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Current Bibliographies in Medicine 95-4


Telemedicine: Past, Present, Future


CBM  95-4


Telemedicine: Past, Present, Future

January 1966 through March 1995

1634 Citations

Prepared by

Kristine M. Scannell, M.S.L.S., National Library of Medicine

Douglas A. Perednia, M.D., Oregon Health Sciences University

Henry M. Kissman, Ph.D.

U.S. DEPARTMENT OF HEALTH
 AND HUMAN SERVICES
Public Health Service
National Institutes of Health

National Library of Medicine
Reference Section
8600 Rockville Pike
Bethesda, Maryland  20894

1995


National Library of Medicine Cataloging in Publication

Scannell, Kristine
    Telemedicine: past, present, future : January 1966 through
  March 1995 : 1634 citations / prepared by Kristine Scannell,
  Douglas A. Perednia, Henry M. Kissman. -- Bethesda, Md.
  (8600 Rockville Pike, Bethesda 20894) :  U.S. Dept. of
  Health and Human Services, Public Health Service, National
  Institutes of Health, National Library of Medicine,
  Reference Section ; Pittsburgh, PA : Sold by the Supt. of
  Docs., U.S. G.P.O., 1995.
    -- (Current bibliographies in medicine ; 95-4)

    Available from NLM at no cost through Internet FTP.

    1. Telemedicine - bibliography  2. Telecommunications -
  bibliography  I. Perednia, Douglas A.  II. Kissman, Henry M.
  III. National Library of Medicine (U.S.).  Reference Section
  IV. Title  V. Series

  02NLM: ZW 1 N272 no.95-4

SERIES  NOTE

Current Bibliographies in Medicine (CBM) is a continuation
in part of the National Library of Medicine's Literature
Search Series, which ceased in 1987 with No. 87-15.  In 1989
it also subsumed the Specialized Bibliography Series.  Each
bibliography in the new series covers a distinct subject
area of biomedicine and is intended to fulfill a current
awareness function.  Citations are usually derived from
searching a variety of online databases.  NLM databases
utilized include MEDLINE, AVLINE, BIOETHICSLINE, CANCERLIT,
CATLINE, HEALTH, POPLINE and TOXLINE.  The only criterion
for the inclusion of a particular published work is its
relevance to the topic being presented; the format,
ownership, or location of the material is not considered.

Comments and suggestions on this series may be addressed to:

               Karen Patrias, Editor
               Current Bibliographies in Medicine
               Reference Section
               National Library of Medicine
               Bethesda, MD  20894
               Phone: 301-496-6097
               Fax: 301-402-1384
               Internet: patrias@nlm.nih.gov

Ordering Information:

Current Bibliographies in Medicine is sold by the
Superintendent of Documents, U.S. Government Printing
Office, P.O. 371954, Pittsburgh, PA  15250-7954.  To order
the entire CBM series for calendar year 1995 (approximately
10 bibliographies), send $47.00 ($58.75 foreign) to the
Superintendent of Documents citing GPO List ID: CBM94.  For
your convenience an order blank is given inside the back
cover.  Orders for individual bibliographies in the series
($4.75, $5.94 foreign) should be sent to the Superintendent
of Documents citing the title, CBM number, and the GPO List
ID given above.

Internet Access:

The Current Bibliographies in Medicine series is also
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Use of funds for printing this periodical has been approved
by the Director of the Office of Management and Budget
through September 30, 1995.


TELEMEDICINE: PAST, PRESENT, FUTURE

Telemedicine is the use of telecommunications for medical
diagnosis and patient care. It involves the use of
telecommunications technology as a medium for the provision
of medical services to sites that are at a distance from the
provider.  The concept encompasses everything from the use
of standard telephone service through high speed, wide bandwidth
transmission of digitized signals in conjunction with
computers, fiber optics, satellites, and other sophisticated
peripheral equipment and software.

