IDEAS home Printed from https://ideas.repec.org/a/eee/tefoso/v189y2023ics0040162523000045.html
   My bibliography  Save this article

Digital health platforms for the elderly? Key adoption and usage barriers and ways to address them

Author

Listed:
  • Frishammar, Johan
  • Essén, Anna
  • Bergström, Frida
  • Ekman, Tilda

Abstract

Digital healthcare platforms (DHPs) represent a relatively new phenomenon that could provide a valuable complement to physical primary care – for example, by reducing costs, improving access to healthcare, and allowing patient monitoring. However, such platforms are mainly used today by the younger generations, which creates a “digital divide” between the younger and the elderly. This article aims to identify: i) the perceived key barriers that inhibit adoption and usage of DHPs by the elderly, and ii) what DHP providers can do to facilitate increased adoption and usage by the elderly. The article draws on qualitative interviews with elderly and complementary process data from a major Swedish DHP. We find that the elderly perceives two key barriers to initial adoption of DHPs: i) negative attitudes and technology anxiety and ii) one key barrier affecting both adoption and usage – lack of trust. The analysis also identifies multiple development suggestions for DHP improvement to better accommodate the needs of the elderly, including suggestions for application development and tailored education activities. We provide an integrated framework outlining the key barriers perceived and ways to address them. In so doing, we contribute to the literature on mHealth and to the literature on platforms in healthcare.

