Gordon Susan, Bidargaddi Niranjan, Immanuel Sarah, Fouyaxis John, Foley Kristen, Hall Karinna, Baker Nicky
College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
College of Medicine and Public Health, Flinders University, Adelaide, Australia.
Stud Health Technol Inform. 2020 Mar 2;268:77-86. doi: 10.3233/SHTI200007.
Current legislation aims to enable older Australians to age in place, and puts public healthcare within the remit of local governments. As Australia's population ages, local governments will need to explore new methods of service delivery in order to meet the increasing need for services that promote healthy ageing. Information technology (IT) may provide one such solution, however older Australian adults are reported to have low levels of technology use. In this simple descriptive qualitative study, focus groups with local government staff and community-dwelling older adults explored their perspectives regarding: a) IT solutions that councils could use to promote community-based healthy ageing, and (b) the enablers and challenges for adopting such solutions. Twenty-four adults participated in focus groups, and eleven of these adults also provided written data in response to visual prompts. Field notes were recorded by attending researchers. These three data sources were combined through narrative synthesis. Local government staff and community-dwellers alike perceived the utility of IT solutions in connecting community members, and connecting people to services (such as transport and providers of health information). While local government staff identified that IT solutions could provide benefits to the council when implemented in conjunction with existing services (e.g., to track data and identify information about community engagement and needs), community-dwellers placed stronger emphasis on adopting technology which had a clear purpose for its use. Due to limited digital literacy and some ambivalence towards embracing technology, IT solutions should be implemented with support to increase digital literacy, be widely advertised, and be centered in community needs. Personas have been generated and provided as possible case studies for technology adoption.
当前的立法旨在让澳大利亚老年人能够居家养老，并将公共医疗保健纳入地方政府的职责范围。随着澳大利亚人口老龄化，地方政府将需要探索新的服务提供方式，以满足对促进健康老龄化服务日益增长的需求。信息技术（IT）可能提供这样一种解决方案，然而据报道澳大利亚老年成年人的技术使用水平较低。在这项简单的描述性定性研究中，与地方政府工作人员和居住在社区的老年人进行的焦点小组探讨了他们对以下方面的看法：a）议会可用于促进基于社区的健康老龄化的IT解决方案，以及b）采用此类解决方案的促进因素和挑战。24名成年人参加了焦点小组，其中11名成年人还针对视觉提示提供了书面数据。参与研究的人员记录了实地笔记。这三个数据源通过叙事综合法进行了整合。地方政府工作人员和社区居民都认识到IT解决方案在连接社区成员以及将人们与服务（如交通和健康信息提供者）方面的效用。虽然地方政府工作人员认为，IT解决方案与现有服务结合实施时可为议会带来好处（例如跟踪数据并识别有关社区参与和需求的信息），但社区居民更强调采用有明确使用目的的技术。由于数字素养有限以及对接受技术存在一些矛盾心理，IT解决方案的实施应得到支持以提高数字素养、进行广泛宣传并以社区需求为中心。已生成人物角色并作为技术采用的可能案例研究提供。