Telemedicine can be divided into three areas:  aids to
decision-making, remote sensing, and collaborative
arrangements for the real-time management of patients at a
distance.  As an aid to decision-making, telemedicine
includes areas such as remote expert systems that contribute
to patient diagnosis or the use of online databases in the
actual practice of medicine.  This aspect of telemedicine is
the oldest in concept.  Remote sensing consists of the
transmittal of patient information, such as
electrocardiographic signals, x-rays, or patient records,
from a remote site to a collaborator in a distant site.  It
can also include transmittal of grand rounds for medical
education purposes or teleconferences for continuing
education.  Collaborative arrangements consist of using
technology to actually allow one practitioner to observe and
discuss symptoms with another practitioner whose patients
are far away.  This raises important issues of referral and
payment arrangements, staff credentialing, liability, and
licensure potentially crossing state lines.  Two-way work
stations which provide smooth digital motion pictures have
been integral to the long distance, real-time treatment of
patients.  As new technology is found, collaborative
arrangements are the future of telemedicine.

The concept of telemedicine is not new.  Articles on
telemedicine projects can be found in the literature over
the past twenty-five to thirty years.  To gain an historical
perspective, this bibliography  covers the literature on all
three aspects of telemedicine described above going back to
1966 and written in the English language.  Each of the three
areas are limited to aspects of medical diagnosis, patient
care, and education.  It  includes human as well as
veterinary medicine, and  includes the technical aspects as
well as the clinical concerns.  Areas of patient record
storage or shared hospital and computer resources are not
addressed since they do not relate directly to patient care.
 Several related issues such as the Unified Medical Language
System, Integrated Advanced Information Management Systems,
and communications technology infrastructures, are addressed
but only as they relate to telemedicine.  Arrangement is by
subject, and items may appear in more than one category.
Within each category, arrangement is alphabetical by author.

The compilers would like to thank Lori Klein and the other
members of the Reference Section and National Information
Center for Health Services Research and Health Care
Technology at the National Library of Medicine for editorial
and production assistance.


SEARCH  STRATEGY

A variety of online databases are usually searched in
preparing bibliographies in the CBM series.  To assist you
in updating or otherwise manipulating the material in this
search, the strategy used for the NLM's MEDLINE database is
given below.  Please note that the search strategies
presented here differ from individual demand searches in
that they are generally broadly formulated and irrelevant
citations edited out prior to printing.

SAVESEARCH

SS 1 = TELEMEDICINE

SS 2 = TELECOMMUNICATIONS

SS 3 = COMPUTER COMMUNICATION NETWORKS

SS 4 = REGIONAL MEDICAL PROGRAMS

SS 5 = (TW) TELEMEDICINE OR ALL TELEPATHOLOG: OR
       ALL TELERADIOLOG: OR ALL TELEMICROSCOP: OR TELEPSYCHIATR: OR   
       TELEHYGIENE OR ALL TELETHERMOGR: OR ALL TELEPRESENCE# OR
       ALL TELEELECTROCARDIOGR:

SS 6 = (TW) TELEDIAGNOSIS OR TELENUCLEAR OR
       ALL TELEDERMATOLOG: OR ALL TELEOPERATION# OR TELECARE

SS 7 = (TW) VIRTUAL AND SURGERY

SS 8 = TS (TI) :VIRTUAL SURGERY: OR :VIRTUAL SURGERY: (AB)

SS 9 = (TW) REAL AND TIME AND PATIENT AND MANAGEMENT

SS 10 = TS (TI) :REAL TIME PATIENT MANAGEMENT: OR
        :REAL TIME PATIENT MANAGEMENT: (AB)

SS 11 = (TW) SHARED AND PATIENT AND DATA

SS 12 = 1 OR 2 OR 3 OR 4 OR 5 OR 6 OR 8 OR 10 OR 11

SS 13 = FINISHED

SEARCHNAME? = SEARCH#1

ERASEALL

SAVESEARCH

SS 1 = (TW) TELEROBOTICS OR TELEMATICS OR
       ALL TELECONSULTATION# OR  TELEMONITORING OR
       TELEMANAGEMENT OR MAN-MACHINE SYSTEMS (MH) OR
       COMPUTER SIMULATIONS (MH)

