Low-income Elders' Experiences in Using u-Health (Ubiquitous Healthcare) Services

Hanna Choi; Jeongeun Kim

doi:10.12799/jkachn.2014.25.4.270

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Original Article
Low-income Elders' Experiences in Using u-Health (Ubiquitous Healthcare) Services: Hanna Choi, Jeongeun Kim; Journal of Korean Academy of Community Health Nursing 2014;25(4):270-281.
DOI: https://doi.org/10.12799/jkachn.2014.25.4.270
Published online: December 31, 2014

¹Graduate School, College of Nursing, Seoul National University · Institute, Korean Academy of Medical Sciences, Seoul, Korea.

²College of Nursing, Seoul National University, Seoul, Korea.

• Received: August 5, 2014 • Revised: December 20, 2014 • Accepted: December 22, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
NOTES

Abstract

Purpose
The purpose of the study was to understand low-income elders' experiences of community-based u-Health services.
Methods
Qualitative data were collected from 11 participants. All interviews were recorded and transcribed verbatim. The transcribed data were analyzed using qualitative content analysis.
Results
Three themes and eight sub-themes emerged as a result of analysis. The three main themes were 'recovered confidence and health condition,' 'trial and error in change,' and 'hope.'The eight sub-themes were 'the burden and efforts to overcome it in using bio-signal device,' 'ambivalence due to changing lifestyle,' 'increase of care time, decrease of pressure', 'conflict under environmental constraints,' 'difficulty in prioritizing health management,' 'discouragement in handling new devices,' 'desire not to be a burden to their children-gradual fulfillment of learning needs,' and 'long for broadening coverage range of services.'
Conclusion
The findings of this study demonstrate that low-income elders among the participants have different needs in using u-Health services. Therefore, health professionals need to give personalized education to deal with their conflicts and requirements, especially emotional and environmental support in order for them to successfully accept the u-Health services for self-care.
Key Words: Telemedicine; Vulnerable populations; Elderly; Qualitative research

Table 1

Demographic Information for Participants (N=11)

Table 2

Qualitative Analysis of Experience on Using of u-Health Services

NOTES

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIP) (No.2010-0028631).

1. Statistics Korea. Elderly population survey [Internet] Seoul: Statistics Korea; 2014;Cited 2014 August 12. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/1/index.-board?bmode=read&aSeq=330349
2. Jeong KH, Lee YK, Park BM, Lee SJ, Lee YH, Park JS. Present and prospect for healthcare utilization by older adults. Seoul: Korea Institute for Health & Social Affairs; 2012. Report No.:2012-47-14.
3. Im MY, Ryu HS. A study on health service utilization for the low income elderly in Korea. J Korean Community Nurs. 2001;12(3):589–599.
4. Kim JK. A health policy for health care vulnerable population. Seoul: National Assembly Research Service; 2012. 10;Report No.: 165.
5. Ministry of Health and Welfare. The third national health promotion plan. Seoul: Ministry of Health and Welfare; 2011. 07;Report No.: 1-135200-00285-13.
6. Ekeland AG, Bowes A, Flottorp S. Effectiveness of telemedicine: A systematic review of reviews. Int J Med Inform. 2010;79(11):736–771. http://dx.doi.org/10.1016/j.ijmedinf.2010.08.006Article
7. Ryu S, Lee JG, Kim KH. Current state of u-Health and its developmental strategies in Korea. J Korean Med Assoc. 2009;52(12):1141–1147. http://dx.doi.org/10.5124/jkma.2009.52.12.1141Article
8. Park JS. Introduction of u-health services for health vulnerable population. Seoul: Ministry for Health, Welfare and Family Affairs & Korea Health Industry Development Institute(KHIDI); 2009. 09;Report No.: 2009-31.
9. Song TM, Lee SY, Lee KS, Park DS, Jin DR. U-health: Current status and tasks ahead. Seoul: Korea Institute for Health and Social Affairs; 2011. p. 08.Report No.: 2011-01.
10. Glassman P, Helgeson M, Kattlove J. Using telehealth technologies to improve oral health for vulnerable and underserved populations. J Calif Dent Assoc. 2012;40(7):579–585. Article
11. Gagnon MP, Lamothe L, Hebert M, Chanliau J, Fortin JP. Telehomecare for vulnerable populations: The evaluation of new models of care. Telemed J E Health. 2006;12(3):324–331. http://dx.doi.org/10.1089/tmj.2006.12.324Article
12. Wade V, Eliott J, Karnon J, Elshaug AG. A qualitative study of sustainability and vulnerability in Australian telehealth services. Stud Health Technol Inform. 2010;161:190–201.
13. Na JY, Yoon YH. Research on the core technologies of network infra providing the home health service at smart home. Conf Architect Inst Korea Rev Book. 2011;31(1):221–222.
14. Lee JE, Yoon YH, Park JA, Kwon YJ. Analysis of apartment design elements for applying the health care service system according to the degree of independence of elderly people. LHI J Land Hous Urban Affairs. 2012;3(2):147–157. Article
15. Choi H, Kim JE, Jin M, Lee JS, Kim SW, Jeong SY. Working with low-income elders in Korea: An ethnographical exploration of u-health nurses' experiences. Perspect Nurs Sci. 2014;11(1):18–29. http://dx.doi.org/10.16952/pns.2014.11.1.18Article
16. Ko YS. Need assessment of u-life services for Korean elderly and policy implications. Korean J Local Gov Stud. 2008;5:165–181.
17. Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–1288. http://dx.doi.org/10.1177/1049732305276687Article PDF
18. Sandelowski M. The problem of rigor in qualitative research. ANS Adv Nurs Sci. 1986;8(3):27–37. Article
19. Kim JY, Song EE. Health-protective factors of the healthy low-income elderly: A qualitative interview study. Health Med Soc. 2014;36:103–131.
20. Liu PR, Meng MQ-H, Liu PX, Tong FFL, Chen X. A telemedicine system for remote health and activity monitoring for the elderly. Telemed J E Health. 2006;12(6):622–631. Article
21. Jaana M, Pare G, Sicotte C. Home telemonitoring for respiratory conditions: A systematic review. Am J Manag Care. 2009;15(5):313–320.
22. Kaminsky E, Rosenqvist U, Holmstroöm I. Telenurses' understanding of work: Detective or educator? J Adv Nurs. 2009;65(2):382–390. Article
23. Jeon HO. Influencing factors on self-care in the elderly with essential hypertension. J Korean Acad Community Health Nurs. 2008;19(1):66–75.
24. Hsieh H, Tsai CH. An empirical study to explore the adoption of telehealth: Health belief model perspective. J Eng Sci Technol Rev. 2013;6(2):1–5. Article
25. Kim JK. Equity in health levels and health care utilization of elderly people in Korea. Soc Sci Res Rev. 2011;27(2):65–87.
26. Onor ML, Trevisiol M, Urciuoli O, Misan S, Bertossi F, Tirone G, et al. Effectiveness of telecare in elderly populations-a comparison of three settings. Telemed J E Health. 2008;14(2):164–169. http://dx.doi.org/10.1089/tmj.2007.0028Article
27. Gabrielian S, Yuan A, Andersen RM, McGuire J, Rubenstein L, Sapir N, et al. Chronic disease management for recently homeless veterans: A clinical practice improvement program to apply home telehealth technology to a vulnerable population. Med Care. 2013;51:3 Suppl 1. S44–S51. http://dx.doi.org/10.1097/MLR.0b013e31827808f6

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