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Assessing Elderly User Preference for Telehealth Solutions in China: Exploratory Quantitative Study
1Faculty of Global Studies, Justice and Rights, University of Macerata, Macerata, Italy.
JMIR Mhealth and Uhealth
|January 12, 2022
Summary
This study explores Chinese elderly users' preferences for telehealth solutions, finding that health motivations increase willingness to use them, while data trust decreases it. This highlights the need for better integration and user awareness in telehealth adoption.
Area of Science:
- Gerontology
- Health Informatics
- Public Health
Background:
- China's aging population and urbanization create demand for advanced medical resources and home-based elderly care.
- Telehealth solutions are emerging as a key component in addressing these evolving healthcare needs.
- This exploratory study focuses on elderly user preferences for telehealth in four Chinese cities.
Purpose of the Study:
- To analyze factors influencing Chinese elderly users' preference for telehealth over traditional healthcare.
- To investigate preferences across different age groups (50-80+) and urban settings.
- To understand the role of demographic and health-related factors in telehealth adoption.
Main Methods:
- A questionnaire study was conducted with 390 valid samples across Shenzhen, Hangzhou, Wuhan, and Yichang.
- Data were collected offline via tablet devices and analyzed using Stata 16.0 and SPSS 24.0.
- O-logit ordered regression and Principal Component Analysis (PCA) were employed.
Main Results:
- 71.09% of respondents reported at least one chronic disease.
- Principal Component Analysis identified three key factors influencing telehealth preference.
- Health motivations positively correlated with willingness to use telehealth, while trust in collected data showed a negative correlation.
Conclusions:
- Telehealth solutions can bridge gaps in community healthcare and improve care continuity in China.
- Providers should enhance user health awareness and promote lifestyle changes for chronic disease management.
- Interoperability issues between electronic health records and telehealth systems hinder effective clinical integration and diagnosis.

