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Telemedicine concepts until mid '95 were based on the assumption of rapid onset of the broadband wide area networking infrastructure.
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Dominant anticipated medium was direct life video linkage between patients and physicians.
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However this is not considered by many to be very succesful and new approach to Telemedicine is based on decision support for doctors with an environment very similar to that needed by Command and Control
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Need Image Processing not weather simulation but similar adaptive access to diverse distributed databases
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Slowdown in the ATM deployment, rapid explosion of Web technologies with variable bandwidth conditions, and new social and economic needs for the managed care based medicine, implies currently the paradign shift in the near term telemedicial environments.
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