Introduction:
The outbreak of the Coronavirus pandemic and the restrictions imposed to limit Sars-CoV-2 circulation have prompted the use of telemedicine as an alternative method of assistance, especially for chronic patients. The aim of the study was to evaluate the perceived effectiveness of introducing telemedicine into the diagnostic therapeutic-educational pathway (DTEP) of asthmatic children treated at the ""Io e lAsma"" Centre of the Children Hospital, ASST Spedali Civili in Brescia, Italy.

Methods:
From July to September 2022, a questionnaire was administered to a sample of caregivers of asthmatic children who made at least one telemedicine visit in the period between March 2020 and September 2022. The 28-questions questionnaire was divided into three macro-areas concerning subject personal data, number and type of visits and perception about the visits, respectively.

Results:
We collected 108 questionnaires. Most of the subjects were parents, female and Italian, and participated in more than one telemedicine visits: 58% of the subjects were satisfied of the organization of the telemedicine visits, stating they were willing to continue them even after the pandemic had ended. Furthermore, 75% of subjects experienced empathy with the doctor despite the distance, in contrast with the belief about telemedicine which claims that the absence of direct contact between doctor and patient negatively affects the conduction of the visit.

Conclusions:
Telemedicine at the Io e lAsma Centre was introduced for necessity in 2020, during the pandemic; but, its sudden introduction did not allow the planning of a gradual integration strategy between traditional and telemedicine visits, and better preparation and training of patients and practitioners. However, the results of the study showed that the caregivers of asthmatic children appreciated use of telemedicine for assistance of asthma which could integrate the traditional approach for treating the disease.