Department of Marketing and Logistics, College of Business, Florida International University, Miami, FL 33199, United States.
Department of Information Systems and Business Analytics, College of Business & Herbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, United States.
Int J Qual Health Care. 2024 May 16;36(2). doi: 10.1093/intqhc/mzae039.
Contemporary telecare systems facilitate the ability for older adults to age in place, keeping them out of residential care facilities and providing numerous quality-of-life advantages for both care receivers (CRs) and caregivers (CGs). However, despite the acceptance of digital health interventions among older adults and their CGs, telecare adoption has been slower than expected. This paper aimed to compare attitudes toward adopting telecare systems between CRs (aging adults) and their CGs (family/friends). Data were collected via an online survey. Respondents included aging adults concerned about their care (CRs) and older adults who cared for an aging loved one (CGs). Analysis of covariance and partial-least-squares techniques were used to examine the relationships between healthcare concerns for older adults, functional telecare benefits, and telecare acceptance. Concerns for healthcare status, mainly driven by CRs, positively impacted telecare acceptance. However, concerns for mental and physical stimulation had a negative relationship with telecare acceptance, while CGs showed a neutral relationship. Telecare's ability to improve healthcare quality and cognitive stimulation positively impacted its acceptance. CGs mainly drove the impact of healthcare quality on telecare acceptance, while the relationship was not significant for CRs. CRs' age reduced telecare acceptance, and higher educational levels of CGs increased telecare acceptance. We found significant differences in telecare acceptance and its drivers between CGs and CRs in the USA. In addition, we discerned that not all healthcare concerns or functional telecare characteristics influenced telecare acceptance equally between the two. Consequently, telecare providers must consider the different needs of constituencies interested in telecare to support the life quality of older adults.
当代远程医疗系统使老年人能够就地养老，使他们远离养老院，并为护理接收者（CR）和护理人员（CG）提供许多生活质量优势。然而，尽管老年人及其 CG 接受了数字健康干预措施，但远程医疗的采用速度却低于预期。本文旨在比较 CR（老年人）和 CG（家庭/朋友）对采用远程医疗系统的态度。数据通过在线调查收集。受访者包括关心自己护理的老年人（CR）和照顾年迈亲人的老年人（CG）。协方差分析和偏最小二乘法技术用于检验老年人对医疗保健的关注、远程医疗的功能效益和远程医疗的接受度之间的关系。对老年人医疗保健状况的担忧主要由 CR 驱动，对远程医疗的接受度产生了积极影响。然而，对心理和身体刺激的担忧与远程医疗的接受度呈负相关，而 CG 则表现出中性关系。远程医疗提高医疗质量和认知刺激的能力对其接受度产生了积极影响。CG 主要推动了医疗质量对远程医疗接受度的影响，而 CR 的关系并不显著。CR 的年龄降低了远程医疗的接受度，而 CG 的教育水平越高，远程医疗的接受度就越高。我们发现，美国 CG 和 CR 在远程医疗接受度及其驱动因素方面存在显著差异。此外，我们发现并非所有医疗保健关注或远程医疗功能特征对两者的远程医疗接受度的影响都是相同的。因此，远程医疗提供商必须考虑到对远程医疗感兴趣的不同群体的不同需求，以支持老年人的生活质量。
