A national telemedicine network was established in Mexico, based on satelli
te transmission. Six remote hospitals were connected during the first phase
in 1997. The network applications included distance learning and administr
ation. In addition, 476 clinical consultations were carried out in the firs
t six months (to March 1998). Clinical problems were solved in the telecons
ultation in 159 cases (33%). The patient was transferred in 217 cases (46%)
. The 16 most common specialties at the six remote sites accounted for 274
teleconsultations, and cardiology and orthopaedics accounted for just over
half of all teleconsultations. One of the six remote sites accounted for 41
% of the teleconsultations.