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Good published evidence showing that telemedicine is a cost
effective alternative means of delivering care is lacking, concludes a
systematic review by Whitten and colleagues (p 1434). Their literature
search identified more that 600 cost related articles on telemedicine,
but just 4% of articles satisfied the inclusion criteria set for the
review. The authors say that the poor quality of the published studies
shows that peer reviewed publication should not be taken as an adequate
guarantee of quality for economic evaluations of
telemedicine.

(Credit: DALE SPARKS/AP)