Skip to content
2000
Volume 18, Issue 1
  • ISSN: 1874-6098
  • E-ISSN: 1874-6128

Abstract

Introduction

The growing elderly population in Indonesia presents challenges for the healthcare system, prompting the exploration of telemedicine as a solution. However, its effective implementation in Indonesia faces obstacles.

Methods

This research aimed to develop a comprehensive geriatric telemedicine framework in Padang City by studying multiple stakeholders. We employed qualitative methods, including in-depth interviews, across two hospitals, a Health Office, and a Community Health Center, involving 18 elderly participants.

Results

The study identified ten key dimensions for geriatric telemedicine services: technology, Human-Computer Interface (HCI), infrastructure, system workflow, clinical content, people (diverse roles), organization (ecosystem, service workflow, internal and external regulations), and financing (social security agency on health and independent). We used the Human-Organization-Technology Fit and Sociotechnical System approaches for analysis.

Conclusion

The study suggests implications for future implementation and advocates for broader participant involvement, information technology (IT) studies for system development, and longitudinal evaluations to assess the impact on elderly health outcomes.

© 2025 The Author(s). Published by Bentham Science Publishers. This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
Loading

Article metrics loading...

/content/journals/cas/10.2174/0118746098302999240522092726
2024-06-12
2025-03-28
The full text of this item is not currently available.