Suggested Citation

  • Frishammar, Johan & Essén, Anna & Bergström, Frida & Ekman, Tilda, 2023. "Digital health platforms for the elderly? Key adoption and usage barriers and ways to address them," Technological Forecasting and Social Change, Elsevier, vol. 189(C).
    • Handle: RePEc:eee:tefoso:v:189:y:2023:i:c:s0040162523000045
    DOI: 10.1016/j.techfore.2023.122319
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0040162523000045
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.techfore.2023.122319?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Ben Arfi, Wissal & Ben Nasr, Imed & Khvatova, Tatiana & Ben Zaied, Younes, 2021. "Understanding acceptance of eHealthcare by IoT natives and IoT immigrants: An integrated model of UTAUT, perceived risk, and financial cost," Technological Forecasting and Social Change, Elsevier, vol. 163(C).
    2. Kevin J. Boudreau & Andrei Hagiu, 2009. "Platform Rules: Multi-Sided Platforms as Regulators," Chapters, in: Annabelle Gawer (ed.), Platforms, Markets and Innovation, chapter 7, Edward Elgar Publishing.
    3. Patricia Baudier & Galina Kondrateva & Chantal Ammi & Victor Chang & Francesco Schiavone, 2021. "Patients’ perceptions of teleconsultation during COVID-19: a cross-national study," Post-Print hal-03052149, HAL.
    4. Schiavone, Francesco & Mancini, Daniela & Leone, Daniele & Lavorato, Domenica, 2021. "Digital business models and ridesharing for value co-creation in healthcare: A multi-stakeholder ecosystem analysis," Technological Forecasting and Social Change, Elsevier, vol. 166(C).
    5. Madhavan Parthasarathy & Anol Bhattacherjee, 1998. "Understanding Post-Adoption Behavior in the Context of Online Services," Information Systems Research, INFORMS, vol. 9(4), pages 362-379, December.
    6. Lolich, Luciana & Riccò, Isabella & Deusdad, Blanca & Timonen, Virpi, 2019. "Embracing technology? Health and Social Care professionals' attitudes to the deployment of e-Health initiatives in elder care services in Catalonia and Ireland," Technological Forecasting and Social Change, Elsevier, vol. 147(C), pages 63-71.
    7. Cenamor, Javier & Frishammar, Johan, 2021. "Openness in platform ecosystems: Innovation strategies for complementary products," Research Policy, Elsevier, vol. 50(1).
    8. Balta, Maria & Valsecchi, Raffaella & Papadopoulos, Thanos & Bourne, Dorota Joanna, 2021. "Digitalization and co-creation of healthcare value: A case study in Occupational Health," Technological Forecasting and Social Change, Elsevier, vol. 168(C).
    9. Oderanti, Festus Oluseyi & Li, Feng & Cubric, Marija & Shi, Xiaohui, 2021. "Business models for sustainable commercialisation of digital healthcare (eHealth) innovations for an increasingly ageing population," Technological Forecasting and Social Change, Elsevier, vol. 171(C).
    10. Baudier, Patricia & Kondrateva, Galina & Ammi, Chantal & Chang, Victor & Schiavone, Francesco, 2021. "Patients’ perceptions of teleconsultation during COVID-19: A cross-national study," Technological Forecasting and Social Change, Elsevier, vol. 163(C).
    11. Lai, Jung-Yu & Wang, Juite, 2015. "Switching attitudes of Taiwanese middle-aged and elderly patients toward cloud healthcare services: An exploratory study," Technological Forecasting and Social Change, Elsevier, vol. 92(C), pages 155-167.
    12. Sebastian Hermes & Tobias Riasanow & Eric K. Clemons & Markus Böhm & Helmut Krcmar, 2020. "The digital transformation of the healthcare industry: exploring the rise of emerging platform ecosystems and their influence on the role of patients," Business Research, Springer;German Academic Association for Business Research, vol. 13(3), pages 1033-1069, November.
    13. Shareef, Mahmud Akhter & Kumar, Vinod & Dwivedi, Yogesh K. & Kumar, Uma & Akram, Muhammad Shakaib & Raman, Ramakrishnan, 2021. "A new health care system enabled by machine intelligence: Elderly people's trust or losing self control," Technological Forecasting and Social Change, Elsevier, vol. 162(C).
    14. Son, Minhee & Han, Kyesook, 2011. "Beyond the technology adoption: Technology readiness effects on post-adoption behavior," Journal of Business Research, Elsevier, vol. 64(11), pages 1178-1182.
    15. Flick, Catherine & Zamani, Efpraxia D. & Stahl, Bernd Carsten & Brem, Alexander, 2020. "The future of ICT for health and ageing: Unveiling ethical and social issues through horizon scanning foresight," Technological Forecasting and Social Change, Elsevier, vol. 155(C).