SS 2 = (TW) TELEVISION OR ALL DATAGLOVE# OR ROBOTICS OR
       ALL TELETRANSMISSION# OR ALL TELECONFERENC: OR
       ALL AUDIOCONFERENC: OR ALL AUDIOTELECONFERENC: OR
       ALL VIDEOCONFERENC: OR ALL VIDEOTELECONFERENC: OR
       INTERNET OR MOSAIC OR ALL GOPHER# OR HPCC OR ALL HOLOGRAPH:  

SS 3 = (TW) VIRTUAL AND REALITY

SS 4 = TS (TI) :VIRTUAL REALITY: OR :VIRTUAL REALITY: (AB)

SS 5 = (TW) DISTANCE AND LEARNING

SS 6 = TS (TI) :DISTANCE LEARNING: OR :DISTANCE LEARNING: (AB)

SS 7 = (TW) WORLD AND WIDE AND WEB

SS 8 = (TW) HUMAN AND INTERFACE AND TECHNOLOGY

SS 9 = TS (TI) :HUMAN INTERFACE TECHNOLGY: OR
       :HUMAN INTERFACE TECHNOLOGY: (AB)

SS 10 = (TW) ELECTRONIC AND ALL INTERFACE#

SS 11 = TS (TI) :ELECTRONIC INTERFACE: OR
        :ELECTRONIC INTERFACE: (AB)

SS 12 = (TW) REMOTE AND ALL CONSULTATION#

SS 13 = TS (TI) :REMOTE CONSULTATION: OR
        :REMOTE CONSULTATION: (AB)

SS 14 = (TW) ALL DIGIT: AND ALL IMAG:

SS 15 = SENS (TI) :DIGIT:IMAG: OR :DIGIT:IMAG: (AB)

SS 16 = (TW) HIGH AND PERFORMANCE AND COMPUTING AND
        COMMUNICATIONS

SS 17 = 1 OR 2 OR 4 OR 6 OR 7 OR 9 OR 11 OR 13 OR 15 OR 16

SS 18 = 17 AND DIAGNOSTIC (TW) OR 17 AND DIAGNOSIS (TW) OR
        17 AND SURGERY (TW) OR 17 AND SURGICAL (TW) OR 17 AND
        ALL RADIOLOG: OR 17 AND ALL PATHOLOG:

SS 19 = 17 AND DELIVERY OF HEALTH CARE OR
        17 AND PATIENT CARE PLANNING OR
        17 AND PHYSICIAN PRACTICE PATTERNS OR
        17 AND PROFESSIONAL PRACTICE OR
        17 AND PROBLEM SOLVING OR
        17 AND PHYSICIAN-PATIENT RELATIONS

SS 20 = 17 AND ALL TREATMENT# OR 17 AND EDUCATION (MHF)

SS 21 = 18 OR 19 OR 20

SS 22 = FINISHED

SEARCHNAME? = SEARCH#2

ERASEALL

SAVESEARCH

SS 1 = EXP ONLINE SYSTEMS OR EXP INFORMATION STORAGE A#D
       RETRIEVAL

SS 2 = DELIVERY OF HEALTH CARE OR PATIENT CARE PLANNING OR
       PHYSICIAN-PATIENT RELATIONS OR PROFESSIONAL PRACTICE OR
       PHYSICIAN PRACTICE PATTERNS OR  PROBLEM SOLVING OR
       HEALTH PERSONNEL (PX)

SS 3 = EXP ONLINE SYSTEMS/UT

SS 4 = 1 AND 2 OR 3

SS 5 = FINISHED

SEARCHNAME? = SAVE SEARCH#3

ERASEALL

SS 1 = SEARCH#1 (SN) OR SEARCH#2 (SN) OR SEARCH#3 (SN)

GRATEFUL MED

To make online searching easier and more efficient, the
Library offers GRATEFUL MED, microcomputer-based software
that provides a user-friendly interface to most NLM
databases.  This software was specifically developed for
health professionals and features multiple choice menus and
"fill in the blank" screens for easy search preparation.
GRATEFUL MED runs on an IBM PC (or IBM-compatible) with DOS
2.0 or a Macintosh, and requires a Hayes (or
Hayes-compatible) modem.  It may be purchased from the
National Technical Information Service in Springfield,
Virginia, for $29.95 (plus $3.00 per order for shipping).
For your convenience, an order blank has been enclosed at
the back of this bibliography.


