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Telemedicine: lessons remain unheeded

P McLaren1, C J Ball

  • 1United Medical School of Guy's Hospital, London.

BMJ (Clinical Research Ed.)
|May 27, 1995
PubMed
Summary

Telemedicine, delivering healthcare remotely, has advanced with technology. However, evaluations show older technologies like telephones can be as effective as newer, expensive systems, highlighting a need for better impact assessment.

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Area of Science:

  • Health Informatics
  • Telecommunications Technology
  • Healthcare Delivery Systems

Background:

  • Telemedicine has existed for over 30 years, evolving with communication technologies.
  • Proposed applications include primary care for remote or underserved regions.
  • Technological advancements have not consistently translated to superior healthcare outcomes.

Purpose of the Study:

  • To review the impact of communication technology on telemedicine.
  • To assess the effectiveness of advanced versus older telemedicine technologies.
  • To identify the need for improved evaluation methods in telemedicine.

Main Methods:

  • Review of existing telemedicine applications and their technological underpinnings.
  • Analysis of evaluation studies comparing different telemedicine technologies.
  • Assessment of the reported advantages of advanced communication systems.

Main Results:

  • Telemedicine has been driven by communication technology advancements.
  • Evaluations of advanced telemedicine systems often show superficial results.
  • Thorough evaluations indicate no significant advantage of expensive, new technology over basic technology like telephones.

Conclusions:

  • Current evaluation methods for telemedicine impact are insufficient.
  • There is a need for developing robust methods to assess telemedicine effectiveness.
  • Demonstrating clear benefits in improved standards of care is crucial for future telemedicine adoption.

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