References

  1. BainC. GoswamiA. LloydS. DavisL. Post-implementation evaluation of a digital dictation system in a large health service using hot-fit framework.Asia Pacific J. Heal. Manag.2020154607010.24083/apjhm.v15i4.339
    [Google Scholar]
  2. Go JefferiesJ. BishopS. HibbertS. Service innovation through resource integration: An empirical examination of co-created value using telehealth services.Public Policy Adm.2021361698810.1177/0952076718822715
    [Google Scholar]
  3. JosephA.L. StringerE. BoryckiE.M. KushnirukA.W. Evaluative frameworks and models for health information systems (HIS) and health information technologies (HIT).Stud. Health Technol. Inform.202228928028510.3233/SHTI21091435062147
    [Google Scholar]
  4. MahttaD. DaherM. LeeM.T. SayaniS. ShishehborM. ViraniS.S. Promise and perils of telehealth in the current era.Curr. Cardiol. Rep.202123911510.1007/s11886‑021‑01544‑w34269884
    [Google Scholar]
  5. WoodallT. RamageM. LaBruyereJ.T. McLeanW. TakC.R. Telemedicine services during COVID-19: Considerations for medically underserved populations.J. Rural Health202137123123410.1111/jrh.1246632613657
    [Google Scholar]
  6. FayoumiA. WilliamsR. An integrated socio-technical enterprise modelling: A scenario of healthcare system analysis and design.J. Ind. Inf. Integr.20212310022110.1016/j.jii.2021.100221
    [Google Scholar]
  7. EsdarM. HübnerU. ThyeJ. BabitschB. LiebeJ.D. The effect of innovation capabilities of health care organizations on the quality of health information technology: Model development with cross-sectional data.JMIR Med. Inform.202193e2330610.2196/2330633720029
    [Google Scholar]
  8. DullabhP. HoveyL. Heaney-HulsK. RajendranN. WrightA. SittigD.F. Application programming interfaces in health care: findings from a current-state sociotechnical assessment.Appl. Clin. Inform.202011105906910.1055/s‑0039‑170100131968383
    [Google Scholar]
  9. DeGuzmanP.B. JainN. LoureiroC.G. Public libraries as partners in telemedicine delivery: a review and research agenda.Public Libr. Q.202241329430410.1080/01616846.2021.1877080
    [Google Scholar]
  10. De LucaR. TorrisiM. BramantiA. MaggioM.G. AnchesiS. AndaloroA. CaliriS. De ColaM.C. CalabròR.S. A multidisciplinary Telehealth approach for community dwelling older adults.Geriatr. Nurs.202142363564210.1016/j.gerinurse.2021.03.01533823421
    [Google Scholar]
  11. AikenA.R. StarlingJ. E. van der WalA. van der VlietS. BroussardK. JohnsonD. M. Demand for self-managed medication abortion through an online telemedicine service in the United States. Am. J. Public Heal.20201101909710.2105/AJPH.2019.305369
    [Google Scholar]
  12. PanzavoltaA. CeramiC. CaffarraP. De VitaD. DodichA. FontiC. L’AbbateF. LaganàV. LavorgnaL. MarraC. PapagnoC. PellegriniF.F. StracciariA. TrojanoL. IaquintaT. RavizzaA. SterniniF. PandolfiR. SanzoneS. CaloreM. CappaS.F. A digital teleneuropsychology platform for the diagnosis of mild cognitive impairment: from concept to certification as a medical device.Neurol. Sci.202410.1007/s10072‑024‑07403‑038378904
    [Google Scholar]
  13. CuiF. MaQ. HeX. ZhaiY. ZhaoJ. ChenB. SunD. ShiJ. CaoM. WangZ. Implementation and application of telemedicine in China: cross-sectional study.JMIR Mhealth Uhealth2020810e1842610.2196/1842633095175
    [Google Scholar]
  14. ChoI. Frameworks for Evaluating the Impact of Safety Technology Use.Healthc. Inform. Res.2023292899210.4258/hir.2023.29.2.8937190732
    [Google Scholar]
  15. ReinD.B. HackneyM.E. HaddadY.K. SublettF.A. MorelandB. ImhofL. PetersonC. LeghaJ.K. MarkJ. VaughanC.P. JohnsonT.M.II BergenG. Emory STEADI Implementation team A telemedicine-based risk program to prevent falls among older adults: Study protocol for a randomized quality improvement trial.JMIR Res. Protoc.202413e5439510.2196/5439538346180
    [Google Scholar]
  16. CarayonP. SalweiM.E. Moving toward a sociotechnical systems approach to continuous health information technology design: the path forward for improving electronic health record usability and reducing clinician burnout.J. Am. Med. Inform. Assoc.20212851026102810.1093/jamia/ocab00233537756
    [Google Scholar]
  17. Hajesmaeel-GohariS. BahaadinbeigyK. The most used questionnaires for evaluating telemedicine services.BMC Med. Inform. Decis. Mak.20212113610.1186/s12911‑021‑01407‑y33531013
    [Google Scholar]
