DETERMINAN PEMANFAATAN TELEKESEHATAN PADA PENDUDUK USIA LANJUT SELAMA PANDEMI COVID-19: SCOPING REVIEW
DOI:
https://doi.org/10.31004/prepotif.v8i1.25757Keywords:
lansia, pandemi Covid-19, , pemanfaatan telekesehatanAbstract
Peningkatan penduduk usia lanjut (lansia) merupakan permasalahan utama kesehatan di berbagai negara. Pandemi Covid-19 memperburuk status kesehatan lansia akibat terhambatnya akses pelayanan kesehatan yang dibutuhkan. Telekesehatan merupakan intervensi yang secara signifikan dapat meningkatkan akses pelayanan kesehatan bagi lansia selama pandemi, namun masih ditemukan berbagai hambatan dalam pemanfaatannya. Penelitian ini bertujuan untuk mengeksplorasi determinan pemanfaatan telekesehatan pada lansia selama pandemi Covid-19. Pendekatan scoping review dilakukan dengan pedoman PRISMA. Pencarian artikel dilakukan pada bulan September 2023 menggunakan kata kunci yang relevan pada 3 database, yaitu PubMed, ProQuest, dan Sage Journals. Kriteria inklusi dan eksklusi digunakan untuk menyaring artikel sesuai dengan tujuan penelitian. Dari 379 artikel, terpilih 7 artikel yang memenuhi kriteria inklusi dalam penelitian ini. Pemanfaatan telekesehatan pada lansia mengalami peningkatan selama pandemi Covid-19, terutama untuk penyediaan layanan kesehatan primer. Determinan yang secara signifikan mempengaruhi pemanfaatan telekesehatan pada lansia adalah karakteristik sosiodemografi (usia, wilayah tempat tinggal, pendapatan), faktor terkait kesehatan (status kesehatan dan riwayat penyakit tertentu), dan faktor pendukung (akses internet dan pengalaman menggunakan platform panggilan video). Kebijakan telekesehatan pasca pandemi perlu berfokus mengatasi hambatan pemanfaatan telekesehatan terutama pada lansia, tinggal di pedesaan, memiliki pendapatan rendah, serta keterbatasan akses internet dan pengalaman menggunakan perangkat digital. Sebagian besar penelitian yang ditemukan berasal dari negara maju sehingga dibutuhkan penelitian lanjutan terutama di negara berkembang sebagai upaya mengoptimalkan pemanfaatan telekesehatan pada lansia.References
Aliberti, G. M., Bhatia, R., Desrochers, L. B., Gilliam, E. A., & Schonberg, M. A. (2022). Perspectives of primary care clinicians in Massachusetts on use of telemedicine with adults aged 65 and older during the COVID-19 pandemic. Preventive Medicine Reports, 26, 101729. https://doi.org/10.1016/j.pmedr.2022.101729
Bastani, P., Mohammadpour, M., Samadbeik, M., Bastani, M., Rossi-Fedele, G., & Balasubramanian, M. (2021). Factors influencing access and utilization of health services among older people during the COVID ? 19 pandemic: A scoping review. Archives of Public Health, 79(190), Article 1. https://doi.org/10.1186/s13690-021-00719-9
Choi, N. G., DiNitto, D. M., Marti, C. N., & Choi, B. Y. (2022). Telehealth Use Among Older Adults During COVID-19: Associations With Sociodemographic and Health Characteristics, Technology Device Ownership, and Technology Learning. Journal of Applied Gerontology, 41(3), 600–609. https://doi.org/10.1177/07334648211047347
Chu, C., Cram, P., Pang, A., Stamenova, V., Tadrous, M., & Bhatia, R. S. (2021). Rural Telemedicine Use Before and During the COVID-19 Pandemic: Repeated Cross-sectional Study. Journal of Medical Internet Research, 23(4), e26960. https://doi.org/10.2196/26960
