Exploring Video Frameworks for Telemedicine Mobile Applications

This article explores popular video frameworks – Agora, GetStream, Dyte, and basic WebRTC, and provides a detailed analysis of their pros and cons. The goal is to help developers and healthcare professionals choose the most suitable framework for their telemedicine needs. Join us as we examine the strengths and weaknesses and unravel the complexities of seamless telemedicine experiences. This information will be valuable to those seeking telemedicine software development services.

Choosing the right video framework is crucial for telemedicine application software development, and affects user experience and functionality. This decision is especially important for those considering the services of a telemedicine app development company, as it directly influences the effectiveness of telemedicine application development.

Telemedicine Mobile App

1. Agora

Agora is a versatile and reliable real-time engagement platform that enables developers to seamlessly integrate audio, video, and interactive live-streaming capabilities into their applications, to create immersive and engaging user experiences.


  • AI Noise Suppression: Agora supports AI-based noise suppression.
  • Scalability: The platform offers robust scalability to accommodate applications with varying user loads.
  • Video and Audio encryption: Agora services provide built-in encryption and custom encryption. You can use either to implement encryption.


  • Cost: While Agora offers a free tier, larger applications may incur costs, and users should carefully consider pricing plans.
  • Learning Curve: Developers may need time to familiarize themselves with Agora’s features and functionality.

2. GetStream

GetStream provides scalable feed infrastructure that enables developers to easily integrate customizable activity feeds into their applications. With features such as real-time updates and personalized content delivery, GetStream increases user engagement and social interaction.


  • Stream complies with privacy and security laws as it is based in the EU and USA and must comply with strict local privacy and security regulations.
  • Ease of Integration: Developers appreciate the simplicity of integrating GetStream into their applications.
  • Developer-Friendly Documentation: Well-documented APIs and clear documentation facilitate smooth implementation.


  • Limited Free Plan: GetStream’s free plan has limitations, and for larger applications, users may need to opt for paid plans.
  • Less Customization: While easy to integrate, there might be limitations in terms of customization compared to other frameworks.

3. Dyte

Dyte provides a real-time video and voice solution for integrating high-quality video/voice calls into your web, mobile, and desktop applications and websites.
Call recording, live streaming, webinars, live transcription and translation, chat, polls, quizzes, and many other features are available with Dyte.


  • Highly customizable UI Kit: You can select UI from predefined elements and customize them to suit your needs.
  • Custom plugins: A variety of plugins are available on demand. Developers can also create custom plugins.
  • Comprehensive error handling: Managed by the SDK, error handling is a breeze.


  • Automatic degradation of video and audio tracks: There is no automatic degradation of video and audio tracks when bandwidth is inconsistent.
  • Not usable in Private Networks: It doesn’t work on private networks and behind firewalls.

4. Vanilla WebRTC Implementation

Vanilla WebRTC refers to the unmodified core implementation of Web Real-Time Communication (WebRTC). It represents the raw and foundational elements of WebRTC without additional frameworks or modifications, providing developers with a pure and direct approach to integrating peer-to-peer audio and video communications into their applications.


  • Open Source: WebRTC allows developers to customize and tailor the solution to specific needs.
  • Platform Independence: Because WebRTC is web-based, it is platform independent and supports a wide range of devices.


  • Development Effort: Implementing WebRTC from scratch can be more time-consuming than using off-the-shelf frameworks.
  • Maintenance Challenges: Ongoing maintenance and updates are the sole responsibility of the development team.

To help you make an informed decision, here is a simple comparison table for these four video frameworks: Agora, GetStream, Dyte, and Vanilla WebRTC Implementation.

FrameworkCostLatencyCross-Platform SupportCustomizationEase of Integration
Agora10,000 minutes are free monthly.
After, $3.99 /1,000 minutes.
Ultra LowYes (Android, iOS, Web)Offers customization optionsModerate
GetStream66,666 minutes are free ($200 Credit) monthly.
After, $3.00/1,000 minutes
LowYes (Android, iOS, Web)Highly customizable chat UIEasy
Dyte10,000 minutes are free monthly. $4.00/1,000 minutesLowYes (Android, iOS, Web)Provides customization for video featuresModerate
Vanilla WebRTCWill have hosting costsLowYes (Android, iOS, Web)Highly customizable but requires much more development effortComplex


Choosing the Right Framework for Your Telemedicine Application

Choosing the right video framework depends on a number of factors, and each framework has strengths that address specific use cases. Consider the following scenarios to help guide your decision-making process, especially if you are looking for custom telemedicine software solutions. Telemedicine app developers with expertise in these frameworks will be critical in making an informed choice for your telemedicine application development.


High-Volume Consultations with Simple Features

If your telemedicine application primarily involves high-volume consultations with straightforward video communication requirements and you prioritize ease of integration, a framework such as GetStream may be a strong candidate. Its simplicity and scalability make it well suited to applications with a large user base and relatively straightforward video chat requirements.

Advanced Customization and Feature-rich Applications

For telemedicine applications that require advanced customization, additional features beyond basic video calling, and a focus on tailoring the user experience, Dyte might be a suitable choice. Its emphasis on customization and additional features such as screen sharing and transcription make it versatile for applications demanding a unique and feature-rich environment.

Real-Time, Low-Latency Interaction with High-Quality Streams

In situations where low latency and high-quality audio and video streams are paramount, especially for real-time and critical healthcare consultations, Agora stands out. Agora’s focus on real-time engagement and its track record of providing high-quality communications make it a strong contender for applications where instant interaction is crucial.

Maximum Control and Custom Development

Developers who want maximum control over the video communications stack and the ability to implement highly customized solutions can choose a Vanilla WebRTC Implementation. This approach provides the flexibility to tailor the application precisely to the project’s requirements but requires a deeper understanding of WebRTC and additional development effort.

Security Healthcare Environments

In telemedicine applications where security is paramount, especially when handling sensitive patient data, it’s crucial to evaluate frameworks for their security features and compliance with healthcare industry standards. Both Agora and Dyte have demonstrated their ability to provide secure communications, but developers should ensure that the chosen framework meets the specific security requirements of their healthcare environment.

Final Thoughts

Choosing the proper video framework for mobile telemedicine applications require careful consideration of cost, latency, cross-platform support, customization, and ease of integration. Each framework has its advantages and disadvantages.

The decision ultimately depends on the specific requirements of the telemedicine application you are developing. Whether it is managing costs, ensuring low latency communication, supporting multiple platforms, or customizing the user experience, these considerations are critical to the decision-making process.

In summary, the choice of video framework is subjective. It should be based on a practical understanding of each framework’s strengths and weaknesses, tailored to meet the unique needs of your telemedicine project. Consulting with a telemedicine software development company, especially if you’re considering custom telemedicine software, can provide valuable insight and expertise to help you make the right choice.

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