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1. Introduction 2. Overview of Telemedicine 2.1 Definition and History 2.2 Technological Advancements 2.3 Regulatory Framework 3. Patient-Centered Care Concepts 3.1 Definition and Importance 3.2 Principles of Patient-Centered Care 3.3 Challenges in Rural Settings 4. Telemedicine in Rural Healthcare 4.1 Access and Availability 4.2 Cost-Effectiveness Analysis 4.3 Case Studies in Rural Areas 5. Impact on Nursing Practices 5.1 Workflow and Efficiency 5.2 Communication with Patients 5.3 Skill Development Requirements 6. Benefits to Patients 6.1 Improved Access to Specialists 6.2 Enhanced Monitoring and Follow-up 6.3 Patient Satisfaction and Outcomes 7. Challenges and Limitations 7.1 Technological Barriers 7.2 Privacy and Security Concerns 7.3 Resistance to Change Among Providers 8. Future Directions and Recommendations 8.1 Policy and Infrastructure Development 8.2 Training and Education for Staff 8.3 Integration with Traditional Care Methods
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