Impact of Economic Accessibility on Realized Utilization of Home-Based Healthcare Services for the Older Adults in China

Di, Xiaodong; Wang, Lijian; Liu, Yang; Dai, Xiuliang

doi:10.3390/healthcare9020218

Cited by 7 publications

(2 citation statements)

References 34 publications

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“…Encouraging older adults to adapt and learn information technology, such as WeChat and health-related mobile apps, through straightforward and repeated demonstrations can be an effective strategy [ 54 ]. Additionally, family support may help mitigate the economic challenges associated with using health care services by influencing older adults’ subjective perceptions of financial accessibility [ 55 ]. To address financial challenges and enhance older adults’ access to technology, a comprehensive approach can be adopted.…”

Section: Discussionmentioning

confidence: 99%

Media Use Behavior Mediates the Association Between Family Health and Intention to Use Mobile Health Devices Among Older Adults: Cross-Sectional Study

Chang,

Mai,

Zhang

et al. 2024

J Med Internet Res

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Background With the advent of a new era for health and medical treatment, characterized by the integration of mobile technology, a significant digital divide has surfaced, particularly in the engagement of older individuals with mobile health (mHealth). The health of a family is intricately connected to the well-being of its members, and the use of media plays a crucial role in facilitating mHealth care. Therefore, it is important to examine the mediating role of media use behavior in the connection between the family health of older individuals and their inclination to use mHealth devices. Objective This study aims to investigate the impact of family health and media use behavior on the intention of older individuals to use mHealth devices in China. The study aims to delve into the intricate dynamics to determine whether media use behavior serves as a mediator in the relationship between family health and the intention to use mHealth devices among older adults. The ultimate goal is to offer well-founded and practical recommendations to assist older individuals in overcoming the digital divide. Methods The study used data from 3712 individuals aged 60 and above, sourced from the 2022 Psychology and Behavior Investigation of Chinese Residents study. Linear regression models were used to assess the relationships between family health, media use behavior, and the intention to use mHealth devices. To investigate the mediating role of media use behavior, we used the Sobel-Goodman Mediation Test. This analysis focused on the connection between 4 dimensions of family health and the intention to use mHealth devices. Results A positive correlation was observed among family health, media use behavior, and the intention to use mHealth devices (r=0.077-0.178, P<.001). Notably, media use behavior was identified as a partial mediator in the relationship between the overall score of family health and the intention to use mHealth devices, as indicated by the Sobel test (z=5.451, P<.001). Subgroup analysis further indicated that a complete mediating effect was observed specifically between family health resources and the intention to use mHealth devices in older individuals with varying education levels. Conclusions The study revealed the significance of family health and media use behavior in motivating older adults to adopt mHealth devices. Media use behavior was identified as a mediator in the connection between family health and the intention to use mHealth devices, with more intricate dynamics observed among older adults with lower education levels. Going forward, the critical role of home health resources must be maximized, such as initiatives to develop digital education tailored for older adults and the creation of media products specifically designed for them. These measures aim to alleviate technological challenges associated with using media devices among older adults, ultimately bolstering their inclination to adopt mHealth devices.

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Section: Discussionmentioning

confidence: 99%

Media Use Behavior Mediates the Association Between Family Health and Intention to Use Mobile Health Devices Among Older Adults: Cross-Sectional Study

Chang,

Mai,

Zhang

et al. 2024

J Med Internet Res

View full text Add to dashboard Cite

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“…Do, (2008) identifies a positive correlation between the ease of access to available services in cities with service utilization. However, as services become easily accessible to anyone-anytime-anywhere, an experience of unpleasantness creep as an enduring problem (Di et al, 2021). This can cause pressure to the municipal planning authorities to bring better conditions into the city, thus demanding further investments in the area of infrastructure and built-environment.…”

Section: Resultsmentioning

confidence: 99%

Linking Sustainability, Resilience and Liveability with Smart City Development: Modeling Interconnections Using Systems Approach

Proceedings of the International Conference on Industrial Engineering and Operations Management

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Smart cities are the solutions to unfathomable urban challenges. However, urban planners skepticize the existing smart cities for not addressing sustainable development through practices of resilience planning and livable transformations. At the embryonic stage, it is vital for cities of today to gain a more consistent understanding on how resilience, liveability, and sustainability can be co-created into the smart city planning model under a unified umbrella. In that respect, this research attempts to understand smart city development through the lens of sustainability, urban resilience and liveability using a systems approach, as cities evolve to achieve the descriptive goal of "Futuristic cities". Causal feedback loop diagrams were used to capture the dynamic interactions among multiple drivers within the urban context under the sustainability, resilience, and liveability models. The proposed feedback structures and interactions can help smart city planners and urban developers to transform the existing smart cities of today to a much aspiring futuristic cities we want.

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The Divergence of Inequality in Healthcare Utilization Between Poor- and Rich-Medical Resource Regions: Evidence from the Middle-Aged and Older Adults in China

Fang,

Fu,

et al. 2024

Soc Indic Res

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Impact of Economic Accessibility on Realized Utilization of Home-Based Healthcare Services for the Older Adults in China

Cited by 7 publications

References 34 publications

Media Use Behavior Mediates the Association Between Family Health and Intention to Use Mobile Health Devices Among Older Adults: Cross-Sectional Study

Media Use Behavior Mediates the Association Between Family Health and Intention to Use Mobile Health Devices Among Older Adults: Cross-Sectional Study

Linking Sustainability, Resilience and Liveability with Smart City Development: Modeling Interconnections Using Systems Approach

The Divergence of Inequality in Healthcare Utilization Between Poor- and Rich-Medical Resource Regions: Evidence from the Middle-Aged and Older Adults in China

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