There are a number of different costs associated with the development
and operation of telemedicine services. A model is proposed in order t
o assist in strengthening the evidence base for telemedicine. It inclu
des the following components: project establishment costs; equipment c
osts; maintenance costs; communication costs; staffing costs. All need
to be considered in arriving at an annual cost figure for operating a
telemedicine service. The inclusion of all these costs, prepared in t
he standard manner outlined in the model, will ensure that a realistic
cost figure is available when evaluating the cost-effectiveness of a
telemedicine service.