Scoping Review of the Literature on Smart Healthcare for Older Adults

Ji, Young-A; Kim, Hun-Sung

doi:10.3349/ymj.2022.63.s14

Cited by 13 publications

(12 citation statements)

References 38 publications

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“…Haase et al 7 also identified a general disinterest and lack of knowledge of computers among older adults to be a barrier to the use of Internet-based services. This finding aligns with a recent scoping review 8 that identified a reduced responsiveness to technological changes among older adults. This is an important consideration for Internet-based services targeting older adults, as they may initially require more support and time to become comfortable and efficient users of any new technology and subsequently gain maximum benefit.…”

Section: Discussionsupporting

confidence: 91%

Older adults' preferences for Internet‐based services: Type and content

et al. 2023

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Objective(s)The aim of this paper was to report on qualitative survey responses provided by older Australian adults regarding their preferences for Internet‐based services and content.MethodsTwo qualitative questions (‘What type of Internet‐based mental health and well‐being (1) services, and (2) content would be of most interest to you?’) from a broader survey investigating the mental and physical health of older Australians were thematically analysed for commonly occurring themes. Eighty‐nine participants aged 65 years or older (mean age = 71 years, SD = 5.30) responded to at least one qualitative question. Participants were primarily female (60%, n = 53), born in Australia (65%, n = 58), in a relationship (58%, n = 52), living in the community (79%, n = 70) and relatively well educated, with the majority having completed a university degree (38%, n = 34).ResultsThemes indicated that participants were most interested in Facebook‐style services (n = 17), chat groups (n = 16) and email‐based services (n = 4) designed specifically for older adults (n = 14). However, some concerns were raised regarding the trustworthiness of Internet‐based services, with the largest proportion of participants (n = 22) noting that they were unlikely to use Internet‐ or social media‐based services. The primary content‐related themes were mental fitness (n = 34), grief and loss (n = 20), health information (n = 13), socialisation (n = 11) and physical fitness (n = 10).ConclusionsParticipants indicated interest in tailor‐made Facebook‐style services for older adults that allow them to communicate with their peers and create new social networks and incorporate content relating to strategies for working on mental and physical fitness, information on coping with grief and loss, as well as health information. These findings can be used by organisations to develop Internet‐based services and content for older Australian adults.

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Section: Discussionsupporting

confidence: 91%

Older adults' preferences for Internet‐based services: Type and content

et al. 2023

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“…In the evaluation of competence service quality, all ve dimensions fall into quadrants and with good evaluation,bur the lowest score in the capability dimension is "timely technical assistance", which indicates that some patients encounter technical di culties during the consultation process and lack medical staff's assistance. The reason for this is that some middle-aged and elderly people face a technological gap [27], poor vision and hearing [28], and low ability to adapt to new technologies, which makes it di cult to use smart devices and aggravates the di culty of accessing medical care.…”

Section: Discussionmentioning

confidence: 99%

Service quality evaluation of county-level public hospitals in Chongqing under smart healthcare

Qiu,

Xiao,

2023

Preprint

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Background:Based on the perspective of patient experience, this study investigates patients' perceptions and expectations of the quality of smart healthcare services, to provide a reference for the development of smart healthcare in hospitals at the same level. Methods: From October to November 2021, county 10 public hospitals were selected using cluster sampling. Based on the SERVQUAL scale, patient expectations and perception scores were surveyed across 24 items in four dimensions: ability, application, platform, and effectiveness. The gap between perception and expectation was calculated, and the influencing factors were analyzed. Finally, the IPA model was used to analyze and evaluate the results. Results: A total of 915 patients were included in the outpatient and inpatient departments. The average perception score of patients was 3.86, and the average expectation score was 4.44, with a gap of -0.58. Paired sample t-tests showed that there were significant differences between patients' perceptions and expectations across the 24 items (P < 0.05). IPA quadrant analysis showed that 5 items fell into quadrant IV. The results of a generalized linear model indicated that patients with college degree (β=-0.146,95%CI:-0.259~-0.033), patients with income between 2001~3500RMB (β=0.280,95%CI:0.144~0.416), and patients with income between 3501~5000RMB (β=0.250,95%CI:0.130~0.370). Patients whose insurance type is urban and rural residents' medical insurance (β=-0.234,95%CI:-0.37~0.098) will affect the evaluation of service quality. Conclusions: The services provided by smart healthcare have not met patients' expectations, and the personalized medical needs of different patients should be valued. Further improvement is needed in the control of medical expenses, system design and operation, and the balance of technology and human care.

