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Table 1 Obstacles to the development of tele-medicine [5, 14]

From: Tele-medicine in respiratory diseases

• Lack of knowledge among patients, citizens and even professional care-givers.  
• Lack of connections among different systems.  
• Lack of clear evidence of cost-effectiveness.  
• Fears of potential legal conflicts.  
• Lack of transparency on data utilisation.  
• Reimbursement issues.  
• High initial costs.