SAMPLE  CITATIONS

Citations in this bibliographic series are formatted
according to the rules established for Index Medicus*.
Sample journal and monograph citations appear below.  For
journal articles written in a foreign language, the English
translation of the title is placed in brackets; for
monographs, the title is given in the original language.  In
both cases the language of publication is shown by a three
letter abbreviation appearing at the end of the citation.
Note also that a colon (:) may appear within an author's
name or article title.  The NLM computer system
automatically inserts this symbol in the place of a
diacritical mark.

       Journal Article:

          Authors                  Article Title

     Perednia DA, Allen A.  Telemedicine technology and
clinical              
      applications. JAMA 1995 Feb 8;273(6):483-8.  

            Journal  Title     Date   Volume  Issue  Pages
    


       Monograph:

        Authors/Editors                      Title

     Grigsby J, editor.  Analysis of expansion of access to
care through use  
      of telemedicineand mobile health services.  Denver:
Center for Health    
      Policy Research; 1994. 4 vols.   

                    Date     Total No.           Place of    
Publisher   
                           of Pages/Vols.      Publication   
  
                       

*For details of the formats used for references, see the
following publication:

     Patrias, Karen. National Library of Medicine
recommended formats for bibliographic citation.  Bethesda
(MD):  The Library; 1991 Apr.
     Available from: NTIS, Springfield, VA; PB91-182030.

TABLE  OF  CONTENTS

                                        
     Telemedicine Applications
 
          Named Projects
          Military Projects
          Home Health Care    
          General Applications

     Telemedicine in Education                         

          Medical Education
          Allied Health Education
          Continuing Education
          Other Educational Applications

     Information Collection & Databases
          in Relationship to Patient Care

     Telecommunication Systems & Networks

          Standards
          Information Systems
          Internet & High Performance
            Computing & Communications
          General Applications

     Equipment & Technology                       

          General
          Teleradiology
          Telepathology
          Telepsychiatry
          Teledermatology

     Legal & Privacy Issues

     Financial & Business Issues

     Grant Programs, Awards, & Funding

     Future Trends

     Other     


TELEMEDICINE APPLICATIONS

 Named Projects

Akselsen S, Eidsvik AK, Folkow T. ISDN: new possibilities
for telemedicine. Telektronikk 1993;89(1):64-71.

Allen A, Cox R, Thomas C. Telemedicine in Kansas. Kans Med
1992 Dec;93(12):323-5.

American Indian Telecommunications Satellite Demonstration
Project. Summary report. Houston (TX): Lyndon B. Johnson
Space Center; 1979 May. 46 p. Available from: ERIC
Processing and Reference Facility, Rockville MD; ED173012.
Sponsored by the All Indian Pueblo Council, Albuquerque
(NM); Department of the Interior; National Aeronautics and
Space Administration.

An analysis of cardiac care unit experiences. The Virginia
Regional Medical Program's cardiac unit study group. Va Med
Mon 1975 Mar;102(3):205-13.

Anderson J, Sanders J. Developing Georgia's telemedicine
network. Healthc Inform 1993 May;10(5):66, 68.

Andrus WS, Bird KT, Krainin S. An evaluation of the
teleconsultation system elements. Report for 1970 Mar-1975
Jun. Boston: Massachusetts General Hospital; 1975 Jun.
Contract No.: EMI-74C-011-03. 110 p. Available from: NTIS,
Springfield, VA; PB-242 584.

ATM aids neurosurgeons. Provides ATM premises switches to VA
Neurological Institute. Commun Week Int 1994 Apr 11:11.

Au G, Ching KK, Kunihiko H. The development of telework in
the health care industries.  In: Nunamaker JF Jr, Sprague RH
Jr, editors.  Proceedings of the 28th Annual Hawaii
International Conference on System Sciences; 1995 Jan 3-6;
Wailea, HI.  Los Alamitos (CA): IEEE Comput. Soc. Press;
1995.  p. 456-65.

Bailes JE. Neurolink: a neurosurgical wide-area computer
network. Neurosurgery 1994 Oct;35(4):732-6.

