Piloting tele-monitoring in COPD: a mixed methods exploration of issues in design and implementation.

Background: In 2008 NHS Lothian implemented a COPD tele-monitoring service incorporating a touch-screen computer for daily recording of symptoms and weekly oximetry and spirometry measurement. Data were transmitted by secure broadband link to a call centre where trained workers monitored data and contacted clinicians according to an agreed algorithm.

Aims: To explore the perceptions of patients and professionals about the pilot implementation of the COPD tele-monitoring service.