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Providing health care services in today's world include constant pressure to increase the quality of patient care, reach new markets, provide new services and control costs. Many TANDBERG users found that with traditional health care practices the patient care at remote locations was of lower quality than at the central location. Patients were faced with more travel, higher costs and long waits in their efforts to receive specialized care. Among the professionals within the practice, knowledge transfer and continuing education was limited, resources were scarce and practitioners felt isolated from the network of doctors and nurses throughout the system.