School of Public Administration, Hangzhou Normal University, Hangzhou, China.
College of Public Administration, Zhejiang University, Hangzhou, China.
J Healthc Eng. 2022 Apr 11;2022:7852806. doi: 10.1155/2022/7852806. eCollection 2022.
Rise in the aging population brings new challenges to modern societies. Old age is associated with several morbidities and usual issues related to health. Therefore, the provision of healthy and timely care has become the dire need to maintain their quality of life and wellbeing. The evolution of the e-health care system put pressure on societies to implement it successfully to ensure a safe and prompt provision of care services to the most vulnerable population successfully. Therefore, the provision and implementation of the e-health care system is a challenge for the health industry in terms of multi-objective decision-making. Multicriteria decision-making is a generalizable approach to making decisions with dependence and feedback and is known as an effective tool in decision-making processes, particularly in the healthcare sector. The present study aims to present an e-healthcare framework by identifying and prioritizing potential barriers towards the use of e-health by the elderly population. The analytical hierarchy process approach is adopted to calculate weights of identified potential barriers, respectively, and then rank them based on their degree of significance. The findings show that health and the ability-related barrier is ranked highest, followed by socio-environmental and attitudinal barriers. This research contributes to healthcare decision-making regarding e-health usage by implementing MCDA techniques. Our study will assist the public health practitioners and policymakers in drawing decisions on the best strategy to minimize the risks in using the e-healthcare system by the aging population, which significantly contributes to the smart healthcare system.
人口老龄化给现代社会带来了新的挑战。老年与多种疾病和常见的健康问题有关。因此，提供健康和及时的护理已成为维持他们生活质量和幸福感的迫切需要。电子医疗保健系统的发展迫使社会成功实施该系统，以确保向最脆弱的人群成功提供安全和及时的护理服务。因此，电子医疗保健系统的提供和实施对医疗行业来说是一个多目标决策方面的挑战。多准则决策是一种具有依赖性和反馈的通用决策方法，被认为是决策过程中的有效工具，特别是在医疗保健领域。本研究旨在通过识别和优先考虑老年人使用电子医疗保健的潜在障碍，提出一个电子医疗保健框架。采用层次分析法来计算已识别潜在障碍的权重，然后根据其重要性程度对其进行排名。研究结果表明，健康和能力相关的障碍排名最高，其次是社会环境和态度障碍。本研究通过实施多准则决策技术，为电子医疗保健的使用提供了医疗保健决策。我们的研究将帮助公共卫生从业者和政策制定者做出决策，以最好的策略来最小化老年人使用电子医疗保健系统的风险，这对智能医疗保健系统有重大贡献。
