Abstract
Telemedicine, the delivery of health care with the patient and health professional at different locations, has been around for over 30 years. Its driving force has been developments in communications technology, and as new communications systems are developed health applications are proposed such as supporting the delivery of primary health care to geographically remote areas or regions underserved through the maldistribution of professional expertise. Despite rapid technological advances, evaluations of such systems have been largely superficial, and more thorough evaluations have failed to show significant advantages for more advanced and expensive technology over older technology such as the telephone. Methods for evaluating the impact of particular technologies on the health care system need to be developed and clearer benefits shown in terms of improved standards of care.
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Selected References
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- Brauer G. W. Telehealth: the delayed revolution in health care. Med Prog Technol. 1992;18(3):151–163. [PubMed] [Google Scholar]
- Dunn E. V., Conrath D. W., Bloor W. G., Tranquada B. An evaluation of four telemedicine systems for primary care. Health Serv Res. 1977 Spring;12(1):19–29. [PMC free article] [PubMed] [Google Scholar]
- Grumet G. W. Telephone therapy: a review and case report. Am J Orthopsychiatry. 1979 Oct;49(4):574–584. doi: 10.1111/j.1939-0025.1979.tb02643.x. [DOI] [PubMed] [Google Scholar]
- House A. M. Telecommunications in health and education. Can Med Assoc J. 1981 Mar 15;124(6):667–668. [PMC free article] [PubMed] [Google Scholar]
- Ling R. Telemedicine: treating the patient by remote control. J R Nav Med Serv. 1993 Winter;79(3):145–147. [PubMed] [Google Scholar]
- Marcus A. C., Crane L. A. Telephone surveys in public health research. Med Care. 1986 Feb;24(2):97–112. doi: 10.1097/00005650-198602000-00002. [DOI] [PubMed] [Google Scholar]
- Moore G. T., Willemain T. R., Bonanno R., Clark W. D., Martin A. R., Mogielnicki R. P. Comparison of television and telephone for remote medical consultation. N Engl J Med. 1975 Apr 3;292(14):729–732. doi: 10.1056/NEJM197504032921406. [DOI] [PubMed] [Google Scholar]
- Preston J., Brown F. W., Hartley B. Using telemedicine to improve health care in distant areas. Hosp Community Psychiatry. 1992 Jan;43(1):25–32. doi: 10.1176/ps.43.1.25. [DOI] [PubMed] [Google Scholar]
- Rinde E., Nordrum I., Nymo B. J. Telemedicine in rural Norway. World Health Forum. 1993;14(1):71–77. [PubMed] [Google Scholar]