Distributed multimedia e-health applications have a set of specific requirements which must be taken into account if effective use is to be made of the limited resources provided by public telecommunication networks. Moreover, there is an architectural gap between the provision of network-level Quality of Service (QoS) and user requirements of e-health applications. In this paper, we address the problem of bridging this gap from a multi-attribute decision-making perspective in the context of a remote collaborative environment for back pain treatment. We propose an intelligent mechanism that integrates user- related requirements with the more technical characterisation of Quality of Service. We show how our framework is capable of suggesting appropriately tailored transmission protocols, by incorporating user requirements in the remote delivery of e-health solutions.
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