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Telecommunications technologies and the Internet offer a revolution in management of global healthcare systems and sustainable development. This paper explores emergent telecommunications infrastructur es and the ir consequences for the future of healthcare management using a scenario methodology. A world systems view from evolutionary economics provides a unique perspective on sustainable development. System performance on the dimensions of universal access, equitable resource allocation and consumer participation are evaluated in light of ideological, political and cultural considerations of governance. Alternative scenarios vary according to market dynamics led by healthcare institutions (push) or by consumer demand (pull), and according to system control mechanisms that may be technological ly embedded, institutional or behavioural. The scenario analysis suggests that telecommunications technologies and the Internet may contribute significantly to improve global healthcare system performance, to manage ideological diversity and to reduce the wide inequities that separate the industrialized nations from the developing world. |
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