“…In a broader sense, the term characterizes not only a technical development, but also a state-of-mind, a way of thinking, an attitude, and a commitment for networked, global thinking, to improve health care locally, regionally, and worldwide by using information and communication technology ” [ 32 ]. However, there are still constraints to be overcome: technological obsolescence; unsuitable technological devices; regulation, standardization, auditing, inspection and quality control; lack of interoperability; health professional resistance; low organizational capability for new ways of working and organization; shortage of digital training [ 33 , 34 , 35 , 36 , 37 , 38 ]. In Europe, both the skill development in old age and the aging of younger generations of technology users have led to a growing number of elderly people able to use health and care services online, although to a lesser extent in Portugal [ 39 ].…”