Bashshur RL. Technology serves the people: the story of a
co-operative telemedicine project by NASA, the Indian Health
Service and the Papago people. Washington (DC): National
Aeronautics and Space Administration; 1980. 115 p. Available
from: US GPO, Washington, DC; 017-028-00009-0.

Bashshur RL, Armstrong PA. Telemedicine: a new mode for the
delivery of health care. Inquiry 1976 Sep;13(3):233-44.

Bashshur RL, Armstrong PA, Hayward S, Aldridge G, Fidel S.
Rural health care and telemedicine: a study of a rural
health care system and interactive television. Vol. 1,
Project summary; interim report.  Ann Arbor (MI): Michigan
University, Dept. of Medical Care Organization; 1975 Jun.
242 p. Available from: NTIS, Springfield, VA; PB81-204273.
Sponsored by the National Science Foundation.

Bashshur RL, Armstrong PA, Saphire-Bernstein I, Lovett J,
Whittaker B. Rural health and telemedicine: a study of a
rural health care system and interactive television. Final
report. Ann Arbor (MI): Michigan University, Dept. of
Medical Care Organization; 1976. 300 p. Available from:
NTIS, Springfield, VA; PB-264 544/8. Sponsored by the
National Science Foundation.

Bashshur RL, Lovett J. Assessment of telemedicine: results
of the initial experience. Aviat Space Environ Med 1977
Jan;48(1):65-70.

Bast D, Schmidt J, editors. 2nd annual reader: Northern
Wisconsin Symposium on Human Services in the Rural
Environment; 1976 Oct 7-8; Cable, WI. Milwaukee (WI): Center
for Social Service; 1977. Available from: ERIC Processing
and Reference Center, Rockville, MD; ED148529.

Baxter WE. Substitute system for rural health care. Chicago
(IL): American College of Hospital Administrators; 1976 Mar.
61 p. Available from: NTIS, Springfield, VA; HRP-0015608/3.

Beck JR, Krages KP, Ash J, Gorman PN. Outreach to Oregon
physicians and hospitals: 5000 by 2000. Ann Acad Sci 1992
Dec 17;670:91-7.

Beck SL. Telemedicine as a supplementary information source
for physicians, nurses and managers [masters thesis]. [East
Lansing (MI)]: Michigan State University; 1987. 93 p.

Beers KN Sr, Mohler SR. The new FAA national automated ECG
network: some aviation medical examiner experiences. Aviat
Space Environ Med 1991 Jan;62(1):62-6.

Bird RM, Schoolman HM, Stengle JM. The Jeremiah Metzger
lecture. Information transfer in the service of medicine.
Trans Am Clin Climatol Assoc 1977;88: 158-71.

Borzo G. States leading the way with telemedicine projects.
(communication networks for medical practices). Am Med News
1994 Nov 21;37(43):6.

Borzo G. Telemedicine brings electronic house calls to
Georgia. (Medical College of Georgia to install interactive
televison). Am Med News 1994 Sep 5;37(33):9.

Bratrude AP. Washington - Alaska: the rural area. Postgrad
Med 1970 Oct;48(4):274-7.

Brick JE, Schreiber D. West Virginia's Mountaineer Doctor
Television. J Med Syst 1993 Dec;17(6):371-6.

Bullinger HJ. Remote direct manipulation: a case study of a
telemedicine workstation.  In: Keil-Slawik R, Plaisant C,
Shneiderman B, editors.  Human aspects in computing design
and use of interactive systems and work with terminal.
Proceedings of the 4th International Conference on
Human-Computer Interaction; 1991 Sep 1-6; Stuttgart,
Germany.  Amsterdam (Neth): Elsevier; 1991.  p. 1006-11.

Burke JE. Medical adaptation of microwave to health delivery
II: the continuation phase. Interim report. Athens (OH):
Ohio Valley Health Services Foundation, Inc.; 1971 Jan. 106
p. Available from: NTIS, Springfield, VA: HRP-0000549/6.

Busack G. Rural connections. Iowa hospitals are establishing
communications link to better serve rural areas. Health Prog
1994 Apr;75(3):48-50.

