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To evaluate the effectiveness of telemedicine psychoeducational interventions (PIs) in adult patients on the clinical management of chronic non-oncological diseases compared with another therapeutic option or no treatment.Systematic review of randomized controlled trials.Six databases were searched between January 2011 and August 2021.A systematic review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Study selection, quality appraisal and data extraction were conducted independently by two reviewers. A third arbiter was available if discrepancies.A total of 719 articles were reviewed and 17 studies met the inclusion and quality criteria. The included studies related to smoking, chronic pain, obesity and mental illness. Most interventions were based on cognitive behavioural theory. Most of the included studies (12/17, 70.5%) showed improvements in health and significant reductions in anxiety, pain and depression with variable effect sizes. Patients reported a high satisfaction rate and indicated lectures or self-report writings as helpful in their recovery compared with more interactive items. Only financial incentives demonstrated greater adherence. A specific intervention format or complementary professional support was not associated with health outcomes.Telemedicine PIs are a safe and effective option for the clinical management of adults with chronic diseases. Future longitudinal studies are needed to assess the impact of these interventions on chronic physical and mental disease, evaluating the quality of life, morbidity and mortality.The results reinforce the telemedicine PIs with effects on clinical management similar to those of the face-to-face modality and can be carried out in a safe environment for patients at a lower cost to the health system. These conditions make them suitable for comprehensive care in the epidemiological COVID-19 context with the highest safety conditions for the patients and professionals.

To face the COVID-19 pandemic, our intensive care and hospitalization units were expanded, surgical activity was limited to urgent and non-delayed procedures and teleconsultations were increased in order to minimize face-to-face consultations. The objective of this work was to learn users' satisfaction with teleconsultations performed during the pandemic as well as its benefits, applications and areas for improvement.Cross-sectional study through a questionnaire with 26 closed questions and 5 open ones, grouped in 9 dimensions: patient characteristics; the query; treatment; utility; resolution; security; satisfaction; face-to-face modality and opportunities for improvement. Necessary sample size: 307 (confidence: 95%; error: 3%; expected satisfaction: 92%). Definitive sample: 352. Stratified random sampling by specialty. Period: March 16th-May 25th 2020. The statistical analysis was done with the statistical program SPSS vs.27.0. 95% confidence intervals were calculated.Statistical significance was established at p0.05.Patient profile: age 54 (SD: 18.6) years; 213 (60.5%) women. Calls made by doctors (298; 84.7%) and nurses (15; 4.3%); 342 (97.2%) attended at home. Reasons: follow-up (223; 63.4%); first consultation (45; 12.8%); result's report (23; 6.5%) and manage an appointment (50; 14.2%). 29 (8.62%) were directed to another center. 335 (95.44%; 95% CI: 93.26%-97.62%) patients were satisfied and 309 (91.96%; 95% CI: 89.06%-94.87%) would recommend them. 351 (99.72%; 95% CI: 99.16%-99.99%) felt they were treated with kindness; 336 (95.96%; 95% CI: 93.81%-98.11%) considered sufficient care; 309 (95.96%; 95% CI: 93.81%-98.11%) were able to solve doubts; 311 (96.58%; 95% CI: 94.60%-98.57%) calmed down; for 245 (69.6%; 95% CI: 65.98%-74.67%) it was as useful as the face-to-face session; equally safe (240; 69.57%; 95% CI: 64.71%-74.42%) and beneficial (338; 96.02%; 95% CI: 94.25%-98.26%).The high satisfaction expressed by users, the benefits verified and the high resolution of the teleconsultations, makes us consider expanding these services after the pandemic.Para afrontar la pandemia por COVID-19, ampliamos la unidad de cuidados intensivos y hospitalización, limitando la actividad quirúrgica a las urgentes y no-demorables, minimizando las consultas presenciales y aumentando las teleconsultas. El objetivo de este trabajo fue conocer la satisfacción de nuestros usuarios con las teleconsultas realizadas durante la pandemia, beneficios, aplicaciones y áreas de mejora.Estudio transversal con un cuestionario con 26 preguntas cerradas y 5 abiertas, agrupadas en 9 dimensiones: características del paciente, la consulta, trato, utilidad, resolución, seguridad, satisfacción, modalidad presencial y oportunidades de mejora. Tamaño muestral necesario: 307 (confianza: 95%; error: 3%; satisfacción esperada: 92%). Muestra definitiva: 352. Muestreo aleatorio estratificado por especialidad, entre el 16 marzo a 25 mayo. El análisis estadístico se hizo con el programa estadístico SPSS vs. 27.0. Se calcularon los intervalos de confianza al 95%. La significación estadística se estableció en p0,05.Perfil del paciente: edad 54,0 (SD: 18,6) años; 213 (60,5%) mujeres. Llamadas realizadas por médicos (298; 84,7%) y enfermeros (15; 4,3%); 342 (97,2%) atendidas en el hogar. Motivos: seguimiento (223; 63,4%); primera consulta (45; 12,8%); informar resultado (23; 6,5%) y gestionar cita (50; 14,2%). Fueron direccionados a otro centro 29 (8,62%). Estaban satisfechos 335 (95,44%; IC95%: 93,26%-97,62%) pacientes y 309 (91,96%; IC95%: 89,06%-94,87%) las recomendarían. Se sintieron tratados con amabilidad 351 (99,72%; IC95%: 99,16%-99,99%); 336 (95,96%; IC95%: 93,81%-98,11%) consideraron la atención suficiente; 309 (95,96%; IC95%: 93,81%-98,11%) pudieron resolver dudas; 311 (96,58%; IC95%: 94,60%-98,57%) se tranquilizaron; para 245 (69,6%; IC 95%: 65,98%-74,67%) fue tan útil como la presencial; igual de segura (240; 69,57%; IC95%: 64,71%-74,42%) y beneficiosa (338; 96,02%; IC 95%: 94,25%-98,26%).La alta satisfacción manifestada por los usuarios, los beneficios constatados y la gran resolución de las teleconsultas, nos hace plantearnos ampliar estos servicios tras la pandemia.