Before such benefits can be realized, however, there are a number of regulatory and economic obstacles to overcome. An insight to some of these obstacles can be gleaned from the experiences of the Internet pharmacies. Provision of pharmacy services via the Internet has raised a number of regulatory and human resources issues. The revenue model is also instructive and has implications for the expectations of globalization as a source of revenue for hospitals. This paper will report on the development of one Internet pharmacy and the initiatives of other Internet pharmacies to overcome provincial and federal regulations limiting the provisions of services across borders. Some of these issues will also be problems for the provision of global medical services by hospitals as presented in the lead paper.
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