Busch C. Telepathology in Sweden. A national study including
all histopathology and cytology laboratories. Zentralbl
Pathol 1992 Dec;138(6):429-30.

Buseman S, Amundson LH. Rural health care networks in South
Dakota. S D J Med 1993 Oct;46(10):361-3.

Castle CH. Regional Medical Programs: implications for the
intermountain area. Rocky Mt Med J 1967;64:51-5.

Cellerino R, Signoretti P, Piga A. TELECOS project: the
experience of the Marche Region. Rays 1991
Oct-Dec;16(4):431-5.

Cellini N, Trodella L, Valentini V. The TELECOS project:
experience of the Istituto di Radiologia, Universita
Cattolica del S. Cuore, of Rome. Rays 1991
Oct-Dec;16(4):452-5.

Charbonneau L. Telehealth: making health care truly
accessible in the north. Can Nurse 1982 Oct;78(9):18-23.

Chezik KH, Pratt JE, Stewart JL, Deal VR. Addressing service
delivery in remote/rural areas. ASHA 1989 Jan;31(1):52-5.

Clements C. HealthNet connects Africa to vital medical data.
Satell Commun 1992 Jan;16(1):18-21.

Clements C. SatelLife. Partnerships in global communication
for health. Med War 1990 Jan-Mar;6(1):37-8.

Concurrent sessions: medical and health applications.
Appalachia 1982 Winter;25(1):17-8.

Connecting urban doctors and rural patients. Commun News
1994 Feb;31(2):26-9.

Covey HD, et al. Remote psychiatric and psychological
services via the Communications Technology Satellite (CTS).
Paper presented at: 3rd Canadian Conference on Information
Science; 1975 May 7-9; Quebec City, Quebec, Canada. [9 p.].
Available from: ERIC Processing and Reference Facility,
Rockville, MD; ED108591.

Cunningham N, Marshall C, Glazer E. Telemedicine in
pediatric primary care: favorable experience in
nurse-staffed inner city clinic. JAMA 1978;240:2749-51.

Curtis AC. The patient care component: patient-centered
horizontal integration in a vertical world. Proc Annu Symp
Comput Appl Med Care 1994:580-4.

DeBow Y. North Carolina creates health care info/comm
alliance. (Health Insurance and Technology supplement).
Insur Technol 1994 Sep;19(9):S38.

Delaplain CB, Lindborg CE, Norton SA, Hastings JE. Tripler
pioneers telemedicine across the Pacific. Hawaii Med J 1993
Dec;52(12):338-9.

Diagnosis: video net needed. Trial medical videoconferencing
network in Texas aims to reach those in rural areas. Commun
Week 1991 Jul 1:22.

Dunbar C. University of Iowa links rural providers. Health
Manag Technol 1994 Aug;15(9):20-22, 24.

Dunn E, Conrath D, Acton H, Higgins C, Bain H. Telemedicine
links patients in Sioux Lookout with doctors in Toronto. Can
Med Assoc J 1980 Feb 23;122(4):484-7.

Dunn EV, Conrath DW, Bloor WG, Tranquada B. An evaluation of
four telemedicine systems for primary care. Health Serv Res
1977 Spring;12(1):19-29.

Dutton G. The Oklahoma telemedicine network. Inform 1994
Nov;8(10):26-32.

Eide TJ, Nordrum I. Frozen section service via the
telenetwork in Northern Norway. Zentralbl Pathol
1992;138(6):409-12.

Engebretson GR, Larimore GW, Moore CE. The Florida Regional
Medical Program. A report. J Fla Med Assoc 1975
Dec;62(12):43-7.

Feingold M, Frias J, Lin AE, Schaefer GB, Horwitz M.
Telediagnostic conferencing. Am J Dis Child 1993
Nov;147(11):1196.

Ferguson DK, et al. Electronic information delivery systems:
reports on five projects sponsored by the Fred Meyer
Charitable Trust. Libr Hi Technol 1987 Summer;5(2):65-93.

Ferguson M. Telemedicine international. Inform 1994
Nov;810(10):34-6.

