Interpretations to above challenges are:
1. ROI is not attractive and it may take much longer to realize any profits.
2. Its hospital/institution driven.
3. Scalability is a bigger challenge as it involves continued investment for slowand unpredictable ROI. The asset infrastructure is a mjor hurdle for scalability.Success of any thing to do with consumer is often driven by consumers.I think that success of telemedicine would be achieved by-1. Enabling the consumer to free them from this entire process and2. Bring the healthcare to real-time management.This will enable consumers to drive it (Usage and promotion-Word of mouth). Enablingconsumer would also mean converging technologies and offering it as a simple tool atuser interface that would reside on desktops or mobile phones. This could possibly be called telemedicine 2.0 Telemedicine as a field may no more be astand alone business model. It would possibly merge into something that is officiallycalled as "e-health"