  18. ChenK. DavoodiN. M. StraussD. H. LiM. JiménezF. N. GuthrieK. M. GoldbergE. M. Strategies to ensure continuity of care using telemedicine with older adults during COVID-19: a qualitative study of physicians in primary care and geriatrics.J. appl. gerontol.202241112282229510.1177/07334648221109728
    [Google Scholar]
  19. HapsariW.P. LabibU.A. HaryantoH. SafitriD.W. 2021A literature review of human, organization, technology (HOT)–fit evaluation model.6th International Seminar on Science Education (ISSE 2020)January 2021, Vol. 41, Atlantis press, pp. 1-8.10.2991/assehr.k.210326.126
    [Google Scholar]
  20. PimentelC.B. DrydenE.M. NearingK.A. KernanL.M. KennedyM.A. HungW.W. RileyJ. MooL.R. The role of Department of Veterans Affairs community‐based outpatient clinics in enhancing rural access to geriatrics telemedicine specialty care.J. Am. Geriatr. Soc.202472252052810.1111/jgs.1870338032320
    [Google Scholar]
  21. MurphyR.P. DennehyK.A. CostelloM.M. MurphyE.P. JudgeC.S. O’DonnellM.J. CanavanM.D. Virtual geriatric clinics and the COVID-19 catalyst: a rapid review.Age Ageing202049690791410.1093/ageing/afaa19132821909
    [Google Scholar]
  22. SchusterN.A. de BreijS. SchaapL.A. van SchoorN.M. PetersM.J.L. de JonghR.T. HuismanM. HoogendijkE.O. Older adults report cancellation or avoidance of medical care during the COVID-19 pandemic: results from the Longitudinal Aging Study Amsterdam.Eur. Geriatr. Med.20211251075108310.1007/s41999‑021‑00514‑334046874
    [Google Scholar]
  23. NgB.P. ParkC. SilvermanC.L. EckhoffD.O. GuestJ.C. DíazD.A. Accessibility and utilisation of telehealth services among older adults during COVID‐19 pandemic in the United States.Health Soc. Care Community2022305e2657e266910.1111/hsc.1370934994028
    [Google Scholar]
  24. ShahA.C. BadawyS.M. Telemedicine in pediatrics: systematic review of randomized controlled trials.JMIR Pediatr. Parent.202141e2269610.2196/2269633556030
    [Google Scholar]
  25. ShawJ. A. DoniaJ. J. F. The sociotechnical ethics of digital health: a critique and extension of approaches from bioethics.Front. digital heal.2021372508810.3389/fdgth.2021.725088
    [Google Scholar]
  26. EbbertJ.O. RamarP. Tulledge-ScheitelS.M. NjeruJ.W. RosedahlJ.K. RoellingerD. PhilpotL.M. Patient preferences for telehealth services in a large multispecialty practice.J. Telemed. Telecare202329429830310.1177/1357633X2098030233461397
    [Google Scholar]
  27. JohnsT. HuotC. JenkinsJ.C. Telehealth in Geriatrics.Prim. Care202249465967610.1016/j.pop.2022.04.00936357069
    [Google Scholar]
  28. KunpeukW. JulchooS. PhaiyaromM. SinamP. PudpongN. LoganathanT. YiH. SuphanchaimatR. Access to healthcare and social protection among migrant workers in Thailand before and during COVID-19 era: a qualitative study.Int. J. Environ. Res. Public Health2022195308310.3390/ijerph1905308335270775
    [Google Scholar]
  29. ReydaR.N. MomtajM. IslamM.S. LiraD.N.J. Exploring patient response towards hotline-based telemedicine service in Bangladesh.Inform. Med. Unlocked20233910124210.1016/j.imu.2023.101242
    [Google Scholar]
  30. YusofM.M. KuljisJ. PapazafeiropoulouA. StergioulasL.K. An evaluation framework for Health Information Systems: human, organization and technology-fit factors (HOT-fit).Int. J. Med. Inform.200877638639810.1016/j.ijmedinf.2007.08.01117964851
    [Google Scholar]
  31. PichanC.M. AndersonC.E. MinL.C. BlazekM.C. Geriatric Education on Telehealth (GET) Access: A medical student volunteer program to increase access to geriatric telehealth services at the onset of COVID-19.J. Telemed. Telecare2023291081682410.1177/1357633X21102392434152885
    [Google Scholar]
  32. ŞahinE. Yavuz VeiziB.G. NaharciM.I. Telemedicine interventions for older adults: A systematic review.J. Telemed. Telecare202430230531910.1177/1357633X21105834034825609
    [Google Scholar]
  33. TanL.F. Ho Wen TengV. SeetharamanS.K. YipA.W. Facilitating telehealth for older adults during the COVID-19 pandemic and beyond: Strategies from a Singapore geriatric center.Geriatr. Gerontol. Int.2020201099399510.1111/ggi.1401733003250
    [Google Scholar]
  34. KhoJ. GillespieN. Martin-KhanM. A systematic scoping review of change management practices used for telemedicine service implementations.BMC Health Serv. Res.202020181510.1186/s12913‑020‑05657‑w32873295
    [Google Scholar]
  35. DeharjaA. SantiM. W. DamayantiN. A. HargonoA. Evaluating The Usability of Hospital Information System (HIS) Through Human Organization Technology-Fit (Hot-Fit) ModelInternational Proceedings the 2nd International Scientific Meeting on Health Information Management (ISMoHIM) 2020.January 2021, pp. 380-389.
