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Internet consultations between doctors and specialists capitalise on
knowledge generated at centres of excellence and reduce geographical
variability. Kedar and colleagues
(p 696) conducted a retrospective case review of the first year of
online consultations between doctors around the world and consulting
specialists at a health maintenance organisation in Boston, USA.
Analysing 79 internet based consultations, they found that new
treatment was recommended in 90% of cases and a change in diagnosis
occurred in 5% of cases. Moreover, patients had faster access to
specialist opinions than they would if waiting to see a specialist.

(Credit: ANTONIA REEVE/SPL)