Sixteen healthcare professions took part in the study and the results were considered separately.  SCENARIOS:  Telemedicine referrals produced consistently higher scores than telephone referrals.  The mean difference between telemedicine and telephone referral scores was 10.4.  The significance of this difference was p<0.001.  QUESTIONNAIRES; For all questions the overall effect was in favour of telemedicine.  This change was statistically significant in 11 out of 16 questions.  Computer literacy and previous telemedicine experience had no effect.