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Jean P
A study showed that the quality of spirometry performed by non-professionals improved by means of at distance collaboration between primary care professionals and lung function specialists. Clinical benefits have been shown also in severe Chronic Obstructive Pulmonary Disease patients with comorbidities. In patients with chronic respiratory failure a tele-assistance program resulted in reduction in hospital admissions, General Practitioner calls, and in costs. A study in Chronic Obstructive Pulmonary Disease patients with chronic respiratory failure on long-term oxygen, reported that a tele-medicine program alone and with greater efficacy when added to non-invasive ventilation reduced the exacerbations rate.