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. 2022 Jul 13;5(3):ooac061.
doi: 10.1093/jamiaopen/ooac061. eCollection 2022 Oct.

Ageism in healthcare technology: the older patients' aspirations for improved online accessibility

Dani Zoorob  1 , Yasmin Hasbini  2 , Katherine Chen  1 , Victoria Wangia-Anderson  3 , Hind Moussa  4 , Brian Miller  5 , Debi Brobst  5
Affiliations

Ageism in healthcare technology: the older patients' aspirations for improved online accessibility

Dani Zoorob et al. JAMIA Open. .

Abstract

Objective: To identify concerns, barriers and facilitators impacting the use of patient portals by older patients as well as desired features in future updates.

Materials and methods: This is a cross-sectional study consisting of 2 focus group discussions culminating in an anonymous survey administered to women who were 65 years and older receiving urogynecologic care in Northwest Ohio.

Results: Of the 205 women surveyed (91% response rate), providers and healthcare systems play the primary 2 roles (73% and 69%, respectively) in facilitating patients' use of patient portal systems and telehealth applications. Barriers to use revolved around technical difficulties (50%), privacy concerns (45%), and cost of technology (24%). The most important features desired were the ability to modify the text size within the application (47%) and an intuitive, simple interface (46%). Additional assistance for navigating technical challenges was suggested, specifically set-up of accounts (36%), saving and sharing information with caregivers (35%), and sign-in and navigation of portals (32%).

Conclusion: The paucity of age-aligned medical access software and products may lead to worsening of digital exclusion and disparities in healthcare. Portal application developers and healthcare systems must advance efforts that consider the needs of those who may be older when designing patient portals.

Keywords: access; ageism; digital exclusion; older; telehealth.

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Figures

Figure 1.
Figure 1.
Facilitators of patient portal use among elderly. Reported figures refer to percentages of participants that reported specific facilitators enhancing their consideration of patient portals.
Figure 2.
Figure 2.
Patient-encountered technical barriers. Legend: Reported figures refer to the percentage of participants encountering personal or technical concerns during portal use.
Figure 3.
Figure 3.
Patient-requested enhancements and features in portal updates. Figures refer to the percentage of participants that reported specific features desired to be included in patient portals.
See this image and copyright information in PMC

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References

    1. Leonardsen A-CL, Hardeland C, Helgesen AK, et al.Patient experiences with technology enabled care across healthcare settings—a systematic review. BMC Health Serv Res 2020; 20 (1): 17. - PMC - PubMed
    1. Low ST, Sakhardande P, Lai YF, et al.Attitudes and perceptions toward healthcare technology adoption among older adults in Singapore: a qualitative study. Front Public Health 2021; 9: 588590. - PMC - PubMed
    1. Nahm E-S, Son H, Yoon JM.. Older adults’ use of patient portals: experiences, challenges, and suggestions shared through discussion board forums. Geriatr Nurs 2020; 41 (4): 387–93. - PMC - PubMed
    1. Murphy RP, Dennehy KA, Costello MM, et al.Virtual geriatric clinics and the COVID-19 catalyst: a rapid review. Age Ageing 2020; 49 (6): 907–8. - PMC - PubMed
    1. Wildenbos GA, Jaspers M, Peute L.. The equity paradox: older patients’ participation in patient portal development. Int J Qual Health Care 2018; 3 (10): 793–7. - PubMed

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