    16. Kim, Ki-Hun & Kim, Kwang-Jae & Lee, Dae-Ho & Kim, Min-Geun, 2019. "Identification of critical quality dimensions for continuance intention in mHealth services: Case study of onecare service," International Journal of Information Management, Elsevier, vol. 46(C), pages 187-197.
    17. Talukder, Md. Shamim & Sorwar, Golam & Bao, Yukun & Ahmed, Jashim Uddin & Palash, Md. Abu Saeed, 2020. "Predicting antecedents of wearable healthcare technology acceptance by elderly: A combined SEM-Neural Network approach," Technological Forecasting and Social Change, Elsevier, vol. 150(C).
    18. Viswanath Venkatesh & Fred D. Davis, 2000. "A Theoretical Extension of the Technology Acceptance Model: Four Longitudinal Field Studies," Management Science, INFORMS, vol. 46(2), pages 186-204, February.
    19. Feng Zhu & Marco Iansiti, 2012. "Entry into platform‐based markets," Strategic Management Journal, Wiley Blackwell, vol. 33(1), pages 88-106, January.
    20. Wissal Ben Arfi & Imed Ben Nasr & Tatiana Khvatova & Younes Ben Zaied, 2021. "Understanding acceptance of eHealthcare by IoT natives and IoT immigrants : An integrated model of UTAUT, perceived risk, and financial cost," Post-Print hal-03188218, HAL.
    21. Wonchan Choi, 2020. "Older adultsʼ credibility assessment of online health information: An exploratory study using an extended typology of web credibility," Journal of the Association for Information Science & Technology, Association for Information Science & Technology, vol. 71(11), pages 1295-1307, November.
    22. Katy Jordan, 2019. "Separating and Merging Professional and Personal Selves Online: The Structure and Processes That Shape Academics' Ego‐Networks on Academic Social Networking Sites and Twitter," Journal of the Association for Information Science & Technology, Association for Information Science & Technology, vol. 70(8), pages 830-842, August.
    23. Iancu, Ioana & Iancu, Bogdan, 2020. "Designing mobile technology for elderly. A theoretical overview," Technological Forecasting and Social Change, Elsevier, vol. 155(C).
    24. Zhang, Mengdan & Zhang, Chonghui & Shi, Qiule & Zeng, Shouzhen & Balezentis, Tomas, 2022. "Operationalizing the telemedicine platforms through the social network knowledge: An MCDM model based on the CIPFOHW operator," Technological Forecasting and Social Change, Elsevier, vol. 174(C).
    25. Liao, Chechen & Palvia, Prashant & Chen, Jain-Liang, 2009. "Information technology adoption behavior life cycle: Toward a Technology Continuance Theory (TCT)," International Journal of Information Management, Elsevier, vol. 29(4), pages 309-320.
    26. Kuo, Ren-Zong, 2020. "Why do people switch mobile payment service platforms? An empirical study in Taiwan," Technology in Society, Elsevier, vol. 62(C).
    27. de Reuver, Mark & Ondrus, Jan, 2017. "When technological superiority is not enough: The struggle to impose the SIM card as the NFC Secure Element for mobile payment platforms," Telecommunications Policy, Elsevier, vol. 41(4), pages 253-262.
    28. Dubois, Anna & Gadde, Lars-Erik, 2002. "Systematic combining: an abductive approach to case research," Journal of Business Research, Elsevier, vol. 55(7), pages 553-560, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Betz, Ulrich A.K. & Arora, Loukik & Assal, Reem A. & Azevedo, Hatylas & Baldwin, Jeremy & Becker, Michael S. & Bostock, Stefan & Cheng, Vinton & Egle, Tobias & Ferrari, Nicola & Schneider-Futschik, El, 2023. "Game changers in science and technology - now and beyond," Technological Forecasting and Social Change, Elsevier, vol. 193(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kraus, Sascha & Kumar, Satish & Lim, Weng Marc & Kaur, Jaspreet & Sharma, Anuj & Schiavone, Francesco, 2023. "From moon landing to metaverse: Tracing the evolution of Technological Forecasting and Social Change," Technological Forecasting and Social Change, Elsevier, vol. 189(C).
    2. Chauhan, Ankur & Jakhar, Suresh Kumar & Jabbour, Charbel Jose Chiappetta, 2022. "Implications for sustainable healthcare operations in embracing telemedicine services during a pandemic," Technological Forecasting and Social Change, Elsevier, vol. 176(C).
    3. Naeini, Ali Bonyadi & Zamani, Mehdi & Daim, Tugrul U. & Sharma, Mahak & Yalcin, Haydar, 2022. "Conceptual structure and perspectives on “innovation management”: A bibliometric review," Technological Forecasting and Social Change, Elsevier, vol. 185(C).
