• Telemedicine can help improve access to health care for people in rural and remote communities, but its uptake has been slow and fragmented. • A telepaediatric service in Queensland, initiated in 2000, has made use of mobile "robot" videoconferencing systems. It has been cost-effective and well accepted by patients and clinicians. • Telegeriatric services were instigated in Queensland in 2005, principally using videoconferencing. Telegeriatrics has been ideal for frail older patients in remote areas. • For telemedicine to become a mainstream service, its focus must move beyond simply the provision of equipment and network connectivity. • Telemedicine must be funded adequately if it is to be successful.