Behavioral Patterns of Supply and Demand Sides of Health Services for the Elderly in Sustainable Digital Transformation: A Mixed Methods Study

Zhou, Siyu; Ni, Ziling; Ogihara, Atsushi; Wang, Xiaohe

doi:10.3390/ijerph19138221

Cited by 12 publications

(7 citation statements)

References 96 publications

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“…At the same time, individual and institutional solutions must be implemented to help people in this age group to adapt successfully [42]. Maintaining that with help older adults could navigate the internet, the National Media and Infocommunications Authority launched the 'Netre Fel' (loosely translated as 'ride the net') initiative containing easy to use information and guide for older people to use the internet.…”

Section: Discussionmentioning

confidence: 99%

Older adults in the digital health era: insights on the digital health related knowledge, habits and attitudes of the 65 year and older population

Győrffy,

Boros,

Döbrössy

et al. 2023

BMC Geriatr

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Background The COVID-19 pandemic has increased internet use by older age groups to an unprecedented level in Hungary mirroring the general tendency in the total population. Nevertheless, international trends indicate that this group is less likely to use digital health technologies than younger ones. The aging population raises the question of successfully integrating elderly people into the digital health ecosystem. Our research aim is to investigate the digital health usage patterns and attitudes of the population aged 65 and over through a representative sample. Methods A national representative questionnaire survey was conducted by telephone (CATI), interviewing 1723 respondents. Within this sample we examined 428 people in the over-65 age group, 246 in the 65–74 age group and 182 in the over-75 age group. Predictors of demand for digital solutions were tested using binary logistic regression model. Results 50.8% of people aged 65–74 and 37.1. % of people aged 75 + use the internet for health-related purposes, mostly to access websites. 85% of respondents in 65–74 and 74% in 75 + age group have used more than one digital health device and around 70% of both age groups have a need for more than one digital solution. 90.2% (64–75 age group) and 85.7% (75 + age group) of respondents are familiar with e-prescription, 86.4% and 81.4% of them use it. 77.1% of 65–74-year-olds have heard of and nearly half 45.5% have used online appointment. More than half (52.7%) of the respondents in this age group have heard of and used electronic transmission of medical records and data. A similar proportion has heard about and used apps: 54.3% has heard of them, but only 17.3% has used them. The multivariate analyses emphasized that the need for digital solutions increases with the level of education and the more benefits one perceives in using digital solutions. Conclusion Our research has shown that the senior age group has measurable needs in the field of digital health, so helping them on this journey is in the interest of the whole health ecosystem. Their high level of interest is indicated by the fact that more than a fifth of older adults would like to have access to between 7 and 10 of the maximum number of digital devices available. The differences between the two age groups - with younger people being more open to digital solutions and using them more - and the fact that the under 65s are better adapted digitally in all respects, raises the possibility that the specific trends in digital health for older people may virtually disappear in 10 years’ time (when the under 65s now enter this age group).

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Section: Discussionmentioning

confidence: 99%

Older adults in the digital health era: insights on the digital health related knowledge, habits and attitudes of the 65 year and older population

Győrffy,

Boros,

Döbrössy

et al. 2023

BMC Geriatr

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“…In addition, substantial research has been conducted on the relationship between supply and demand for elderly care resources (such as healthcare services for older adults) [ 12 , 29 ], which is an essential index to reflect the allocation of elderly care resources. Coupling theory is one of significant tools to explore the coupling between supply and demand and can provide scientific perspectives to reasonably regulate supply and demand [ 30 ].…”

Section: Literature Reviewmentioning

confidence: 99%

Spatial coupling relationship between older adults and elderly care resources in the Yangtze River Delta

Wu,

Qian,

et al. 2023

PLoS ONE

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The imbalance between supply and demand of elderly care resources in the Yangtze River Delta is increasing. By the older adult agglomeration, spatial cluster analysis, hotspot analysis, and coupling coordination model, this study explores the spatial coupling relationship between older adults and elderly care resources in the Yangtze River Delta in 2020 from the perspective of a supply-and-demand balance. The results demonstrate that: (1) population aging is mainly in the moderate aging stage, followed by the primary aging stage; (2) there are significant spatial differences in elderly care resources on the urban scale in the Yangtze River Delta; and (3) elderly care resources and the older adults in the Yangtze River Delta are mostly highly coupled. However, Nantong, with the highest degree of aging, has a serious mismatch in life service resources and ecological environment resources. The social security resources and medical resources of provincial capital cities with low aging are mismatched. Medical and health resources in underdeveloped areas are seriously mismatched. The social security resources are barely matched in Shanghai. A path for optimizing the spatial allocation of elderly care resources is proposed. This research offers a decision-making reference for coordinating elderly care resources distribution.

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“…Zhu & Lin (2022) proposed a demand-oriented approach to provide diversified community-based elderly care services in terms of service supply and analyzed the feasibility of community-embedded elderly care in terms of sustainability to provide comprehensive care for the medical and nursing population (Zhu & Lin, 2022). Since the cognitive decline of the elderly limits their access to public services such as health in the digital environment, Zhou et al (2022) redesigned health services in a digital and age-appropriate manner from the perspective of the supply side of public services to bridge the "digital divide" on the demand side of the elderly and provide quality and convenient digital health services to the elderly (Zhou et al, 2022). Despite the increasing number of studies on the matching of supply and demand in health care integration communities.…”

Section: Research Related To the Matching Degree Of Community Supply ...mentioning

confidence: 99%

“…In the context that medical care and health care are equally emphasized, Ma et al (2021) conducted a study on chronic disease care models for the elderly in the context of integrated health care and explored the effectiveness and value of combining extended care with comfort care based on health care (Zhou et al, 2022). With the development of the integration of healthcare and elderly care, community palliative care is receiving more and more academic attention as a new specialized medical field that aims to effectively address individual care needs (Ma et al, 2021).…”

Section: Combined Medical and Health Care Model And Its Total Factor ...mentioning

confidence: 99%

Sustainable adaptation planning strategies for the medical care integrated community in the context of normalized pandemic

Che,

Gao,

Guo

et al. 2023

FURP

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In the context of active aging, this research explores the spatial paradigm of medical and care community and the implementation path of sustainable adaptation to solve the mismatch between supply and demand in the practice of medical and care integration. Firstly, the HBSI theoretical model was constructed based on Maslow’s demand-ERG demand theory. Secondly, the study uses NVivo qualitative analysis and SPSS to analyze the multidimensional needs of the healthcare population for community space and services. Then, based on KANO model, the hierarchy of complex needs was classified and prioritized to achieve spatial fitting and control inference. Finally, a supply strategy was constructed to promote multidimensional health of users, realizing harmonious transformation of epidemic control and sustainable adaptation to changes.

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Behavioral Patterns of Supply and Demand Sides of Health Services for the Elderly in Sustainable Digital Transformation: A Mixed Methods Study

Cited by 12 publications

References 96 publications

Older adults in the digital health era: insights on the digital health related knowledge, habits and attitudes of the 65 year and older population

Older adults in the digital health era: insights on the digital health related knowledge, habits and attitudes of the 65 year and older population

Spatial coupling relationship between older adults and elderly care resources in the Yangtze River Delta

Sustainable adaptation planning strategies for the medical care integrated community in the context of normalized pandemic

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