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But medical images such as X-ray and ultrasound scans are often turned into JPEG files either for archiving or to allow them to be sent quickly across networks so that they can be examined by distant specialists.
This in turn could result in an alteration in services offered by the practices to a more peripheral model, especially if patients, as demonstrated elsewhere [ 2], chose to use local generalist services in preference to more distant specialists.
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Lack of public transportation delayed and limited access to distant specialist health care services.
It is possible that security concerns could be lessened if the consultation were not directly between the doctor and the patient in their home, but rather, as in other telemedicine services, between a distant specialist and a health care professional together with a patient in a local clinic.
The missile threat from other nations is more distant, and American specialists are divided over whether Iran can field an intercontinental-range ballistic missile by 2010.
However, we might expect rural physicians to have an even broader scope of practice particularly where they are more distant from other specialists and/or allied health services.
Multidisciplinary meetings, organised by tumour type, took place in each trust, with remote access to oncologists at specialist centres during team meetings held in hospitals geographically distant from the specialist centre.
India's Apollo hospitals regularly use remote video links to connect specialists with distant facilities.
In the past, projects have included distance learning courses for medical professionals and patients, as well as links from rural physicians to specialists at distant medical facilities.
This connection of specialists to distant doctors may also be done internationally, and one Indian hospital has connections to 150 centres globally.
In the not too distant past, veterinarians and agricultural specialists were trained in infectious disease control alongside their colleagues in human medicine.
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