Over the next five to ten years the accelerating development of comput
ing and broadband networks will lead to a revolution in the ways in wh
ich health care is delivered. Patients will spend less time in the gre
at institutions of the tertiary hospitals and the illnesses taking the
m there will assume a different pattern. The new information technolog
ies will foster the emergence of general practices with a new emphasis
on keeping patients in their communities for medical management. Know
ledge exchange and delivery-to both patient and practitioner-will ther
efore become an increasingly important component of the health-care sy
stem in the next millennium.