1. Introduction 1.1 Background of Telemedicine 1.2 Purpose of the Study 1.3 Research Questions 1.4 Structure of the Paper 2. Literature Review 2.1 Telemedicine in Healthcare 2.2 Rural Healthcare Challenges 2.3 Cost-Effectiveness Concepts 2.4 Previous Reviews and Studies 3. Methodology 3.1 Research Design 3.2 Data Sources and Selection 3.3 Inclusion and Exclusion Criteria 3.4 Data Analysis Techniques 4. Results 4.1 Overview of Findings 4.2 Economic Impact Analysis 4.3 Telemedicine Adoption Rates 4.4 Patient Outcomes and Satisfaction 5. Discussion 5.1 Interpretation of Results 5.2 Comparison with Previous Studies 5.3 Implications for Rural Healthcare 5.4 Limitations of the Study 6. Conclusion 6.1 Summary of Key Findings 6.2 Recommendations for Practice 6.3 Future Research Directions 7. Policy Implications 7.1 Healthcare Policy Reforms 7.2 Funding and Resource Allocation 7.3 Enhancing Access to Technology 8. Case Studies 8.1 Successful Implementations 8.2 Lessons Learned 8.3 Barriers to Expansion
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