Chu, J. N., Kaplan, C., Lee, J. S., Livaudais-Toman, J., & Karliner, L. (2022). Increasing Telehealth Access to Care for Older Adults During the COVID-19 Pandemic at an Academic Medical Center: Video Visits for Elders Project (VVEP). Joint Commission Journal on Quality and Patient Safety, 48(3), 173–179. https://doi.org/10.1016/j.jcjq.2021.11.006
Dai, Z., Sezgin, G., Li, J., Franco, G. S., McGuire, P., Datta, S., Pearce, C., McLeod, A., & Georgiou, A. (2022). Telehealth utilisation in residential aged care facilities during the COVID-19 pandemic: A retrospective cohort study in Australian general practice. Journal of Telemedicine and Telecare, 1–8. https://doi.org/10.1177/1357633X221094406
Deeb, W., Hess, C. W., Gamez, N., Patel, B., Moore, K., & Armstrong, M. J. (2021). Response to Telemedicine Visits From Patients With Parkinsonism During the COVID-19 Pandemic on Postvisit Surveys. Journal of Patient Experience, 8, 1–8. https://doi.org/10.1177/2374373521997224
DLA Piper. (2020). Telehealth around the world: A global guide. DLA Piper. https://www.dlapiperintelligence.com/telehealth/countries/handbook.pdf
Doraiswamy, S., Jithesh, A., Mamtani, R., Abraham, A., & Cheema, S. (2021). Telehealth Use in Geriatrics Care during the COVID-19 Pandemic—A Scoping Review and Evidence Synthesis. International Journal of Environmental Research and Public Health, 18(4), Article 4. https://doi.org/10.3390/ijerph18041755
Ekwegh, T., Cobb, S., Adinkrah, E. K., Vargas, R., Kibe, L. W., Sanchez, H., Waller, J., Ameli, H., & Bazargan, M. (2023). Factors Associated with Telehealth Utilization among Older African Americans in South Los Angeles during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 20(3), 2675. https://doi.org/10.3390/ijerph20032675
George, M. D., Danila, M. I., Watrous, D., Reddy, S., Alper, J., Xie, F., Nowell, W. B., Kallich, J., Clinton, C., Saag, K. G., & Curtis, J. R. (2021). Disruptions in Rheumatology Care and the Rise of Telehealth in Response to the COVID-19 Pandemic in a Community Practice-Based Network. Arthritis Care & Research, 73(8), 1153–1161. https://doi.org/10.1002/acr.24626
Ghanem, A. S., Nguyen, C. M., Mansour, Y., Fábián, G., Fedor, A. R., Nagy, A., & Móré, M. (2023). Investigating the Association between Sociodemographic Factors and Chronic Disease Risk in Adults Aged 50 and above in the Hungarian Population. Healthcare, 11(13), Article 13. https://doi.org/10.3390/healthcare11131940
Gilson, S. F., Umscheid, C. A., Laiteerapong, N., Ossey, G., Nunes, K. J., & Shah, S. D. (2020). Growth of Ambulatory Virtual Visits and Differential Use by Patient Sociodemographics at One Urban Academic Medical Center During the COVID-19 Pandemic: Retrospective Analysis. JMIR Medical Informatics, 8(12), e24544. https://doi.org/10.2196/24544
Goldberg, E. M., Lin, M. P., Burke, L. G., Jiménez, F. N., Davoodi, N. M., & Merchant, R. C. (2022). Perspectives on Telehealth for older adults during the COVID-19 pandemic using the quadruple aim: Interviews with 48 physicians. BMC Geriatrics, 22(1), 188. https://doi.org/10.1186/s12877-022-02860-8
Gurney, J., Fraser, L., Matenga Ikihele, A., Manderson, J., Scott, N., & Robson, B. (2021). Telehealth as a tool for equity: Pros, cons and recommendations. The New Zealand Medical Journal, 134, 111–115.
