%0 Journal Article %A Nuria Marina %A Elena Lopez de Santa Maria %A Juan C. Bayón %A Asunción Gutierrez %A Maria Alfonso %A Marian Garcia %A Juan B. Gáldiz %T Implementation of a telemedicine system for the spirometry quality control in public health primary care centers %D 2013 %J European Respiratory Journal %P P2411 %V 42 %N Suppl 57 %X Introduction: Spirometry (S) is a common test in the evaluation of patients with respiratory diseases but it is not an easy technique and it is necessary a training period to obtain a good quality.Aims: To evaluate the effectiveness of a Telemedicine Program (TP) to assure the S quality in Primary Care Centers (PCC) in a Public Health Service.Methods:The design included 2periods:1st) Pilot study: 9 months. 15 PCC. The aim was to obtain Osteba approval (Basque Department for the Evaluation of New Techologies). Economic impact of this procedure was evaluated in a time horizon of 5years(2010-2014)2nd) Implementation period: The aim was to include all the PCC of Basque Health System in the TP (Linkcare Spiro®, espiro.osasunet). Technicians received a one day training course. Then the S performed in PCC are sent to the Functional Respiratory Laboratory being evaluated according to guidelines. The quality was evaluated using a scale grade: D-F (poor quality), A-B (excellent quality).Results:- 1st period: 15 PCC, 1.980 S. An important improvement of the quality of S in all PCC was observed (mean 57% good quality S at the beginning, 83% at the end). The budget impact analysis, at the end of the year 2014, reflected a decrease of 132.438€, with the assumption that the S of poor quality should be repeated.- 2nd period: 80 PCC, 7.800 S. We observed the same improvement in quality in the 50 PCC that have completed 6 months in the TP (mean 57% at the beginning, 87% at the end).Conclusions:1)The TP improves the quality of S in all centers and it is cost-effective.2)It is usefull as continues training program.3)This program can be included in a Public System of Health. %U https://erj.ersjournals.com/content/erj/42/Suppl_57/P2411.full.pdf