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- As been shown expert system demonstrate their advantages and cost-effectiveness, particularly when implemented in large health centers. But because of high initial cost of installation and even maintenance of such expert systems small rural hospitals will experience financial constraints and thus be in a more underprivileged position. This raises a question of necessity of government subsidies in order to eliminate the disparity from which the patients will be those to suffer and bear travel costs in an ultimate state. The policy mentioned is not a novelty, rather an established trend, as rural hospitals had been faced similar issues with purchase of costly contemporary technologies (MRI’s, CAT scans and etc.)

Another interesting query, left open for debates, is associated with liability. No computer system is known to be perfect. Many researchers agree that certain percent of medical errors can still occur due to software imperfection given that the same human being designs such computer program. In this particular case, who bears the liability for mistakes: hospital that acquired poorly tested system or software manufacturer; or do they share the responsibility?   

- Health care policy makers are faced with five areas of special attention: 1) financing and reimbursement of Telematics; 2) legal issues pertaining to security for data protection and patient's rights; 3) quality of care provided with those technologies; 4) peer review, and 5) the impact of Telematics on health outcomes. Alertness from policy makers is indicated for security technologies protecting a safe and reliable transfer of records and data. Therefore, personal data protection and the patient's right to privacy need to be safeguarded through special policy measures for data protection and security. Of particular importance are the ethic-legal questions pertaining to the autonomy and responsibility of physicians in clinical situations directed by a computer in patient encounters at remote sites.

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