Background The COVID-19 pandemic has given an unprecedented boost to already increased digital health services, which can place many vulnerable groups at risk of digital exclusion. To improve the likelihood of achieving digital health equity, it is necessary to identify and address the elements that may prevent vulnerable groups from benefiting from digital health services. This study examined the challenges experienced by vulnerable groups in using digital health services during the COVID-19 pandemic. Methods Qualitative descriptive design was utilized. Semi-structured interviews were conducted between October 2020 and May 2021. The participants (N = 74) were older adults, migrants, mental health service users, high users of health services, and the unemployed. Qualitative content analysis with both inductive and deductive approach was used to analyze the data. Challenges related to the use of digital health services were interpreted through digital determinants of health from the Digital Health Equity Framework. Results For most of the participants the access to digital health services was hampered by insufficient digital, and / or local language skills. The lack of support and training, poor health, as well as the lack of strong e-identification or suitable devices also prevented the access. Digital services were not perceived to be applicable for all situations or capable of replacing face-to-face services due to the poor communication in the digital environment. Fears and the lack of trust regarding digital platforms were expressed as well as concerns related to the security of the services. Contact with a health care professional was also considered less personal and more prone to misunderstandings in the digital environment than in face-to-face services. Finally, digital alternatives were not always available as desired by participants, or participants were unaware of existing digital services and their value. Conclusion Several development needs in the implementation of digital health services were identified that could improve equal access to and benefits gained from digital services in the future. While digital health services are increasing, traditional face-to-face services will still need to be offered alongside the digital ones to ensure equal access to services.

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Objectives: Patients’ experiences are increasingly gaining interest in multiple research fields. Researchers have applied various approaches to studying patient experience (PX); however, there is no commonly agreed-upon definition of PX. This scoping review focuses on PX from an eHealth perspective. Our aim was to: 1) describe how PX has been defined, 2) investigate which factors influencing PX and components of PX have been identified and researched, 3) explore the methods used in studying PX, and 4) find out the recent trends in PX research from an eHealth perspective. Methods: We selected six major journals covering the fields of health informatics, PX, and nursing informatics. Using the search terms “patient experience” and technology-related terms (e.g., digital, eHealth), we searched for articles published between 2019 and 2021. From 426 articles, 44 were included in the analysis. Results: Multiple concepts and meanings are used to refer to PX. Few articles include vague descriptions of the concept. Numerous eHealth factors are influencing PX, as well as components considering PX. The influencing factors were related to eHealth solutions’ type and quality, and care process, when the components of PX were related to communication, remote interaction, risks and concerns, and patients’ attitudes towards telehealth. Surveys were the main method used to study PX, followed by interviews. Conclusions: PX is a complex and multifaceted phenomenon, and it is described as a synonym for patient satisfaction and telehealth experiences. Further multidisciplinary research is needed to understand PX as a phenomenon and to outline a framework for the research.

This article aims to support the design of remote user studies in the healthcare and well-being field. We introduce lessons learned from conducting remote interviews and using visual timelines as pretasks involving patients from two eHealth projects. Based on our experience, we conclude that remote interviews and visual timelines can provide rich data about user needs. However, careful planning is required. Building trust, rapport, confidentiality, and privacy requires extra effort from the researcher in studies involving sensitive topics. In this paper, we present a list of practical tips for planning qualitative health-related user studies.

Digitalization could provide efficient and cost-effective health and well-being services to the rapidly aging population. However, digital services do not always meet their needs. We investigated the experiences and service needs of older employees by collecting quantitative and qualitative data through a survey (n = 497). The results suggested a negative association between user satisfaction and age during retirement transition. Peak experiences were meaningful, explaining a 26% variation in the overall evaluation of the portal. The negative peak experiences concerned poorly functioning features, and the positive ones the ability to take care of one’s health smoothly and easily. The respondents had high expectations for functionality, efficiency, and ease of use. They wanted more support for self-managing health: controlling weight, sleeping, recovery, and exercising.

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Uuden kotidialyysihoidon sähköisen palvelun tavoitteena on sujuvoittaa ja tukea potilaiden hoitoa. Palvelun loppukäyttäjien huomioiminen ja osallistaminen kehittämistyöhön on tärkeää, jotta palvelu voidaan ottaa laajasti käyttöön ja se koetaan hyödylliseksi. Tässä artikkelissa kuvataan tutkimus, jonka tavoitteena oli selvittää kotidialyysipotilaiden ja heitä hoitavien ammattilaisten tarpeita ja kokemuksia uudelle kehitettävälle sähköiselle ratkaisulle, joka sisältää sovelluksen ja erilaisia mittareita. Tutkimus on osa monialaista ’Terveysteknologia predialyysi- ja kotidialyysihoidossa’ -tutkimushanketta. Tutkimusaineisto kerättiin kahdesta etäjärjestelyin toteutetusta työpajasta, joihin osallistui vuoden 2021 lopussa yhteensä viisi potilasta ja neljä ammattilaista. Työpajojen suunnittelussa hyödynnettiin tutkimusprojektissa aiemmin kerättyä laajaa haastattelu- ja arviointitutkimusaineistoa. Työpaja-aineistot analysoitiin laadullisin menetelmin. Potilailla oli jonkin verran käyttökokemusta uudesta kotidialyysin sähköisestä ratkaisusta. Potilaat näkivät mittareista ja sovelluksesta koostuvassa kokonaisuudessa paljon potentiaalia. He kokivat tärkeänä mahdollisuudet omien mittaustulosten seurantaan ja tietoperusteiseen hoitoon liittyvään päätöksentekoon. Potilaiden mielestä jatkuva mittaaminen ja kyselyiden täyttäminen oli kuitenkin ajoittain raskasta. Lisäksi he kokivat älyrannekkeen käytettävyyden heikoksi. Ammattilaiset olivat tietoisia uudesta sähköisestä ratkaisusta, mutta heillä ei vielä ollut kokemusta sen käytöstä. Ammattilaisten näkökulmasta uuden ratkaisun tulee istua osaksi nykyistä teknistä työskentely-ympäristöä. Ratkaisun potentiaalisina hyötyinä nähtiin erityisesti potilaan kokonaiskuvan hahmottaminen ja potilaiden tilan seuraaminen yhdessä potilaiden kanssa. Ammattilaiset toivoivat käyttöönoton tueksi lisäresursseja ja opastusta. Kehitettävässä kotidialyysin sähköisessä palvelussa nähdään olevan potentiaalia, mutta sen laajempaan käyttöön liittyen on tärkeää suunnitella ja sopia toimintatavat ammattilaisten ja potilaiden välillä. Palvelun jatkokehityksessä tulee kiinnittää huomioita käytettävyyteen ja yhteentoimivuuteen nykyisten sovellusten ja järjestelmien kanssa, jotta uuden palvelun käyttö on sujuva ja luonteva osa hoitoa sekä potilaiden että ammattilaisten näkökulmasta. Tulevaisuudessa sähköisten palveluiden avulla voidaan rohkaista useampia potilaita valitsemaan kotihoito kalliimman ja vähemmän yksilöidyn sairaalahoidon sijaan.