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Richard Wootton Correspondence to: R Wootton
r.wootton@pobox.com
| The first 150 words of the full text of this article appear below. |
As telecommunication technology has advanced and costs have
declined over the past decade, there has been a steady growth in
telemedicine. Much of this growth, however, has been in the form of
feasibility studies and pilot trials. As a result there is little
convincing evidence of the cost effectiveness of many applications,
apart from teleradiology (box). This paper reviews recent evidence and
describes clinical applications where there is early evidence that
telemedicine is not only of clinical benefit but cost effective too.
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What is telemedicine? |
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Telemedicine is an umbrella term that encompasses any medical
activity involving an element of distance. In its commonly understood sense, in which a doctor-patient interaction involves
telecommunication, it goes back at least to the use of ship to shore
radio for giving medical advice to sea captains. A few years ago the
term telemedicine began to be supplanted by the term telehealth, which
was thought to be more
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