title: Telemedicine in a box: overcoming complexity and high-cost telemedicine barriers using self-contained videoconferencing units.
abstract: This report describes our experience using low-and moderate-cost videoconferencing systems for telemedicine. After determining that low-cost systems using a standard personal computer and personal computer camera were unsatisfactory, a demonstration project was carried out using a $4000 self-contained videoconferencing unit (telemedicine in a box), using eight simulated telemedicine consultation scenarios. The quality of the videoconferencing was good for all eight scenarios. All eight consultation simulations demonstrated different ways of improving patient care. Two of the major problems hindering the broad proliferation of telemedicine (high cost and high complexity) are solved by the telemedicine in a box concept. Focussing on the telemedicine in a box concept when planning a telemedicine system will improve its feasibility in the real world of health care.
authors.affiliation: Department of Pediatrics, University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii, USA. Loreny@hawaii.edu
authors.forename: L G
authors.initials: LG
authors.lastname: Yamamoto
authors.forename: C S
authors.initials: CS
authors.lastname: Toma
authors.forename: C K
authors.initials: CK
authors.lastname: Bell
mesh_terms: D006801:Humans; D017216:Telemedicine / Q000191:economics / Q000295:instrumentation / Q000379:methods