50 岁及以上成年人使用在线健康服务的障碍，以及家庭支持在克服这些障碍中的作用。
Obstacles to using online health services among adults age 50 and up and the role of family support in overcoming them.
机构信息
Sociology and Anthropology Department, The Max Stern Yezreel Valley College, 1930600, Emek Yezreel, Israel.
Economics and Management Department, The Max Stern Yezreel Valley College, 1930600, Emek Yezreel, Israel.
出版信息
Isr J Health Policy Res. 2020 Aug 21;9(1):42. doi: 10.1186/s13584-020-00398-x.
BACKGROUND
Using Online Health Services (OHS) could benefit older adults greatly and could also reduce the burden on the health system. Yet invisible obstacles or barriers appear to impede mass adoption of these services among this population group. The aim of the current research is to provide a qualitative picture of these invisible obstacles and to profile their main features, with special attention to the role of family members in supporting OHS use among this population group.
METHODS
This qualitative study entailed a series of in-depth, semi-structured, open phone interviews conducted with 31 individuals age 50 and up in Israel, who constituted a sample of OHS users and non-users among older adults.
RESULTS
Four major themes and primary observations emerge from our data: 1. While older adults are aware of OHS to some extent, they often do not fully understand the specific benefits of using these services; 2. Older adults need to acquire much more experience with OHS use. OHS user interfaces still have a long way to go for older adults to feel comfortable using them. People age 50 and up seem to be less concerned about privacy and security issues than about seemingly more trivial issues such as recovering forgotten passwords; 3. Family members can play key roles in helping older adults adopt OHS by providing technical support as well as encouragement; 4. Older adults have worthwhile recommendations for innovations and policy improvements that would facilitate wider adoption of OHS.
CONCLUSIONS
The results of the current study reveal important nuances regarding the importance of awareness, user interface and experience for OHS use among older adults, as well as the critical role of family members in OHS adoption. Based on these findings, we recommend the following: expanding advertising on media channels to emphasize the benefits of OHS use; improving HMO websites to make them more user-friendly for older people; developing HMO-run community OHS guidance programs geared to older people to reduce the gap between required skills and user competencies, thus enabling older people to benefit from OHS use.
背景
使用在线健康服务（OHS）可以使老年人受益匪浅，也可以减轻医疗系统的负担。然而，一些无形的障碍似乎阻碍了这一人群大规模采用这些服务。目前的研究旨在提供一幅这些无形障碍的定性图景，并描绘其主要特征，特别关注家庭成员在支持这一人群使用 OHS 方面的作用。
方法
本研究采用了一系列深入的、半结构化的、开放式电话访谈，受访者为 31 名年龄在 50 岁及以上的以色列人，他们构成了老年人中 OHS 用户和非用户的样本。
结果
从我们的数据中出现了四个主要主题和初步观察结果：1. 虽然老年人在某种程度上了解 OHS，但他们并不完全了解使用这些服务的具体好处；2. 老年人需要更多地使用 OHS。OHS 用户界面还有很长的路要走，让老年人感到舒适使用。50 岁及以上的人似乎不太关心隐私和安全问题，而更关心看似微不足道的问题，如找回忘记的密码；3. 家庭成员可以通过提供技术支持和鼓励，在帮助老年人采用 OHS 方面发挥关键作用；4. 老年人对创新和政策改进有很好的建议，可以促进 OHS 的更广泛采用。
结论
本研究的结果揭示了老年人使用 OHS 时意识、用户界面和体验的重要性、家庭成员在 OHS 采用中的关键作用等重要细微差别。基于这些发现，我们建议：扩大媒体渠道的广告宣传，强调 OHS 使用的好处；改善 HMO 网站，使其对老年人更友好；开发 HMO 运营的社区 OHS 指导计划，针对老年人，以缩小所需技能和用户能力之间的差距，从而使老年人能够从 OHS 使用中受益。
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