The diffusion of telemedicine services in Australia over the last four year
s has been uneven. Some of the major barriers to the adoption of telemedici
ne relate to the nature of the industry, including its immaturity, the limi
ted telecommunications infrastructure, the lack of appropriate dialogue bet
ween vendors and buyers about solutions required, and the lack of partnersh
ips in the industry. Remuneration is only one barrier. There are, of course
, other substantial organizational, financial and attitudinal barriers to t
he adoption of telemedicine. Further development of telemedicine in Austral
ia will require detailed assessment of these matters.