Use of telemedicine-based care for the aging and elderly: promises and pitfalls

Maria Magdalena Bujnowska-Fedak, Urszula Grata-Borkowska Department of Family Medicine, Wroclaw Medical University, Wroclaw, Poland Abstract: Telemedicine-based care provides remote health and social care to maintain people's autonomy and increase their quality of life. The rapidly aging population has come with a significant increase in the prevalence of chronic diseases and their effects, and thus the need for increased care and welfare. The elderly have become one of the main target groups for telecare technologies. Smart home systems allow older adults to live in the environment of their choice and protect them against institutionalization or placement in a nursing home. It gives the elderly person a feeling of reassurance and safety, and appears to be one of the most promising approaches to facilitate independent living in a community-dwelling situation. Telecare solutions give a new opportunity for diagnosis, treatment, education, and rehabilitation, and make it possible to monitor patients with a number of chronic diseases. It also reduces socioeconomic disparity with regard to access to care and gives equal chances to patients from urban and rural areas. However, although telecare has undisputed benefits, it also has some limitations. Older people are often resistant to use of new technology, in particular acquiring the knowledge and skills necessary for use of electronic devices and computer systems. Further, privacy and security are important elements when building confidence in telemedicine systems. Leaking of sensitive information, such as health or test results, may have a negative and far-reaching impact on the personal and professional life of the patient. Telemedicine-based care should now be personalized for the needs, capabilities, and preferences of the elderly, with adaptation over time as care needs evolve. If technologies are introduced that are familiar, usable, desirable, and cost-effective, and able to be adapted to seniors' lives and plans, then telecare would become an integral part of the lives of the elderly in the near future, allowing them to function independently in a friendly home environment. Keywords: home telecare, aging, elderly, benefits, barrier

Acceptance and Use of Mobile Devices and Apps by Elderly People

International audienceCurrently, there is an increase in the number of older generation groups. These demographic changes obviously cause serious social and economic problems. Therefore, there is a need to prolong an active life of elderly people, who want to lead active, fulfilling and quality life in a sense of their inclusion, socialization and independence. This can be achieved not only by continuous support from their family members, but current trends show an important role of information and communication technologies (ICT) in this process. The purpose of this study is to explore the acceptance and use of mobile technology, specifically mobile devices and applications by elderly people, both from the technical and sociological point of view. The methods used in this study include a method of literature review of available sources, a method of comparison and evaluation of the findings from the selected studies on this topic. The findings show that although there is a number of mobile apps for the elderly on the market, they do not usually meet specific needs of these people such as their physical and cognitive impairments or relevant technical specifications of mobile device designed for this group of people. In addition, since the use of mobile technologies by elderly people is quite a new field of research, there are almost no research studies which would prove acceptance of these mobile apps. Therefore, there is a need of vast and detailed research in this area and also find a solution to this complex technological and sociological issue