TY - T1的远程医疗的感觉management of COPD JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.00851-2018 VL - 51 IS - 5 SP - 1800851 AU - Bourbeau, Jean AU - Farias, Raquel Y1 - 2018/05/01 UR - //www.qdcxjkg.com/content/51/5/1800851.abstract N2 - Exacerbations of chronic obstructive pulmonary disease (COPD) are important events with negative impact on health status, hospitalisations and readmissions, and disease progression [1]. Treatments aim at reducing the risk of exacerbations and complications such as hospital admissions. Although treatment strategies to prevent COPD exacerbations and their subsequent hospital admissions are still largely based on pharmacological therapies, the Global Initiative for Chronic Obstructive Lung Disease 2017 also recommended non-pharmacological treatment, such as self-management interventions with communication with a healthcare professional [2]. The most recent Cochrane review reported that self-management interventions that include written action plans and coaching with a healthcare professional for a prompt treatment of worsening symptoms lead to a lower probability of both respiratory-related and all-cause hospitalisations, and also improve health status [3]. There remain problems with heterogeneity among interventions and consistency in their application that make generalisation difficult in real life. In light of these challenges, there has been increased interest in health information technology to ease the working life of health practitioners and to transform the way healthcare is delivered. There have been big promises made for the use of health information technology, with the rapid development of information and communication technologies for the management of chronic diseases. However, these promises may not have been realised in terms of tracking COPD patients for earlier detection of disease exacerbations and early intervention to minimise the deterioration that so frequently results in the need for hospitalisations [4, 5].We should see telemedicine as an adjunct to self-management approaches, assisting proper healthcare coaching and helping patients to be more adherent in problem solving, decision making and acting earlier in the course of COPD exacerbations http://ow.ly/UNv530k2LcY ER -