{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:44:30Z","timestamp":1785437070748,"version":"3.56.0"},"reference-count":33,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Universidad del Sin\u00fa, Monter\u00eda, Colombia"},{"id":[{"id":"https:\/\/ror.org\/013ys5k90","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>The COVID-19 pandemic accelerated the use of telemedicine and revealed persistent barriers in rural primary healthcare, especially among older adults and caregivers. This study proposes an LLM-mediated smart tele-primary-care framework to support respiratory infection monitoring in underserved communities of C\u00f3rdoba, Colombia. The framework is based on caregiver-centered teleconsultation, remote monitoring, preventive education, structured symptom reporting, risk-based teletriage, and clinician-supervised digital support. The LLM functions as a controlled conversational interface to collect symptoms, organize patient information, reinforce health education, generate follow-up reminders, and identify predefined warning signs, without replacing clinical judgment or making autonomous diagnostic or treatment decisions. A preliminary scenario-based assessment examined whether the proposed workflow supports coherent triage and appropriate escalation of high-risk cases. Importantly, the described architecture\u2014a telematic system for intelligent-engine access in assisted medicine support (ATIMAMS)\u2014has been implemented and is currently operational at the Systems Engineering Program, Universidad del Sin\u00fa (Monter\u00eda, Colombia), providing intelligent decision support for telemedicine consultations and remote assistance appointments in the study region. Overall, the study presents a context-sensitive, low-barrier, and safety-aware model for strengthening rural primary care, improving continuity of care, and supporting caregiver-mediated respiratory infection monitoring.<\/jats:p>","DOI":"10.3390\/s26144610","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T08:14:27Z","timestamp":1784621667000},"page":"4610","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["LLM-Mediated Smart Tele-Primary Care for Rural Older Adults: A Caregiver-Centered and Scenario-Assessed Framework for Respiratory Infection Monitoring"],"prefix":"10.3390","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6792-8095","authenticated-orcid":false,"given":"Angel Dario","family":"Pinto-Mangones","sequence":"first","affiliation":[{"name":"Systems Engineering Program, Universidad del Sin\u00fa, Monter\u00eda 230001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5622-6939","authenticated-orcid":false,"given":"Yair E.","family":"Rivera-Julio","sequence":"additional","affiliation":[{"name":"Department of Computer Science, Corporaci\u00f3n Universitaria Americana, Barranquilla 080001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0981-0707","authenticated-orcid":false,"given":"Carolina","family":"Castellanos-Ramos","sequence":"additional","affiliation":[{"name":"Surgical Instrumentation Program, Universidad del Sin\u00fa, Monter\u00eda 230001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6163-933X","authenticated-orcid":false,"given":"Nelson Alexander","family":"P\u00e9rez-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Telecommunications, Universidad de Los Andes, M\u00e9rida 5101, Venezuela"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2584-3699","authenticated-orcid":false,"given":"Jagger","family":"Rivera-Julio","sequence":"additional","affiliation":[{"name":"Department of Natural and Exact Sciences, Universidad de la Costa, Barranquilla 080002, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9368-1436","authenticated-orcid":false,"given":"Juan M.","family":"Torres-Tovio","sequence":"additional","affiliation":[{"name":"Systems Engineering Program, Universidad del Sin\u00fa, Monter\u00eda 230001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Alodhialah, A.M., Almutairi, A.A., and Almutairi, M. 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