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Published online by Cambridge University Press: 29 September 2009
Introduction
A steady progression toward telemedicine-enabled care has been evident for several years. Telemedicine activities within the Department of Veterans Affairs, the U.S. Military, the Indian Health Service and public and private payers and providers are all progressing independently at various speeds and in various forms.
Given clinician shortages, an aging population, a national consciousness on healthcare affordability and quality, the ubiquity of high quality and affordable telecommunication infrastructure, we are at the beginning of an inflection point of increased activity and progress in the march toward telemedicine. This is evident in a variety of ways; here are three examples:
At a symposium on the accelerating use of communication technologies convened at the Conference Center at Harvard Medical in 2005, James Mongan, MD, president of Partners HealthCare System, remarked, “it is inconceivable to imagine the future of healthcare without a heavy reliance on telemedicine-related products and services.” More importantly, Dr Mongan identified telemedicine activities as among the institutional priorities of Partners HealthCare, the healthcare system formed by Brigham and Women's Hospital and Massachusetts General Hospital, both leading Harvard Medical School teaching hospitals.
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