Table 2

Opportunities and challenges in the introduction of telemedicine services in the management of patients with chronic respiratory failure

OpportunitiesChallenges
Reduce travel time and frequency of attendance at outpatient clinics [44, 82]Patient and healthcare professional acceptance of telemedicine [74, 122]
More frequent monitoring and contact with patients [48, 49]Familiarity with technology [69, 114]
Reduce caregiver burden [101]Infrastructure costs [123]
Improve QoL [40, 47, 92]Data security and reliability [119, 121, 122]
Reduce attendance at primary care and emergency department [37, 38, 63, 94]High-quality evidence to justify use [4, 5, 118]
Reduce hospitalisations [36, 38, 63, 64, 79, 94]An increase in workload to monitor large amounts of data [123]
Increase patient empowerment with immediate feedback [69]
Potential for long-term cost savings [46, 87]
Opportunity for big data analysis to answer outstanding questions in rare conditions [107]