<![CDATA[The rapid development of digital health technologies has encouraged the adoption of telemedicine as an innovative strategy to strengthen primary healthcare services. This study aims to analyze the integration of telemedicine in primary healthcare as a means to improve healthcare access and service quality in the digital era. A mixed-method research design was employed, combining quantitative surveys with qualitative interviews, observations, and document analysis conducted in selected primary healthcare facilities. Quantitative data were analyzed using descriptive and inferential statistical techniques, while qualitative data were examined through content and interpretative analysis. The results indicate that telemedicine integration significantly enhances healthcare access by reducing geographical barriers, travel time, and waiting periods, while also improving perceived service quality, efficiency, and continuity of care. Qualitative findings reveal that telemedicine supports better workload management and coordination among healthcare providers, although challenges such as digital literacy gaps, infrastructure limitations, and data security concerns remain. The discussion highlights telemedicine as a systemic enabler rather than a standalone technological intervention, emphasizing the importance of organizational readiness, provider competence, and supportive policy frameworks. This study contributes scientifically by extending digital health and primary healthcare integration literature and offers practical implications for policymakers and healthcare practitioners in developing sustainable and patient-centered telemedicine strategies.]]>
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