    [Google Scholar]
  36. MacisS. LoiD. UlgheriA. PaniD. SolinasG. MannaS.L. CestoneV. GuerriD. RaffoL. Design and Usability Assessment of a Multi-Device SOA-Based Telecare Framework for the Elderly.IEEE J. Biomed. Health Inform.202024126827910.1109/JBHI.2019.289455230794191
    [Google Scholar]
  37. FrydmanJ.L. GelfmanL.P. GoldsteinN.E. KelleyA.S. AnkudaC.K. The digital divide: do older adults with serious illness access telemedicine?J. Gen. Intern. Med.202237498498610.1007/s11606‑021‑06629‑433559064
    [Google Scholar]
  38. HaydonH.M. CafferyL.J. SnoswellC.L. ThomasE.E. TaylorM. BudgeM. ProbertJ. SmithA.C. Optimising specialist geriatric medicine services by telehealth.J. Telemed. Telecare2021271067467910.1177/1357633X21104185934726995
    [Google Scholar]
  39. HoffJ.L. Unavoidable futures? How governments articulate sociotechnical imaginaries of AI and healthcare services.Futures202314810313110.1016/j.futures.2023.103131
    [Google Scholar]
  40. HaleemA. JavaidM. SinghR.P. SumanR. Telemedicine for healthcare: Capabilities, features, barriers, and applications.Sensors International2021210011710.1016/j.sintl.2021.10011734806053
    [Google Scholar]
  41. Fondevila GascónJ.F. Carreras AlcaldeM. SeebachS. Pesqueira ZamoraM.J. How elders evaluate apps: A contribution to the study of smartphones and to the analysis of the usefulness and accessibility of ICTS for older adults.Mob. Media Commun.20153225026610.1177/2050157914560185
    [Google Scholar]
  42. ChowdhuryS.R. SunnaT.C. AhmedS. Telemedicine is an important aspect of healthcare services amid COVID-19 outbreak: Its barriers in Bangladesh and strategies to overcome.Int. J. Health Plann. Manage.202136141210.1002/hpm.306432857887
    [Google Scholar]
  43. CresswellK. WilliamsR. SheikhA. Developing and applying a formative evaluation framework for health information technology implementations: qualitative investigation.J. Med. Internet Res.2020226e1506810.2196/1506832519968
    [Google Scholar]
  44. DrydenE. M. KennedyM. A. ContiJ. BoudreauJ. H. AnwarC. P. NearingK. MooL. R. Perceived benefits of geriatric specialty telemedicine among rural patients and caregivers.Heal. services res.2023581263510.1111/1475‑6773.14055
    [Google Scholar]
  45. SilvaB.M.C. RodriguesJ.J.P.C. de la Torre DíezI. López-CoronadoM. SaleemK. Mobile-health: A review of current state in 2015.J. Biomed. Inform.20155626527210.1016/j.jbi.2015.06.00326071682
    [Google Scholar]
  46. JacobC. SezginE. Sanchez-VazquezA. IvoryC. Sociotechnical factors affecting patients’ adoption of mobile health tools: systematic literature review and narrative synthesis.JMIR Mhealth Uhealth2022105e3628410.2196/3628435318189
    [Google Scholar]
  47. MarjanovicS. AltenhoferM. HockingL. ChatawayJ. LingT. PolicyP. Innovating for improved healthcare: Sociotechnical and innovation systems perspectives and lessons from the NHS.Sci. Public Policy202047228329710.1093/scipol/scaa005
    [Google Scholar]
  48. BhaskarS. BradleyS. ChattuV. K. AdiseshA. NurtazinaA. KyrykbayevaS. SchroederS. J. F. Telemedicine as the new outpatient clinic gone digital: position paper from the pandemic health system REsilience PROGRAM (REPROGRAM) international consortium.Front Publ. Heal.2020841010.3389/fpubh.2020.00410PMC7505101
    [Google Scholar]
  49. CalabròR.S. ManuliA. De ColaM.C. BramantiP. Innovation technology in neurorehabilitation: introducing a hub and spoke model to avoid patient “migration” in Sicily.J. Health Organ. Manag.202034220721410.1108/JHOM‑07‑2019‑020032017847
    [Google Scholar]
  50. GroomL.L. McCarthyM.M. StimpfelA.W. BrodyA.A. Telemedicine and telehealth in nursing homes: an integrative review.J. Am. Med. Dir. Assoc.202122917841801.e710.1016/j.jamda.2021.02.03733819450
    [Google Scholar]
  51. MerajiM. TabeshH. JamalH. FazaeliS. EbnhosiniZ. An Evaluation of the pharmacy information system in teaching hospitals based on the HOT-fit model.J. Heal. Admin.202225224
    [Google Scholar]
  52. LesselrothB. MonkmanH. AdamsK. WoodS. CorbettA. HomcoJ. BoryckiE.M. SpierR. KushnirukA.W. User experience theories, models, and frameworks: A focused review of the healthcare literature.Stud. Health Technol. Inform.20202701076108010.3233/SHTI20032732570547
    [Google Scholar]
  53. ChaiK.Y. ZolkipliM.F. Review on confidentiality, integrity and availability in information security.J. ICT Educ.202182344210.37134/jictie.vol8.2.4.2021
