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Proposal for an Evaluation of Health Care Applications on the NII
Pages 233-236

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From page 233...
... This is particularly applicable to integration with heterogeneous legacy systems used by a wide variety of health care providers. PROJECTIONS REGARDING THE PROBLEM AND RELATED ISSUES Assuming the telecommunication '1ariff,' issue under the jurisdiction of federal, state, and local authorities can be resolved, it is anticipated that the technical barriers to bandwidth on demand Fill be overcome in the next 5 to 7 years.
From page 234...
... If the quality of health care is to be maintained in a cost-effective manner using the ND, clinical data must be transmitted promptly within cost constraints. Other legal and regulatory issues that must be addressed include the privacy of patients and health care providers, and the security of data against unauthorized access.
From page 235...
... Computer-literate health care providers and other personnel In managed care settings, and . Government and insurance agencies concerned with reimbursement.
From page 236...
... The evaluation should be based on stringent criteria that focus primarily on patient care issues such as quality and access, and that measure selected key parameters related to technology, economics, and legaVregulatory and sociaVcultural factors. The project will require the participation of industry, academia, and government In cooperation with heal care providers to develop the evaluation cntena, design the study, and conduct the demonstration of cost-effective systems that avid support telemedicine, medical research and education, and health care administration.


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