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We also identified other frequently mentioned themes and briefly summarized recommendations for those topics. Literature scoring resulted in the following topics telemedicine usage (42 publications), system design and operating models (43 publications), as well as difficulties with credentialing (5 publications), licensure (6 publications), liability (4 publications), reimbursement (5 publications), and technology (24 publications). Recommendations from each category were qualitatively summarized. Limited information exists about the prevale