    4. Arfi, Wissal Ben & Nasr, Imed Ben & Kondrateva, Galina & Hikkerova, Lubica, 2021. "The role of trust in intention to use the IoT in eHealth: Application of the modified UTAUT in a consumer context," Technological Forecasting and Social Change, Elsevier, vol. 167(C).
    5. Md. Alamgir Hossain & Ruhul Amin & Abdullah Al Masud & Md. Imran Hossain & Mohammad Awal Hossen & Mohammad Kamal Hossain, 2023. "What Drives People’s Behavioral Intention Toward Telemedicine? An Emerging Economy Perspective," SAGE Open, , vol. 13(3), pages 21582440231, July.
    6. Cobelli, Nicola & Cassia, Fabio & Donvito, Raffaele, 2023. "Pharmacists' attitudes and intention to adopt telemedicine: Integrating the market-orientation paradigm and the UTAUT," Technological Forecasting and Social Change, Elsevier, vol. 196(C).
    7. Muhammad Ilyas & Arif ud din & Muhammad Haleem & Irshad Ahmad, 2023. "Digital entrepreneurial acceptance: an examination of technology acceptance model and do-it-yourself behavior," Journal of Innovation and Entrepreneurship, Springer, vol. 12(1), pages 1-19, December.
    8. Wang, Yu-Yin & Wang, Yi-Shun & Lin, Tung-Ching, 2018. "Developing and validating a technology upgrade model," International Journal of Information Management, Elsevier, vol. 38(1), pages 7-26.
    9. Pal, Shounak & Biswas, Baidyanath & Gupta, Rohit & Kumar, Ajay & Gupta, Shivam, 2023. "Exploring the factors that affect user experience in mobile-health applications: A text-mining and machine-learning approach," Journal of Business Research, Elsevier, vol. 156(C).
    10. Xiong, Jie & Zuo, Meiyun, 2022. "Understanding factors influencing the adoption of a mobile platform of medical and senior care in China," Technological Forecasting and Social Change, Elsevier, vol. 179(C).
    11. Omrani, Nessrine & Rivieccio, Giorgia & Fiore, Ugo & Schiavone, Francesco & Agreda, Sergio Garcia, 2022. "To trust or not to trust? An assessment of trust in AI-based systems: Concerns, ethics and contexts," Technological Forecasting and Social Change, Elsevier, vol. 181(C).
    12. Balakrishnan, Janarthanan & Abed, Salma S. & Jones, Paul, 2022. "The role of meta-UTAUT factors, perceived anthropomorphism, perceived intelligence, and social self-efficacy in chatbot-based services?," Technological Forecasting and Social Change, Elsevier, vol. 180(C).
    13. Han, Chunjia & Yang, Mu & Piterou, Athena, 2021. "Do news media and citizens have the same agenda on COVID-19? an empirical comparison of twitter posts," Technological Forecasting and Social Change, Elsevier, vol. 169(C).
    14. Su-Chen(Cecilia) Lin & Mei-Chen Chuang & Chen-Yuan Huang & Chia-En Liu, 2023. "Nursing Staff’s Behavior Intention to Use Mobile Technology: An Exploratory Study Employing the UTAUT 2 Model," SAGE Open, , vol. 13(4), pages 21582440231, November.
    15. Netsanet Haile & Jörn Altmann, 2016. "Structural analysis of value creation in software service platforms," Electronic Markets, Springer;IIM University of St. Gallen, vol. 26(2), pages 129-142, May.
    16. Hsieh, Pi-Jung & Lai, Hui-Min, 2020. "Exploring people's intentions to use the health passbook in self-management: An extension of the technology acceptance and health behavior theoretical perspectives in health literacy," Technological Forecasting and Social Change, Elsevier, vol. 161(C).
    17. El Barachi, May & Salim, Taghreed Abu & Nyadzayo, Munyaradzi W. & Mathew, Sujith & Badewi, Amgad & Amankwah-Amoah, Joseph, 2022. "The relationship between citizen readiness and the intention to continuously use smart city services: Mediating effects of satisfaction and discomfort," Technology in Society, Elsevier, vol. 71(C).
    18. Denicolai, Stefano & Previtali, Pietro, 2023. "Innovation strategy and digital transformation execution in healthcare: The role of the general manager," Technovation, Elsevier, vol. 121(C).
    19. Inoue, Yuki, 2021. "Indirect innovation management by platform ecosystem governance and positioning: Toward collective ambidexterity in the ecosystems," Technological Forecasting and Social Change, Elsevier, vol. 166(C).
    20. Hsing-Chun Hung & Yuh-Wen Chen, 2023. "Striving to Achieve United Nations Sustainable Development Goals of Taiwanese SMEs by Adopting Industry 4.0," Sustainability, MDPI, vol. 15(3), pages 1-18, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:tefoso:v:189:y:2023:i:c:s0040162523000045. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.sciencedirect.com/science/journal/00401625 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.