Pilot studies have suggested that telemedicine is a satisfactory means
of delivering nursing services into the home. A home telecare program
me in Kansas provided nursing services to homes in four towns in Kansa
s. The present study examined patients' and nurses' perceptions of a v
ariety of issues related to home telecare. Data-collection methods inc
luded in-depth interviews, observation and analyses of archival data f
rom patient records. Patients suffered an average of 4.6 concurrent il
lnesses. On the whole, patients perceived the system as a valuable res
ource that offered great potential, although many saw no immediate hea
lth benefits for themselves. Nurses were enthusiastic about the prospe
ct of practising in this way, although they did have strong opinions a
bout what types of nurses, patients and illnesses were suited to telem
edicine.