How Not To Develop Telemedicine Systems

The history of telemedicine is characterized by many systems that have failed, or have only lasted a short period of time. Some of the reasons for these failures are discussed. Presented here is a set of six simple rules that have been developed from evidence in the literature, and from personal telemedicine experience, about how to assure the failure of a project. These rules are unfortunately still frequently adhered to and lead to the failure, or the less effective functioning, of telemedicine systems.

External vs. Internal Funding: Does It matter Who Pays the Bills?

Telemedicine Today readers who follow the annual surveys may have observed an increase in the number of telemedicine programs drawing on internal funding. Those who praise the advantages of internal funding assert that it forces cost-effectiveness and greater accountability on a telemedicine program. The implicit assumption is that accountability and cost-effectiveness increase a program’s chances for long-term sustainability. In light of the apparent trend towards greater internal funding, we set out to compare externally and internally funded telemedicine programs. We conducted interviews (11 by telephone, one written) with administrators from 12 programs -- seven funded externally and five funded internally.

1997: A Busy Legislative Year For Telemedicine?

With the close of 1996 and the adjournment of the 104th Congress, many telemedicine-related initiatives have been laid to rest at both the federal and state legislative levels. Other significant measures were enacted and their impact upon the practice of telemedicine will be closely monitored.