Fitzgerald M. Pictures tell the story to Atlanta doctors.
Computerworld 1994 Sep 26;28(39):77.

Foote DR. A case study evaluation of a satellite video
telemedicine project in rural Alaska [dissertation].
Stanford (CA): Stanford University; 1976. 225 p.

From S, Stenvold LA, Danielsen T. Telemedicine services
integrated into a health care network-analysis of
communication needs in a regional health care system.
Telektronikk 1993;89(1):12-22.

Fuchs M. Provider attitudes toward STARPAHC: a telemedicine
project on the Papago reservation. Med Care 1979
Jan;17(1):59-68.

Gareiss R. Bridging the gap: video conferencing brings the
medical center to the boondocks. Am Med News 1993 Jul
26;36(28):21.

Gengler B. Digital doctors: saving time and lives with ISDN:
a Tennessee hospital upgrades its modem links to ISDN
bridges for its remote radiology workgroups. LAN Comput 1994
Jun;5(6):45.

Goldmark PC, Kraig B, Eginton AB. Communications for
survival. In: EASCON 76 Record; 1976 Sep 26-29; Washington,
DC. New York: IEEE; [1976].   p. 99A/1-32.

Goldstein SS. Assisted recording of the medical history
(ARM): a method of recording the medical history during the
interview. Comput Biol Med 1974 Dec;4(2):215-22.

Gomez EJ, del Pozo F, Quiles JA, Sanz M, Rahms H, Vaquero
JJ, Cano P, Hernando ME, Arredondo MT. A telemedicine
distributed system for cooperative medical diagnosis. Proc
Annu Symp Comput Appl Med Care 1994:433-7.

Goodenow RK, Carpenter SK. Designing and implementing a
rural telemedicine project. Intell Tutoring Media 1994
Dec;5(3-4):131-8.

Grigsby J. Analysis of expansion of access to care through
use of telemedicine and mobile health services.  Denver
(CO): Center for Health Policy Research; [1993-94].
Contract no.: HCFA 500-92-0046.  4 vols.  Sponsored by the
Health Care Financing Administration, Dept. Health and Human
Services.

Groenewegen PP, Hutten JB. Improving primary health care
through technological innovation. Health Policy
1989;13(3):199-211.

Grundy BL, Crawford P, Jones PK, Kiley ML, Reisman A, Pao
YH, Wilkerson EL, Gravenstein JS. Telemedicine in critical
care: an experiment in health care delivery. JACEP 1977
Oct;6(10):439-44.

Grundy BL, Jones PK, Lovitt A. Telemedicine in critical
care: problems in design, implementation, and assessment.
Crit Care Med 1982 Jul;10(7):471-5.

Guterl F. The doctor will see you now, just not in person:
Health reform and high tech have made telemedicine viable at
last. Bus Week 1994 Oct 3;(3392):117.

Hannaway W. Tele-health. Telecommunications 1981
Jul;15(7):52-3.

Harrison EA. Rural health services. Vol. 1, February,
1976-November, 1977; a bibliography with abstracts.
Springfield (VA): National Technical Information Service;
1978 Nov. 312 p.

Harrison EA. Rural health services. Vol. 2, December
1977-November 1979; a bibliography with abstracts.
Springfield (VA): National Technical Information Service;
1979 Dec. 200 p.

Harrison JL. Telemedicine: the Ontario Project. Med Electron
1980 Oct;11(5):84-9.

Harrison J, McIntosh D. Seven years later: an update on the
Telemedicine Project. Biomed Commun 1984 Apr;12(2):28-31.

Hartman JT. Using telecommunications to improve rural health
care: the Texas Technology MEDNET demonstration Project,
January 1, 1989-June 30, 1992.  Lubbock (TX): Texas Technol
University Health Sciences Center; [1992].  2 vol.

Health provision goes online. Nature 1988 Jun
23;333(6175):727.

Henceroth S. An application of decision modeling to Indian
health care. Interfaces 1978 Nov;9(1):18-24.

Higgins CA, Conrath DW, Dunn EV. Provider acceptance of
telemedicine systems in remote areas of Ontario. J Fam Pract
1984 Feb;18(2):285-9.

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