**6. Conclusions**

Telemedicine is a helpful tool to improve chronic respiratory patient management. Almost all results shows reduction in Emergency visits and the number of hospitalizations but despite of these results its implementation is troublesome and with different kind of factors relationship with this slowly development. Most users report that the difficult to use the devices or technology platform is the most important factor related to refuse telemedicine by users. We need to work to improve its implementation through educational programs to healthcare professionals and patients.
