Abstract
Sustainable telemedicine networks are not the norm but rather the exception. Unless a formal programme management model is in place, telemedicine can not be integrated successfully into the mainstream of modern healthcare. Critical factors in achieving sustainable telemedicine have been identified. The programme management model developed for the Nova Scotia Telemedicine Network incorporated the following tools: a telemedicine self-assessment indicator, service modelling, technical design and integration, application development and validation, scheduling, ongoing network management and evaluation.
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