Abstract Background The COVID-19 pandemic has given an unprecedented boost to already increased digital health services, which can place many vulnerable groups at risk of exclusion. To improve the likelihood achieving equity, it is necessary identify and address elements that may prevent from benefiting services. This study examined challenges experienced by in using services during pandemic. Methods Qualitative descriptive design was utilized. Semi-structured interviews were conducted...

Background The rapidly increasing role of the internet in obtaining basic services poses challenges, especially for older adults’ capabilities getting they need. Research on predictors use and digital competence is relevant given that people are living longer than before, age profile many societies changing rapidly. Objective We aimed to examine associations objective measures physical cognitive impairment with nonuse low among adults. Methods A longitudinal population-based design was used...

The COVID-19 pandemic has led to an increase in the digitalisation of services that poses risk digital exclusion, especially among older adults. We examined predictors Internet use for and its or decrease a longitudinal population-based sample 1426 adults from Finland aged between 70 100 years, gathered 2017 2020. High education high income positively predicted services, age, deteriorated health memory negatively. low change living alone use. increased due COVID-19. Thus, it seems those who...

To identify different nursing informatics competence (NIC) profiles in nurses, examine the factors associated with profile memberships and associations of derived nurses' perception usefulness a health information system (HIS).A cross-sectional study.A sample 3610 registered nurses responded to nationwide survey March 2020. A latent analysis was performed NIC based on three areas: documentation, working digital environment, ethics data protection. multinomial logistic regression carried out...

The aim of this study was to describe the benefits digital health and social services perceived by older adults examine factors associated with perceiving these benefits. Several related (a) sociodemographic characteristics, (b) area residence, (c) physical, cognitive, psychological, functioning, (d) Internet use, were examined.The present sample included 8019 respondents aged between 75 99 years. inverse probability weighting method used correct for bias. Linear regression analyses...

Abstract Despite the acceleration in use of digital health technologies across different aspects healthcare system, full potential real-world data (RWD) and evidence (RWE) arising from is not being utilised decision-making. We examine current national efforts future opportunities to systematically RWD RWE decision-making five countries (Estonia, Finland, Germany, Italy United Kingdom), then develop a framework for promotion systematic RWE. A review assesses efforts, complemented with...

Objectives: To examine with a population-based longitudinal survey design whether poor health, longstanding activity limitation, impaired cognitive functioning, mental distress, or loneliness predict access to healthcare and digital competence mediates these associations. Methods: The data were from the FinHealth -survey gathered in Finland 2017 2020 including 3,771 respondents (57.1% women). Linear regression analyses used associations of factors affecting utilization care adjusted for age,...

Background In health care, the benefits of digitalization need to outweigh risks, but there is limited knowledge about factors affecting this balance in work environment physicians. To achieve digitalization, a more comprehensive understanding complex phenomenon related physicians’ needed. Objective The aim study was examine perceptions effects care on their and analyze how these are associated with multiple digital usage. Methods A representative sample 4630 (response rate 24.46%) Finnish...

The rapid advancement of technology in healthcare is creating new competency requirements for professionals, such as skills data management and the adoption technologies, understanding effect digitalisation on clinical processes, evaluating safety ethics within context digitalisation. These call improved educational curricula ongoing continuing education digital skills. This study, part Digital Skills Training Health Care Professionals Oncology (DigiCanTrain) project, aims to map describe...

Background Increased digital health and social care services are generally considered to improve people’s access services. However, not everyone can equally use these resources. Health professionals should assess clients’ suitability for solutions, but succeed, they need information about what evaluate how. Objective This scoping review aimed identify evaluation tools that when assessing care. We summarized the dimensions practical usefulness of instruments. Methods The MEDLINE (Ovid),...

Utilising digital health services in the treatment of patients who frequently attend outpatient care could be beneficial for patients' and sustainability systems but carries risk exclusion. This study aimed to explore patterns acceptance use among frequent attenders (FAs), which may help assessment suitability.Persistent FAs (N = 30) were recruited by random sampling from one Finnish municipality. The semistructured interviews conducted February-May 2021. We analysed data with qualitative...

