**Author details**

Gonzalo Segrelles-Calvo1\* and Daniel López-Padilla2

\*Address all correspondence to: gsegrelles@hotmail.com

1 Pneumology Department, University Hospital Rey Juan Carlos, Mostoles, Spain

2 Pneumology Department, University Hospital Gregorio Maranon, Madrid, Spain

### **References**


positive, though we are still in need of more studies [79] and the training process for both medical staff and patients needs to be thorough [80] A different approach was revised by another study where telemedicine was employed in a clinical trial for lung transplant candi‐ dates, and clinical outcome measures were monitoring adherence and level of communication (for monitor acceptability and utilization), hospital length of stay after transplantation and survival at 4 months. However, no significant differences in clinical outcomes between groups

Similar to the previous three respiratory conditions, telemedicine for lung transplant patients is feasible. Still and all, no cost-effectiveness has been demonstrated, thus, larger clinical trials are required to establish the position of these new techniques in lung transplantation.

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

were determined [81].

70 Mobile Health Technologies - Theories and Applications

**6. Conclusions**

professionals and patients.

Gonzalo Segrelles-Calvo1\* and Daniel López-Padilla2

\*Address all correspondence to: gsegrelles@hotmail.com

atic review. Am J Manag Care. 2009;15:313–20.

1 Pneumology Department, University Hospital Rey Juan Carlos, Mostoles, Spain

2 Pneumology Department, University Hospital Gregorio Maranon, Madrid, Spain

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[2] Sabati N, Snyder M, Edin-Stibbe C, Lindgren B, Finkelstein S. Facilitators and barriers to adherence with home monitoring using electronic spirometry. AACN Clin Issues.

**Author details**

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