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Virtual Care Initiatives for Older Adults in Australia: Scoping Review
journal contribution
posted on 2023-02-20, 23:01 authored by Feby SaviraFeby Savira, Adyya GuptaAdyya Gupta, C Gilbert, Kate HugginsKate Huggins, C Browning, W Chapman, T Haines, Anna PeetersAnna PeetersBACKGROUND: There has been a rapid shift toward the adoption of virtual health care services in Australia. It is unknown how widely virtual care has been implemented or evaluated for the care of older adults in Australia. OBJECTIVE: We aimed to review the literature evaluating virtual care initiatives for older adults across a wide range of health conditions and modalities and identify key challenges and opportunities for wider adoption at both patient and system levels in Australia. METHODS: A scoping review of the literature was conducted. We searched MEDLINE, Embase, PsycINFO, CINAHL, AgeLine, and gray literature (January 1, 2011, to March 8, 2021) to identify virtual care initiatives for older Australians (aged ≥65 years). The results were reported according to the World Health Organization's digital health evaluation framework. RESULTS: Among the 6296 documents in the search results, we identified 94 that reported 80 unique virtual care initiatives. Most (69/80, 89%) were at the pilot stage and targeted community-dwelling older adults (64/79, 81%) with chronic diseases (52/80, 65%). The modes of delivery included videoconference, telephone, apps, device or monitoring systems, and web-based technologies. Most initiatives showed either similar or better health and behavioral outcomes compared with in-person care. The key barriers for wider adoption were physical, cognitive, or sensory impairment in older adults and staffing issues, legislative issues, and a lack of motivation among providers. CONCLUSIONS: Virtual care is a viable model of care to address a wide range of health conditions among older adults in Australia. More embedded and integrative evaluations are needed to ensure that virtually enabled care can be used more widely by older Australians and health care providers.
History
Journal
Journal of medical Internet researchVolume
25Pagination
e38081-Location
CanadaPublisher DOI
ISSN
1439-4456eISSN
1438-8871Language
enPublisher
JMIR Publications Inc.Usage metrics
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No categories selectedKeywords
Australiamobile phoneolder adultsvirtual careAgedHumansTelemedicineHealth Services for the AgedClinical ResearchAging8 Health and social care services research8.1 Organisation and delivery of services7 Management of diseases and conditions7.1 Individual care needsGeneric health relevance3 Good Health and Well BeingInformation and Computing SciencesMedical and Health SciencesPsychology and Cognitive Sciences
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