    [Google Scholar]
  54. SunF. ZangW. GravinaR. FortinoG. LiY. Gait-based identification for elderly users in wearable healthcare systems.Inf. Fusion20205313414410.1016/j.inffus.2019.06.023
    [Google Scholar]
  55. NittariG. KhumanR. BaldoniS. PallottaG. BattineniG. Telemedicine practice: Review of the current ethical and legal challenges.Telemed. J. E-heal.202026121427143710.1089/tmj.2019.0158
    [Google Scholar]
  56. MizrachiY. ShahrabaniS. NachmaniM. HornikA. Obstacles to using online health services among adults age 50 and up and the role of family support in overcoming them.Isr. J. Health Policy Res.2020914210.1186/s13584‑020‑00398‑x32825840
    [Google Scholar]
  57. ChienL. RobertsE. Soto-Perez-de-CelisE. KatheriaV. HiteS. TranR. BhattD. DonnerA. BurhennP. CharlesK. Fernandes Dos Santos HughesS. DaleW. VazquezJ. MitaniD. SedrakM.S. LiD. Telehealth in geriatric oncology: A novel approach to deliver multidisciplinary care for older adults with cancer.J. Geriatr. Oncol.202011219719910.1016/j.jgo.2019.06.01131272897
    [Google Scholar]
  58. Khodadad-SaryazdiA. Exploring the telemedicine implementation challenges through the process innovation approach: A case study research in the French healthcare sector.Technovation202110710227310.1016/j.technovation.2021.102273
    [Google Scholar]
  59. NgusieH.S. KassieS.Y. CherekaA.A. EnyewE.B. Healthcare providers’ readiness for electronic health record adoption: A cross-sectional study during pre-implementation phase.BMC Health Serv. Res.202222128210.1186/s12913‑022‑07688‑x35232436
    [Google Scholar]
  60. SinghH. DeyA.K. Listen to my story: Contribution of patients to their healthcare through effective communication with doctors.Health Serv. Manage. Res.202134317819210.1177/095148482095230832903093
    [Google Scholar]
  61. KaplanH. Ethics, guidelines, standards, and policy: telemedicine, COVID-19, and broadening the ethical scope.Int. J. Healthcare202231110511810.1017/S0963180121000852
    [Google Scholar]
  62. ParsonsJ.A. The telemedical imperative.Bioethics202135429830610.1111/bioe.1284733586790
    [Google Scholar]
  63. PandyaA. WallerM. PortnoyJ.M. The regulatory environment of telemedicine after COVID-19.J. Allergy Clin. Immunol. Pract.202210102500250510.1016/j.jaip.2022.07.00135842133
    [Google Scholar]
  64. HaimiM. Gesser-EdelsburgA. Application and implementation of telehealth services designed for the elderly population during the COVID-19 pandemic: A systematic review.Heal. Inform. J.202228110.1177/1460458222107556135175881
    [Google Scholar]
  65. DoraiswamyS. JitheshA. MamtaniR. AbrahamA. CheemaS. Telehealth use in geriatrics care during the COVID-19 pandemic—a scoping review and evidence synthesis.Int. J. Environ. Res. Public Health2021184175510.3390/ijerph1804175533670270
    [Google Scholar]
  66. Korkmaz YaylagulN. KirisikH. BernardoJ. DantasC. van StaalduinenW. IllarioM. De LucaV. ApóstoloJ. SilvaR. Trends in Telecare use among community-dwelling older adults: A scoping review.Int. J. Environ. Res. Public Health202219241667210.3390/ijerph19241667236554553
    [Google Scholar]
  67. AlDossaryS. Martin-KhanM.G. BradfordN.K. ArmfieldN.R. SmithA.C. The development of a telemedicine planning framework based on needs assessment.J. Med. Syst.20174157410.1007/s10916‑017‑0709‑428321589
    [Google Scholar]
  68. ValentineA.Z. HallS.S. YoungE. BrownB.J. GroomM.J. HollisC. HallC.L. Implementation of telehealth services to assess, monitor, and treat neurodevelopmental disorders: Systematic review.J. Med. Internet Res.2021231e2261910.2196/2261933326409
    [Google Scholar]
  69. KissiJ. DaiB. DogbeC.S.K. BanaheneJ. ErnestO. Predictive factors of physicians’ satisfaction with telemedicine services acceptance.Health Informatics J.20202631866188010.1177/146045821989216231854222
    [Google Scholar]
  70. De ColaM.C. MarescaG. D’AleoG. CarnazzaL. GilibertoS. MaggioM.G. BramantiA. CalabròR.S. Teleassistance for frail elderly people: A usability and customer satisfaction study.Geriatr. Nurs.202041446346710.1016/j.gerinurse.2020.01.01932067831
    [Google Scholar]
/content/journals/cas/10.2174/0118746098302999240522092726
Loading
/content/journals/cas/10.2174/0118746098302999240522092726
Loading

Data & Media loading...


  • Article Type:
    Research Article
Keyword(s): aging; geriatrics; grounded theory; health service; hospital; needs; Telemedicine
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test