Table 1.

Seven core principles

Telemedicine applications and sites should be selected pragmatically, rather than philosophically Clinician drivers and telemedicine users must own the systems Telemedicine management and support must be from the ‘bottom up’ rather than the ‘top down’ The technology should be as user-friendly as possible Telemedicine users must be well trained and supported, both technically and professionally Telemedicine applications should be evaluated in a clinically appropriate and user-friendly manner Information about the development of telemedicine must be shared