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Telemedicine


Biofeedback can now be conducted using telemedicine (Earles, Folen & James, 2001). Inmates now receive health care services through telemedicine (Strode, Gutske & Allen, 1999). Tele-home-health, population based telemedicine, interactive video conferencing and store and forward image and record transmission have made it possible to deliver health care services across distances (Petersen, & LaMarche, 2000 & Strode et al., 1999). .
             For the most part, consultations via the Internet or video conferencing are the major ways that health care services are currently provided via telemedicine (Ashley, 2002). Coile (2000) notes that more than 18 million Americans go on line each year seeking health information and advice. The Internet may represent the next great frontier for health care (Coile, 2000). Maddox (2002) observed there has been a marked proliferation of internet sites that provide information about diseases, diagnosis and treatment, disease prevention, health promotion, and individual health risk assessment and profiling services. These services are being coined "online health or e-health (Wooten, 2001)." In addition, patients are seeking online medical care services ranging from one-time interactions for a second opinion to access to prescription drugs or psychotherapy (Miller & Derse, 2002). .
             With the increased use of online and distance health care education has come the development of sophisticated virtual simulation technology (Wooten, 2001). Internet based technology allowing virtual simulation of tissues and blood flow is now available over the Internet (Pushkin, 2001). Work has just recently been completed on two revolutionary virtual simulation technologies. The Human Genome Project (HGP) and the Visible Human Project (VHP) are visual and digitized archives of genetic and anatomic data that can be studied and manipulated via the Internet (Sandelowski, 2002). .
             Global Trends with Telemedicine.


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