A Scoping Review Exploration of the Intended and Unintended Consequences of eHealth on Older People: A Health Equity Impact Assessment

Mei Lan  Fang, Ellie Siden, Anastasia Korol, Marie-Anne Demestihas, Judith Sixsmith, Andrew Sixsmith

    Research output: Contribution to journalArticlepeer-review

    6 Citations (Scopus)
    150 Downloads (Pure)

    Abstract

    eHealth is one perceived mechanism to extend the range and reach of limited healthcare resources for older adults. A decade scoping review (2007-2017) was conducted to systematically search and synthesize evidence to understand the intended and unintended consequences of eHealth initiatives, informed by a health equity impact assessment framework. Scoping review sources included international academic and grey literature on eHealth initiatives (e.g. eHealth records, telemedicine/telecare and mobile eHealth application) focused on the varying needs of older adults (60+); particularly, individuals experiencing socio-cultural and economic difficulties. Findings suggest that eHealth has several potential benefits for older adults, as well as the possibility of further excluding already marginalized groups, thereby exacerbating existing health disparities. Ongoing evaluation of eHealth initiatives for older adults’ is necessary and requires attention to unique individual-level socio-economic and cultural characteristics to heighten benefits and better capture both the intended and unintended outcomes of advanced eHealth systems.
    Original languageEnglish
    Pages (from-to)297-323
    Number of pages27
    JournalHuman Technology: An Interdisciplinary Journal on Humans in ICT Environments
    Volume14
    Issue number3
    DOIs
    Publication statusPublished - Nov 2018

    Keywords

    • eHealth
    • health equity impact assessment
    • scoping review
    • older adults
    • ageing and technology

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