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Telemedicine and competitive change in health care.

机译：远程医疗和卫生保健领域的竞争性变化。

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Telemedicine--the delivery of health care services to the underserved through communications technologies--has the potential to bring medical care to remote areas where health care is either inadequate or nonexistent. Telemedicine can be something as simple as a phone call, a network transmission of a radiograph or other diagnostic image, or, much more advanced, realtime video surgical consultations from anywhere on the globe. Telemedicine programs operate throughout Europe, Japan, and Australia. International programs, for profit and nonprofit, serve Asia, Africa, and the Middle East. The United States is also a major telemedicine developer, principally through government agencies such as the Department of Defense and the Office of Rural Health Policy, and, to a lesser extent, the private sector. But telemedicine in the United States has yet to prove itself economically viable, and it faces a number of political and regulatory barriers. Even more significantly, telemedicine's potential to increase overall health care spending by increasing access to health care has deterred private industry from investing heavily in it. In the short term, telemedicine's most important contribution to health care may be raising fundamental questions about United States health care policy.
机译：远程医疗-通过通信技术向服务欠佳的人提供医疗服务-具有将医疗服务带到医疗服务不足或根本不存在的偏远地区的潜力。远程医疗可以很简单，例如电话，射线照相或其他诊断图像的网络传输，或者来自世界各地的更高级的实时视频外科咨询。远程医疗计划遍布欧洲，日本和澳大利亚。营利性和非营利性国际计划服务于亚洲，非洲和中东。美国还是主要的远程医疗开发商，主要通过国防部和农村卫生政策办公室等政府机构，以及在较小的程度上通过私营部门。但是，美国的远程医疗尚未证明自己在经济上可行，而且还面临许多政治和监管障碍。更重要的是，远程医疗通过增加获得医疗服务的机会来增加整体医疗保健支出的潜力阻止了私营企业对其进行大量投资。短期而言，远程医疗对医疗保健的最重要贡献可能是引发有关美国医疗保健政策的基本问题。

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