title: Telemedicine in rural care. Part 2: Assessing the wider issues.
abstract: BACKGROUND
  The first article about this development (Macduff et al 2001) described the evolution of a nurse-led telemedicine service in the village of Hamlet (population 1,600), north-east Scotland, and presented the findings of an evaluation study. In this second article, those findings are discussed in relation to the wider picture of nursing involvement in teleconsultation. The village has no medical practice or pharmacy and the majority of Hamlet's residents aged over 65 are registered with the Bradieslea Road surgery, one of three general practices six miles away in the town of Bradieslea. The community nursing service is based in small rooms at a sheltered housing complex in the village. This service covers all patients in the Hamlet area. It is staffed by one full-time district nurse/health visitor (who acts as team leader) and one part-time district nurse. Both are qualified nurse prescribers.
  
  
  CONCLUSIONS
  Opportunities now exist for nurses to use teleconsultation for the benefit of their patients. A systematic development of this type of nursing role through integration with broader service development would be valuable.
authors.affiliation: Centre for Nurse Practice, Research and Development, Robert Gordon University, Aberdeen.
authors.forename: C
authors.initials: C
authors.lastname: Macduff
authors.forename: B
authors.initials: B
authors.lastname: West
authors.forename: S
authors.initials: S
authors.lastname: Harvey
mesh_terms: D000368:Aged; D001294:Attitude to Health; D003152:Community Health Nursing / Q000458:organization & administration*; D017598:Efficiency, Organizational; D015577:Geriatric Assessment; D005851:Geriatric Nursing / Q000458:organization & administration*; D006801:Humans; D020380:Needs Assessment / Q000458:organization & administration*; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D011320:Primary Health Care / Q000458:organization & administration; D015397:Program Evaluation; D019114:Remote Consultation / Q000458:organization & administration*; D012423:Rural Health; D012606:Scotland