Abstract
The Quadruple Aim — enhancing patient experience, improving population health, reducing costs and improving the work life of healthcare providers — is widely accepted as a compass to optimise health system performance. Access to timely, high-quality health-care services is an ongoing challenge in most rural communities in the USA, and a shortage in family practice and specialty-trained physicians is increasing rapidly according to current projections. In addition, a significant number of rural facilities are facing financial challenges and potential closure. Telemedicine offers an innovative solution to these problems in rural America by increasing access to medical specialty expertise. This paper considers the implementation of telemedicine services and potential barriers to its successful implementation, and describes examples of successful telemedicine programmes.
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