Background: Telehealth is expanding in Saudi Arabia, driven by Vision 2030, but faces challenges like technology gaps, providers training issues, and policy limitations. Addressing these barriers is the key to successful implementation and improved healthcare access. Objectives: The aim of this systematic review is to examine the latest literature on the challenges faced by healthcare providers in Saudi Arabia during the implementation of telehealth services. The utilization of telehealth as an effective means to provide quality services is steadily rising across different tiers of the health system. However, advancing telehealth utilization relies on the current healthcare systems’ infrastructure, policies, cultural factors, and utilization requirements can influence the utilization of telehealth within Saudi Arabia’s healthcare system. Methods: this systemic review conducted in three electronic databases—CINAHL (cumulative Index to Nursing and Allied Health Literature), Medline, and PubMed—targeting studies published between January 2019 to December 2024. The search used keywords derived from the PICO (Population, Intervention, Comparison, and Outcome) framework, focusing on telehealth, healthcare providers, and challenges specific to Saudi Arabia. The review followed PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, incorporating strict inclusion and exclusion criteria. Studies were included if they were: original research articles, published in English, peer-reviewed with full text available, conducted in Saudi Arabia, published between 2019 and 2024, and focused on challenges faced by healthcare providers in telehealth implementation. 16 studies achieved these norms. The quality of studies was assessed using the CASP (Critical Appraisal Skills Programme) and Quadstools, and data were systematically extracted to identify key themes and barriers. Results: The findings revealed that several challenges to telehealth implementation. Technological issues, such as poor internet connectivity and poor infrastructure. Training gaps and limited provider knowledge also slowing telehealth adoption. Cultural resistance, privacy concerns, and diagnostic limitations further complicated its effective use. Additionally, Policy Issues and financial problems. Conclusion: Telehealth has the potential to transform healthcare delivery in Saudi Arabia. However, addressing the barriers is important to realizing its full benefits. Investments in infrastructure, providing training programs, and clear regulatory frameworks are essential. These measures will align telehealth with Saudi Vision 2030, ensuring equitable and efficient healthcare access across the Kingdom.
