Telemedicine and Telehealth: Principles, Policies, Performance and Pitfalls

Telemedicine and telehealth are changing the face of health care delivery and becoming a multi-billion dollar industry. Dr. Darkins and Dr. Cary share their knowledge and provide practical insights and advice on making telemedicine programs into successful clinical services and a productive business. The book gives background knowledge and useful tips on starting up and managing programs in an array of settings. Most importantly, the book is based on the recognition that patients are customers of health care and telemedicine companies developing new products vital to delivering care to rural or inaccessible clients is vital to health care's future.

This important book begins the necessary critical conversation of defining the fundamental of concepts and terms, as well as those areas of current and future applications, involved in the merging of health care delivery and high technology systems. The authors wisely suggest using the term Telehealth to address the broad range of health applications which high technology, the Internet in particular, can greatly impact.

These concerns are set in the context of both a historical view of health care and society, particularly in the more technologically developed societies of the U.S. Western Europe and Japan, and these societiesÕ current and future trends toward change of lifestyle driven by their adaptation of new technologies. These are vital concerns, both within health care delivery in particular, as well as within the economic and social evolution of these societies in general.

Their book focuses on the patientÕs experience of health care service as facilitated by this new technology rather than being yet another discussion of the fascinating innovations within the technology itself, a very important distinction.

Being physicians themselves, authors Darkins and Cary have professionally grown up through the very cusp of change they are defining for us; they know the pre-high technology delivery of health care and have been witness to, and advocates for, the introduction of high technology to the health care systems in which each have worked, both in the U.S. and England.

Their book is both comprehensive in its discussion of the issues involved as well as being detailed in its coverage of those particulars necessary to see the overall picture clearly.

Because of the timeliness of this merging of high technology and healthcare delivery, one wishes this book could be made more available to a wider reading public through a greater promotional effort by the publisher.
August 25, 2000