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But was such a large-scale evaluation necessary to support the need for telehealth and telecare? International delegates at the congress were somewhat startled at size of the investment in the WSD Pilots— more than £31 million—of which about 12% went on the evaluation itself. Whilst the WSD trial was seen as ground-breaking, doubts were raised as to its overall value and to that of RCTs in general:

international journal of integrated care

The need for an integrated response to designing and adopting new technologies: proceedings of the International Congress on Telehealth and Telecare, 1–3 March 2011