RT Journal Article SR Electronic T1 Low-bandwidth, low-cost telemedicine consultations in rural family practice. JF The Journal of the American Board of Family Practice JO J Am Board Fam Med FD American Board of Family Medicine SP 123 OP 127 VO 15 IS 2 A1 Thomas E Norris A1 Garu L Hart A1 Eric H Larson A1 Pete Tarczy-Hornoch A1 David L Masuda A1 Sherrilynne S Fuller A1 Peter J House A1 Sarah M Dyck YR 2002 UL http://www.jabfm.org/content/15/2/123.abstract AB BACKGROUND Telemedicine, based on the use of interactive video consultations, is being used more commonly in rural settings. This development is potentially important to rural patients because there are fewer physicians, particularly specialist physicians, in rural areas. Declining costs of telemedicine equipment and transmission have created increased access to these technologies for rural family physicians and their patients.METHODS This study considers satisfaction levels of rural family physicians, academic-based specialists, and rural patients in 130 consultations between rural physicians, rural patients, and urban academic specialists. To increase the practicability for rural use, low-cost equipment and low-bandwidth digital telephone transmission lines were utilized. Data were collected using questionnaires that were completed by patients, family physicians, and specialist consultants after each consultation.RESULTS All categories of participants noted very high levels of satisfaction.CONCLUSION Telemedicine-based consultations are well accepted by rural patients, rural family physicians, and urban academic specialist consultants. This approach could offer a useful adjunct to rural health care.