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  Vol. 288 No. 4, July 24, 2002 TABLE OF CONTENTS
  JAMA
  •  Online Features
  Contempo Updates: Linking Evidence and Experience
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Telemedicine and Remote Patient Monitoring

Marilyn J. Field, PhD; Jim Grigsby, PhD

JAMA. 2002;288:423-425.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Defined broadly, telemedicine is the use of electronic information and communications technologies to provide and support health care when distance separates the participants.1 The term is also applied more narrowly to medical applications that use interactive video, typically for specialty or subspecialty physician consultations. Sometimes the term telehealth is used to encompass educational, research, and administrative uses as well as clinical applications that involve nurses, psychologists, administrators, and other nonphysicians.

Telemedicine using interactive video made its debut about 40 years ago to support neurologic and psychiatric services in Nebraska.2 Through the early 1990s, telemedicine mostly involved specialty consultations via videoconference technology. Recently, more attention has focused on noninteractive applications, including those that use relatively inexpensive store-and-forward technologies to save and then transmit text and images (essentially, multimedia e-mail).

Both interactive and noninteractive technologies are increasingly used or promoted for remote monitoring of health . . . [Full Text of this Article]

Slow Dissemination of Telemedicine

Medicare and Other Coverage

Transmission Costs

Remote Monitoring and Home Health Care

Remote Monitoring and ICUs

Remote Monitoring for Disease Management

Congestive Heart Failure

Diabetes

Astronauts and Athletes

Conclusion

Author Affiliations: Institute of Medicine, National Academy of Sciences, Washington, DC (Dr Field); and Department of Medicine, Division of Geriatrics, University of Colorado Health Sciences Center, Denver (Dr Grigsby).



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