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or distance education, such as videoconferencing, streaming media and webconferencing, as well as the requirements for the communication network, are discussed in the previous section of this chapter
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335 How does society bene t from telemedicine
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Telemedicine applications bring direct (measurable) and indirect bene ts Direct bene ts from the increased effectiveness of medical processes include:
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r savings in treatment costs, due to more ef cient internal working processes of the health r savings in materials (such as lms, paper); r savings in travel costs, time, etc of the medical and technical personnel; r savings in travel costs and work time of the patients, or citizens to be screened
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Indirect bene ts include: care organizations;
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r screenings can be made available for citizens in rural/sparsely populated areas; r patients at local points of care can receive more ef cient treatment through the possibility r in general, telemedicine contributes to the improvement of quality of life of citizens
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of remote consultations;
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34 E-government applications 341 Overview
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During the last decade, the emergence of the Internet and related technologies led to the development of e-government, or electronic government, services E-government is a broad term, referring to e-government services themselves, the underlying applications and technology and the related nontechnical issues, such as management of e-government services and social aspects Typical examples of e-government projects and services are as follows
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r e-government portals (at local, regional and state level, also cross-level portals); r kiosks: public places to allow citizens to access e-government services free, or at low cost; r digital signatures: these are a necessary ingredient of many e-government services, such as r technology centers for communities: public places where citizens or user groups can get
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advice on how to use e-government services, obtain training, assistance in building networks for communities, etc; r e-procurement: this makes the usual public purchase procedures simpler, less costly, easy to manage and controllable by the public There are several nontechnical challenges: ling tax reports or using different applications;
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r education of the citizen is a key to success; r it is necessary to de ne optimal implementation/operation models, often with public private
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partnership;
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Applications and Services to Meet Society-Related Needs
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r the introduction of e-government services requires a reform of the public administration, or r users require a high level of trustworthiness citizens expect that the government provides r there is a danger of being technology driven
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protection of information, reliability and availability and integrity of information systems; at least re-engineering of the processes within administrative organizations;
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The discussion of these extremely important social and management aspects is outside the scope of this chapter Technical challenges include:
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r telecom infrastructure and services for public institutions; r building and operating public access places; r access to services in traditionally underserved areas; r access by the method the users choose; r access via a variety of user platforms at home and at public access places (PC, mobile, PDA,
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TV set) The next section will address some of the technical challenges, primarily related to ef cient, ubiquitous and multiplatform access to e-government services by citizens E-government applications bring direct (measurable) and indirect bene ts, including:
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r making transactions with government organizations faster and smoother; r saving citizens time and expense; r increasing the productivity of the public sector, due to more ef cient intra-government r coping with unemployment; r fostering interactions, networking among citizens, increased participation of all citizens in r improving quality of life; r closing the digital divide
the government; operations;
342 Providing access to e-government services
Of the technological challenges, we are going to address the delivery aspects of e-government services in the rest of this chapter The main requirements for the telecommunication service are that it has to be (i) ubiquitous, including rural and sparsely populated areas; (ii) inexpensive for basic e-government services for the citizens; and (iii) expandable to broadband as soon as the residents want to access new, advanced services that require much higher bandwidth Typically, traditional telecommunication companies and ISPs can satisfy none of these conditions The service is not ubiquitous: populations in sparsely populated (rural) areas, or geographically challenged regions (mountains) remain underserved, as network deployment costs are too high compared with the expected revenues Even the basic Internet service is often too expensive for citizens of lower income In addition, most telcos are stuck with a single technology used for access in a particular area (copper subscriber lines, cable, wireless) and for them it is not viable economically to upgrade their access network to provide new broadband services