Factors that affect health information technology adoption by seniors: A systematic review.

The number of seniors and prevalence of chronic conditions are increasing worldwide, resulting in more pressure on health systems. Health Information Technologies (HIT) present opportunities to support the healthcare needs of seniors. Although prior studies have investigated HIT and seniors, it rema...

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Publicado en:Health & Social Care in the Community Vol. 28; no. 6; pp. 1827 - 1843
Autores principales: Kavandi, Hamidreza, Jaana, Mirou
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell Nov2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2020
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        atl: Factors that affect health information technology adoption by seniors: A systematic review.
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        au:
          Kavandi, Hamidreza
          Jaana, Mirou
        affil: Electronic Business Technologies, Telfer School of Management, University of Ottawa, Ottawa ON,, Canada
      sug:
        subj:
          Health Informatics Utilization
          Community Living Psychosocial Factors
          Socioeconomic Factors
          Human
          Systematic Review
          Aged
          PubMed
          CINAHL Database
          Europe
          United States
          Commitment
          Health Informatics Economics
          Equipment Design
          Self-Efficacy
          Information Technology
          Anxiety
          Health Status
          Habits
          Privacy and Confidentiality
          Data Security
          Community Health Services
          Funding Source
          Aged: 65+ years
      ab: The number of seniors and prevalence of chronic conditions are increasing worldwide, resulting in more pressure on health systems. Health Information Technologies (HIT) present opportunities to support the healthcare needs of seniors. Although prior studies have investigated HIT and seniors, it remains unclear what factors significantly affect the adoption of different HIT by elderly people in the community. A Systematic Review (SR) was conducted between December 2017 and February 2018 (with a search update in 2018–2019) to critically appraise and synthesise existing evidence on HIT adoption factors among seniors. Following the PRISMA guidelines, five major databases were consulted (PubMed, Medline, CINAHL, Scopus and Web of Science). The inclusion criteria consisted of empirical studies, published in English, and reporting impacts of specific factors on HIT adoption among seniors in the community. A total of 41 studies were included in this review, mostly published between 2014 and 2017 in Europe and the US; the level of evidence in these studies was low to moderate. The factors that affect HIT adoption did not differ across types of technologies or age groups. The findings reveal that seniors adopt HIT that are perceived as useful and requiring low effort commitment; price/cost value were reported as adoption barriers. Social influence, facilitating conditions, senior‐friendly product design, self‐efficacy, Intrinsic Technology Quality, experience/training and technology anxiety may affect HIT adoption by seniors, although the evidence on these impacts remains weak and limited. Mixed and inconclusive evidence was observed on the impacts of socio‐demographic variables, health condition, habit and privacy/security. Given the reported low level of HIT adoption among seniors, we call for more rigorous research in this area using a 'senior‐centred' approach, which takes into account the discourse/interaction between seniors and their collective environment to better understand the factors that affect their technology adoption and address their needs.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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