I have no clue what paragraph 1 says, but I know this much: The culmination is the end point or final stage of something you've been working toward or something that's been building up. The culmination of your high school career, for example, should be graduation day — and probably not prom night. A culmination isn't just the conclusion.
Explanation:
Hope this helps, if not then sorry for wasting your time and points!
Medical technologies, such as telemedicine will make it easier and more efficient for patients to monitor their health data and reduce their dependence to hospitals. This means better treatment and lower costs.