Older adults’ views on eHealth services: a systematic review of scientific journal articles

Hirvonen, Noora; Enwald, Heidi; Känsäkoski, Helena; Eriksson‐Backa, Kristina; Nguyen, Hai; Multas, Anna-Maija; Huvila, Isto

doi:10.1016/j.ijmedinf.2019.104031

Cited by 33 publications

(64 citation statements)

References 67 publications

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“…Two of the attending interviewers transcribed the discussions verbatim. The interview guide, developed based on an extensive systematic literature review, 29 contained sections on uses, enablers, barriers and outcomes of using the My Kanta and/or other similar EHR services. Furthermore, we requested the participants to provide ideas of a good EHR service.…”

Section: Methodsmentioning

confidence: 99%

“…Observed outcomes according to earlier research include patients' increased involvement in their care, empowerment and improved communication between patients and professionals, 20,[26][27][28] but also needs for additional information. 26,29 Several studies have focused on reasons for using EHRs. Common ones are to read information in the record and to renew prescriptions.…”

Section: Earlier Research On the Use Of Electronic Health Informationmentioning

confidence: 99%

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Enablers for and barriers to using My Kanta – A focus group study of older adults’ perceptions of the National Electronic Health Record in Finland

Eriksson‐Backa

Hirvonen

Enwald

et al. 2021

Informatics for Health and Social Care

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To explicate how experiences with patient-accessible electronic health records correspond to the expectations of the users, we present qualitative results of older adults' experiences with the Finnish national patientaccessible health record My Kanta and similar services. 24 persons, 17 women and 7 men aged 55-73, took part in the study. We interviewed six focus groups of 3-5 participants with previous experience of My Kanta, in two cities in Finland. We used a convenience sample and video-and audiorecording as well as note taking. The interviews were transcribed verbatim. The inductive analysis was based on content analysis. We identified major uses, enablers, barriers, and outcomes of My Kanta. In addition to earlier reported barriers and enablers, the findings show that launch-time lack of useful content and features in systems still under development can cause frustration and hinder their effective use at the time and in the long run. Concerns and barriers relating to use were socio-techno-informational and tightly associated with the contents of the system. Improved security, usability and additional information and functions might increase use. Furthermore, coherent and timely information from health-care providers should be available in the e-health services.

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Section: Methodsmentioning

confidence: 99%

Section: Earlier Research On the Use Of Electronic Health Informationmentioning

confidence: 99%

Enablers for and barriers to using My Kanta – A focus group study of older adults’ perceptions of the National Electronic Health Record in Finland

Eriksson‐Backa

Hirvonen

Enwald

et al. 2021

Informatics for Health and Social Care

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show abstract

“…Nonetheless, low confidence and computer anxiety aside, the elderly still use the Internet more to research health information than young people (17). Like the previous mentioned studies on electronic government services and online banking, trust in technology is essential for the elderly when using e-health services (41,42).…”

Section: Elderly and E-health Servicesmentioning

confidence: 98%

“…In addition, low confidence is more common amongst the elderly than young people when using e-health services (17). Confidence and digital technology skills are recurring themes in the literature on e-health, with the elderly often doubting their skills when facing new technologies (41). Nonetheless, low confidence and computer anxiety aside, the elderly still use the Internet more to research health information than young people (17).…”

Section: Elderly and E-health Servicesmentioning

confidence: 99%

“…In a recent literature review on older people and e-health, several barriers were identified to explain the non-use of ehealth services; amongst these were impaired sensory, motor, and cognitive performance (41). These are essential aspects to consider, as many elderly persons might perceive digital healthcare solutions as positive but may also be too weak or sick to understand and correctly use them (43).…”

Section: Elderly and E-health Servicesmentioning

confidence: 99%

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Non-use of Digital Health Consultations Among Swedish Elderly Living in the Countryside

Landgren¹,

Cajander²

2021

Front. Public Health

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Digital health consultations in primary care have the advantage of offering equal healthcare for people residing in the countryside. While it is gaining acceptance among young- and middle-aged people, the elderly are reluctant to use it. The aim of this study was hence to identify reasons for non-use among elderly in the countryside and describe perceived possible challenges and opportunities with digital health consultations. Semi-structured interviews were conducted with 13 persons over 65 years old residing in the Swedish countryside. There was a mistrust for services offered by private companies and their public funding, a lack of knowledge of available services, and a lack of perceived usefulness. Personal interaction and continuity was more important than time or travel conveniences, although these advantages were recognized. To prevent digital exclusion, caregivers need to offer information, encouragement, or tools for the elderly. Digital primary care also needs to offer familiarity, with continuity and personal connections.

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Information behavior and practices research informing information systems design

Huvila

Enwald

Eriksson‐Backa

et al. 2021

Asso for Info Science & Tech

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Information behavior and practices (IBP) research has been repeatedly criticized for having little impact on information systems development (ISD). Claiming that there is a complete disconnect would be an exaggeration but it is apparent that it is not always easy to translate findings of IBP research to workable design recommendations. Based on a reading of earlier literature and a closer investigation of three illustrative example contexts, this article underlines that the value of IBP research for ISD lies in its capability to inform ISD of the variety of ways people deal with information beyond individual systems, their own wants and designers' assumptions. Moreover, it highlights that the implications of information systems go beyond their primary users. Instead of overemphasizing the contextuality of findings, a part of IBP research would benefit from an increased focus on explicating its epistemological extents and limits and identifying, which findings are transferable, what distinguishes specific contexts, what are their defining constraints and priorities, and what aspects of their uniqueness are assumptions and simple clichés.

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Older adults’ views on eHealth services: a systematic review of scientific journal articles

Cited by 33 publications

References 67 publications

Enablers for and barriers to using My Kanta – A focus group study of older adults’ perceptions of the National Electronic Health Record in Finland

Enablers for and barriers to using My Kanta – A focus group study of older adults’ perceptions of the National Electronic Health Record in Finland

Non-use of Digital Health Consultations Among Swedish Elderly Living in the Countryside

Information behavior and practices research informing information systems design

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