British Medical Journal, 1998;317:1496-1502
Interest in how new information technology can be used to improve health is growing steadily. Telemedicine is making it possible to erase geographical constraints on the provision of health care. However, the information revolution is not a worldwide phenomenon: in India today there are fewer than two main telephone lines per 100 people. Even in Western countries such as the United States there is a wide disparity in terms of access to telephones and computers between poor communitiesinner city populations, blacks, and Hispanicsand the suburban elite.