Background: Chronic obstructive pulmonary disease (COPD) is a complex disease that
requires multiple care providers working together closely. Recent advances in telemedicine
technologies have generated enormous potential benefits for COPD management and care. This
review aims to explore the clinical, economic, organizational and patient-quality-of-life impact from
using telemedicine systems for COPD and to provide a comprehensive description of these
Methods: We conducted a structured search of bibliographic databases for peer-reviewed research
literature using a focused review question. We include quantitative and qualitative studies. Data
extraction and quality assessment of the reviewed studies were done with standardized forms and
Results: The support of evidence from studies points to beneficial results of telemedicine in its
various manifestations. Benefits include the reduction of emergency department attendances and
hospitalizations, but little evidence has been found to make a strong case for telemedicine regarding
the quality of life or economic improvements. Internal organizational consequences of telemedicine
are frequent and efficient use of the technology requires organizational changes. Telemedicine
modifies traditional practices and can help patients better engage in managing their health.
Nevertheless, telemedicine must be integrated into a care process and within a care model.
Conclusion: COPD telemedicine interventions could significantly reduce the risk of emergency
department attendance and hospitalization. It is an important area of research, and further studies of
the effect of telemedicine for patients with COPD would be beneficial.