Yhteiskunnallisten palvelujen siirtyessä yhä enemmän sähköisesti tarjottaviksi, on tärkeää kartoittaa vammaisten henkilöiden kohtaamia haasteita sähköisten käytössä. Vammaispalvelujen ammattilaiset ovat keskeisessä roolissa havaitsemaan asiakkaiden käyttöön liittyviä ja tarjoamaan tarvittaessa tukea käyttöön. Tämä tutkimus kartoitti ammattilaisten havaitsemia sekä selvitti tukemisessa onnistumista onnistumiseen yhteydessä olevia tekijöitä koronapandemian aikana. Tutkimusaineisto kerättiin...

Drawing on a socio-technical approach, we examined Finnish social welfare professionals’ (n = 990) perceptions of the effects digitalization their work and how these are associated with factors related to client information system usage using mixed graphical modelling. Overall, were predominantly positive. Digitally replaced services most common in non-public sector. Higher ratings more active roles, supportive decision support systems faster service processes. The relationship between...

Abstract Background In digital health services, including services for older people, video consultations can enhance access to care while enabling interaction through audio and visual means. Registered nurses are pivotal in delivery there is a need more understanding regarding the use of nursing. This study aims examine factors associated with nurses’ public sector. Methods The Finnish ‘Survey on information systems registered was delivered March 2023. respondents were asked whether their...

Abstract Background Digital health technologies (DHTs) aim to optimise resource allocation and improve public outcomes as care supplements. However, many patients do not access them independently. Nurses, central contacts for primary patients, can integrate digital assessments, patient portals, remote monitoring, teleconsultations into practice. Insight their readiness promote patients’ use of DHTs is important efficient dissemination strategies. We examined nurses’ referral whether...

Abstract Background The digitalisation of healthcare has changed physicians’ clinical and administrative work. For example, decision support systems (DSSs) are expected to daily present study examined experiences DSSs’ for their work analysed by age, gender, employment sector leadership position. Methods Altogether 4630 physicians (64% women) from Finland responded the online survey. Logistic regression analyses were conducted examine associations sector, position with Results Of...

Abstract Background For individuals managing long-term illnesses and often requiring complex care across health social sectors, the transition to digital platforms holds considerable potential facilitate management of one’s health. This study examined factors among people with associated their perception that services had replaced in-person visits in care. Methods A total 11,012 Finnish residents necessitating regular (56% female, mean age 56.9, SE .23) responded a nationwide population...

Digitalisaatiolla voi olla merkittäviä vaikutuksia vammaisten henkilöiden palveluihin, joissa on havaittu tarpeenmukaisuuden ja oikea-aikaisuuden puutteita. Tilannekuvan kartoittamiseksi tämä tutkimus selvitti digitalisaation tavoitteiden toteutumista vammaistyössä ammattilaisten kokemana. Lisäksi tutkittiin digitalisaatiota ohjaavien työympäristötekijöiden koulutustaustan yhteyksiä toteutumiseen, jotta tunnistetaan mahdollisuudet edistämiseen vammaisalalla. Aineisto kerättiin kyselyllä...

The COVID-19 pandemic has increased worldwide mental health conditions, substantially affecting the demand and provision of services. To continue services safeguard well-being service users, providers have responded to with adoption remote objective our study was identify compare promoters challenges experienced by users in Finland Netherlands during help FITTE framework.

ABSTRACT Aims To describe the frequency of digital client work among Finnish registered nurses, including video consultations, secured messaging and promotion care without direct contact with client. In addition, study examines association between various factors related to nurses' characteristics environment its frequency. Design A cross‐sectional survey study. Methods total 2970 nurses responded a nationwide in spring 2023. Descriptive statistics were used characterise different types...

Digitalization and implementations of information systems have transformed social work, impacting the well-being welfare professionals. Previous studies emphasized that may increase stress, particularly if professionals are not involved in development work. We examined how different phases client system implementation associated with interact participation satisfaction software providers' relation to stress related psychological distress. The were divided into 1) within past 6 months, 2) 12...

Abstract Background Physicians’ work is often stressful. The digitalization of healthcare aims to streamline work, but not all physicians have experienced its realization. We examined associations perceived changes in due and the amount digital with job strain among physicians. moderating role length experience was investigated for these associations. Methods used representative survey data on Finnish physicians’ ( N = 4271) experiences from 2021. independent variables included perceptions...

Abstract Background The need to optimize health care services by utilizing digital technologies has been recognized worldwide respond the population's growing needs. However, not everyone can benefit from solutions. Health professionals have a crucial role in evaluating whether their patients could utilize health. This requires identifying key factors be evaluated. We carried out scoping literature review identify that should consider when patient's suitability for Methods Searches were...