Vision, reality and challenges

The document discusses telehealth and remote patient monitoring. It provides the vision of patient-centered care enabled by telehealth, but notes the reality has been limited to many small pilots with limited evidence of benefits. Key challenges include changing behaviors, engaging providers, integrating services, addressing legal and technical issues, and developing business models. The conclusion is that telehealth could expand slowly over the long term by meeting new health system needs, but successful adoption requires consideration of all stakeholders' interests.