicine may help bridge cultural and language gaps, the authors warn that reliance on foreign-based health services also raises concerns about patient safety, continuity of care, and regulatory oversight. Clinicians based in China are not subject to U.S. licensing or clinical guidelines, and differences in preventive care standards may delay diagnosis or prevent testing.
Importantly, this study suggests that the use of foreign telemedicine is not simply driven by convenience, but by structural and interpersonal barriers in U.S. health care, such as affordability challenges and experiences of discrimination.
call to action
For health professionals working with immigrant communities, the findings highlight the importance of:
- Expanding insurance access and navigation support for immigrant patients
- Enhancing culturally appropriate care
- Improving communication and trust in clinical settings
- Recognize that some patients may rely on international medical advice alongside U.S. treatment
As digital health tools continue to expand across borders, understanding why immigrants seek treatment outside the United States is essential to providing patient-centered care.
sauce:
University of Texas San Antonio
Reference magazines:
Imtiaz, S. others. (2026). Factors associated with cross-border telehealth app use among Chinese immigrants in the United States. digital health. DOI: 10.1177/20552076251412044. https://journals.sagepub.com/doi/10.1177/20552076251412044