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“…Older adults are often willing to accept some privacy infringements in favour of the safety and other benefits provided [ 3 ], but despite this trade-off, they still require technology to be reliable and trustworthy [ 36 ]. Sometimes the promise of safety could lead elders to accept technologies before actually being ready and making compromises which do not benefit their wellbeing [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, life expectancy has increased considerably, especially in developed countries [ 1 ]. Consequently, the rate of population aging is progressing rapidly and, as the portion of people over 65 years of age continues to grow, demographic aging becomes one of the most serious challenges that health and social systems worldwide have to face [ 2 , 3 ]. Traditional care models are struggling to meet the needs of this rapidly aging global population: there is a growing demand of healthcare services, a shortage of healthcare professionals and a huge burden is imposed on informal caregivers.…”

Section: Introductionmentioning

confidence: 99%

“…Lately, technology has become more and more pervasive in our society and technological approaches have been introduced as a tool to ensure the provision of support in activities of daily living, acquiring great relevance also in the field of elderly care [ 3 , p.S14]. A wide range of technological devices designed specifically for older people have appeared on the market, introducing new forms of assistance, and contributing to the construction of new models of long-term care [ 3 , 6 – 8 ]. Most of these devices pertain to the category of Emerging Technologies (ETs).…”

Section: Introductionmentioning

confidence: 99%

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Mapping emerging technologies in aged care: results from an in-depth online research

Fasoli

Beretta

Pravettoni

et al. 2023

BMC Health Serv Res

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Background Emerging Technologies (ETs) have recently acquired great relevance in elderly care. The exceptional experience with SARS-CoV-2 pandemic has emphasized the usefulness of ETs in the assistance and remote monitoring of older adults. Technological devices have also contributed to the preservation of social interactions, thus reducing isolation and loneliness. The general purpose of this work is to provide a comprehensive and updated overview of the technologies currently employed in elderly care. This objective was achieved firstly, by mapping and classifying the ETs currently available on the market and, secondly, by assessing the impact of such ETs on elderly care, exploring the ethical values promoted, as well as potential ethical threats. Methods An in-depth search was carried out on Google search engine, by using specific keywords (e.g. technology, monitoring techniques, ambient intelligence; elderly, older adults; care and assistance). Three hundred and twenty-eight technologies were originally identified. Then, based on a predetermined set of inclusion-exclusion criteria, two hundreds and twenty-two technologies were selected. Results A comprehensive database was elaborated, where the two hundred and twenty-two ETs selected were classified as follows: category; developmental stage; companies and/or partners; functions; location of development; time of development; impact on elderly care; target; website. From an in-depth qualitative analysis, some ethically-related contents and themes emerged, namely: questions related to safety, independence and active aging, connectedness, empowerment and dignity, cost and efficiency. Although not reported by developers, a close analysis of website contents highlights that positive values are often associated with potential risks, notably privacy threats, deception, dehumanization of care. Conclusions Research findings may ultimately lead to a better understanding of the impact of ETs on elderly people.

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Scoping Review of the Literature on Smart Healthcare for Older Adults

Cited by 13 publications

References 38 publications

Older adults' preferences for Internet‐based services: Type and content

Older adults' preferences for Internet‐based services: Type and content

Service quality evaluation of county-level public hospitals in Chongqing under smart healthcare

Mapping emerging technologies in aged care: results from an in-depth online research

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