174429Blekinge Institute of Technology, Karlskrona Sweden.
Health Informatics J. 2021 Oct-Dec;27(4):14604582211059370. doi: 10.1177/14604582211059370.
This study aimed to describe older persons' experiences of eHealth services in home health care. A meta-ethnographic approach was applied, and a systematic literature search was conducted in three databases. In total, 11 articles were included and analysed, which resulted in two themes and six sub-themes. The results show that for older persons to use the eHealth services, they must provide some additional value compared to current contacts with healthcare professionals. Those with regular healthcare contact do not experience the eHealth service as adding anything to the care they already receive. The introduction of eHealth services involves learning how to use the new technology, and some older persons experience the technology as motivating and inspiring. The eHealth service makes some feel safer while some do not trust the technology. In order to make the best use of eHealth services, it is important that the services are adjusted not only to each person's needs but also to their personal capabilities and resources, while the older person must feel valued as an active partner in the care process. Thus, when using eHealth services, the older person's perspective needs to be given priority and decisions should not only be based on organizational considerations.
本研究旨在描述老年人在家庭医疗保健中使用电子健康服务的体验。采用元人种学方法,在三个数据库中进行了系统的文献检索。共纳入 11 篇文章进行分析,结果产生了两个主题和六个子主题。结果表明,老年人要使用电子健康服务,必须提供比当前与医疗保健专业人员联系更多的附加价值。那些经常与医疗保健接触的人并不认为电子健康服务为他们已经接受的护理增添了任何内容。电子健康服务的引入涉及学习如何使用新技术,一些老年人认为这项技术具有激励和启发作用。电子健康服务使一些人感到更安全,而一些人则不信任这项技术。为了充分利用电子健康服务,重要的是不仅要根据每个人的需求,还要根据他们的个人能力和资源来调整服务,同时老年人必须感到自己是护理过程中的有价值的积极伙伴。因此,在使用电子健康服务时,需要优先考虑老年人的观点,决策不应仅基于组织考虑。