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National digital strategies and innovative eHealth policies concerning older adults’ dignity: a document analysis in three Scandinavian countries
BACKGROUND: Scandinavian countries are internationally recognised for leading the way in older adult care and in digitally transforming healthcare. Dignity has become a central value in care for older adults in all three Scandinavian countries. Investigating documents about digitalisation in these c...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10416358/ https://www.ncbi.nlm.nih.gov/pubmed/37563599 http://dx.doi.org/10.1186/s12913-023-09867-w |
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author | Raja, Moonika Kymre, Ingjerd G. Bjerkan, Jorunn Galvin, Kathleen T. Uhrenfeldt, Lisbeth |
author_facet | Raja, Moonika Kymre, Ingjerd G. Bjerkan, Jorunn Galvin, Kathleen T. Uhrenfeldt, Lisbeth |
author_sort | Raja, Moonika |
collection | PubMed |
description | BACKGROUND: Scandinavian countries are internationally recognised for leading the way in older adult care and in digitally transforming healthcare. Dignity has become a central value in care for older adults in all three Scandinavian countries. Investigating documents about digitalisation in these countries can offer insights into how the dignity of older adults is impacted by digitally transforming healthcare. This study aims to provide knowledge about digital strategies and eHealth policies concerning older adults’ dignity in three Scandinavian countries: Norway, Sweden and Denmark. METHODS: National-level documents by the Norwegian Directorate of eHealth, the Norwegian Directorate of Health, the Swedish Ministry of Health and Social Affairs and the Danish Ministry of Health concerning older adults were used as data sources. In addition, a systematic search of databases, informed by the Joanna Briggs Institute framework for systematic reviews of text and opinion papers, was undertaken to find relevant papers. All extracts concerning national digital strategies or innovative eHealth policies were deductively coded. Thereafter, extracts concerning older adults were inductively coded using a thematic analytic approach. RESULTS: A total of 26 sources satisfied the inclusion criteria, 14 governmental papers and 12 other papers. The three countries’ national digital strategies focused on access to digital technologies and continuous learning for digital skills. The included papers describing national eHealth policies underlined the importance of placing the patient at the centre of healthcare and how digital systems can increase feelings of safety. Both types of documents concerned access to data, digital device security and the human dimension of care. CONCLUSION: The findings present evidence on Scandinavian countries’ national digital strategies and innovative eHealth policies concerning older adults’ dignity. The documents describe a lack of digital competence among older adults, resulting disengagement may put their well-being and human dignity at risk. Findings also underline the importance of security and at the same time the human dimension of care: Use of new digital systems must be meaningfully integrated into digital strategies and eHealth policies. All three Scandinavian countries strategies and policies underline the importance of equal access to healthcare services, as thus they promote a stance of dignified care. |
format | Online Article Text |
id | pubmed-10416358 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-104163582023-08-12 National digital strategies and innovative eHealth policies concerning older adults’ dignity: a document analysis in three Scandinavian countries Raja, Moonika Kymre, Ingjerd G. Bjerkan, Jorunn Galvin, Kathleen T. Uhrenfeldt, Lisbeth BMC Health Serv Res Research BACKGROUND: Scandinavian countries are internationally recognised for leading the way in older adult care and in digitally transforming healthcare. Dignity has become a central value in care for older adults in all three Scandinavian countries. Investigating documents about digitalisation in these countries can offer insights into how the dignity of older adults is impacted by digitally transforming healthcare. This study aims to provide knowledge about digital strategies and eHealth policies concerning older adults’ dignity in three Scandinavian countries: Norway, Sweden and Denmark. METHODS: National-level documents by the Norwegian Directorate of eHealth, the Norwegian Directorate of Health, the Swedish Ministry of Health and Social Affairs and the Danish Ministry of Health concerning older adults were used as data sources. In addition, a systematic search of databases, informed by the Joanna Briggs Institute framework for systematic reviews of text and opinion papers, was undertaken to find relevant papers. All extracts concerning national digital strategies or innovative eHealth policies were deductively coded. Thereafter, extracts concerning older adults were inductively coded using a thematic analytic approach. RESULTS: A total of 26 sources satisfied the inclusion criteria, 14 governmental papers and 12 other papers. The three countries’ national digital strategies focused on access to digital technologies and continuous learning for digital skills. The included papers describing national eHealth policies underlined the importance of placing the patient at the centre of healthcare and how digital systems can increase feelings of safety. Both types of documents concerned access to data, digital device security and the human dimension of care. CONCLUSION: The findings present evidence on Scandinavian countries’ national digital strategies and innovative eHealth policies concerning older adults’ dignity. The documents describe a lack of digital competence among older adults, resulting disengagement may put their well-being and human dignity at risk. Findings also underline the importance of security and at the same time the human dimension of care: Use of new digital systems must be meaningfully integrated into digital strategies and eHealth policies. All three Scandinavian countries strategies and policies underline the importance of equal access to healthcare services, as thus they promote a stance of dignified care. BioMed Central 2023-08-10 /pmc/articles/PMC10416358/ /pubmed/37563599 http://dx.doi.org/10.1186/s12913-023-09867-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Raja, Moonika Kymre, Ingjerd G. Bjerkan, Jorunn Galvin, Kathleen T. Uhrenfeldt, Lisbeth National digital strategies and innovative eHealth policies concerning older adults’ dignity: a document analysis in three Scandinavian countries |
title | National digital strategies and innovative eHealth policies concerning older adults’ dignity: a document analysis in three Scandinavian countries |
title_full | National digital strategies and innovative eHealth policies concerning older adults’ dignity: a document analysis in three Scandinavian countries |
title_fullStr | National digital strategies and innovative eHealth policies concerning older adults’ dignity: a document analysis in three Scandinavian countries |
title_full_unstemmed | National digital strategies and innovative eHealth policies concerning older adults’ dignity: a document analysis in three Scandinavian countries |
title_short | National digital strategies and innovative eHealth policies concerning older adults’ dignity: a document analysis in three Scandinavian countries |
title_sort | national digital strategies and innovative ehealth policies concerning older adults’ dignity: a document analysis in three scandinavian countries |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10416358/ https://www.ncbi.nlm.nih.gov/pubmed/37563599 http://dx.doi.org/10.1186/s12913-023-09867-w |
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