This journal states that outsourcing medical care can be viewed as a positive thing because it is enabling doctors to focuse on improved quality to access specalized care. This has allowing patients to recieve care from the best providers. The ICU (Intensive Care Unit) has off- sited intensivists monitors patients by close- circuit televisons. This allows off shore physicians to adivse local providers.
http://content.nejm.org/cgi/content/full/354/7/661#F1
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