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. 2017 Apr 20;12:9. doi: 10.1186/s40248-017-0090-7

Table 1.

Obstacles to the development of tele-medicine [5, 14]

• Lack of knowledge among patients, citizens and even professional care-givers.
• Lack of connections among different systems.
• Lack of clear evidence of cost-effectiveness.
• Fears of potential legal conflicts.
• Lack of transparency on data utilisation.
• Reimbursement issues.
• High initial costs.