Haimi, M., & Gesser-Edelsburg, A. (2022). Application and implementation of telehealth services designed for the elderly population during the COVID-19 pandemic: A systematic review. Health Informatics Journal, 28(1), 1–34. https://doi.org/10.1177/14604582221075561
Hashiguchi, T. C. O. (2020). Bringing health care to the patient: An overview of the use of telemedicine in OECD countries (OECD Health Working Papers 116; OECD Health Working Papers, Vol. 116). https://doi.org/10.1787/8e56ede7-en
Huang, J., Graetz, I., Millman, A., Gopalan, A., Lee, C., Muelly, E., & Reed, M. E. (2022). Primary care telemedicine during the COVID-19 pandemic: Patient’s choice of video versus telephone visit. JAMIA Open, 5(1), 1–5. https://doi.org/10.1093/jamiaopen/ooac002
Ilali, M., Le Berre, M., Vedel, I., & Khanassov, V. (2023). Telemedicine in the primary care of older adults: A systematic mixed studies review. BMC Primary Care, 24(1), 152. https://doi.org/10.1186/s12875-023-02085-7
Jordan, R. E., Adab, P., & Cheng, K. K. (2020). Covid-19: Risk factors for severe disease and death. BMJ, 368, m1198. https://doi.org/10.1136/bmj.m1198
Li, K. Y., Marquis, L. B., Malani, P. N., Solway, E., Kirch, M., Singer, D., Kullgren, J. T., Plegue, M. A., & Buis, L. R. (2023). Perceptions of telehealth among older U.S. adults during the COVID-19 pandemic: A national survey. Journal of Telemedicine and Telecare, 1–9. https://doi.org/10.1177/1357633X231166031
Lu, M., & Liao, X. (2023). Telehealth utilization in U.S. Medicare beneficiaries aged 65 years and older during the COVID-19 pandemic. BMC Public Health, 23, 1–14. https://doi.org/10.1186/s12889-023-15263-0
Luo, R., Lu, Q., Sun, Y., Sun, H., Yan-hui, L., & Zhao, Y. (2023). Investigation on risk factors of chronic diseases among community residents: A study based on health management systems supported by Mobile phones. Nursing Open, 10(8), Article 8. https://doi.org/10.1002/nop2.1747
Miyawaki, A., Tabuchi, T., Ong, M. K., & Tsugawa, Y. (2021). Age and Social Disparities in the Use of Telemedicine During the COVID-19 Pandemic in Japan: Cross-sectional Study. Journal of Medical Internet Research, 23(7), e27982. https://doi.org/10.2196/27982
Moynihan, R., Sanders, S., Michaleff, Z. A., Scott, A. M., Clark, J., To, E. J., Jones, M., Kitchener, E., Fox, M., Johansson, M., Lang, E., Duggan, A., Scott, I., & Albarqouni, L. (2021). Impact of COVID-19 pandemic on utilisation of healthcare services: A systematic review. BMJ Open, 11(3), Article 3. https://doi.org/10.1136/bmjopen-2020-045343
Neumann, A., König, H.-H., Bokermann, J., & Hajek, A. (2023). Determinants of Patient Use and Satisfaction With Synchronous Telemental Health Services During the COVID-19 Pandemic: Systematic Review. JMIR Mental Health, 10, e46148. https://doi.org/10.2196/46148
Ng, B. P., Park, C., Silverman, C. L., Eckhoff, D. O., Guest, J. C., & Díaz, D. A. (2022). Accessibility and utilisation of telehealth services among older adults during COVID-19 pandemic in the United States. Health & Social Care in the Community, 2657–2669. https://doi.org/10.1111/hsc.13709
Nittari, G., Savva, D., Tomassoni, D., Tayebati, S. K., & Amenta, F. (2022). Telemedicine in the COVID-19 Era: A Narrative Review Based on Current Evidence. International Journal of Environmental Research and Public Health, 19(9), 5101. https://doi.org/10.3390/ijerph19095101
Osmanlliu, E., Kalwani, N. M., Parameswaran, V., Qureshi, L., Dash, R., Scheinker, D., & Rodriguez, F. (2023). Sociodemographic disparities in the use of cardiovascular ambulatory care and telemedicine during the COVID-19 pandemic. American Heart Journal, 263, 169–176. https://doi.org/10.1016/j.ahj.2023.06.011
Padala, K. P., Wilson, K. B., Gauss, C. H., Stovall, J. D., & Padala, P. R. (2020). VA Video Connect for Clinical Care in Older Adults in a Rural State During the COVID-19 Pandemic: Cross-Sectional Study. Journal of Medical Internet Research, 22(9), e21561. https://doi.org/10.2196/21561
Park, K., Byeon, J., Yang, Y., & Cho, H. (2022). Healthcare utilisation for elderly people at the onset of the COVID-19 pandemic in South Korea. BMC Geriatrics, 22(395), Article 1. https://doi.org/10.1186/s12877-022-03085-5
Rudnicka, E., Napiera?a, P., Podfigurna, A., M?czekalski, B., Smolarczyk, R., & Grymowicz, M. (2020). The World Health Organization (WHO) approach to healthy ageing. Maturitas, 139, 6–11. https://doi.org/10.1016/j.maturitas.2020.05.018
Schifeling, C. H., Shanbhag, P., Johnson, A., Atwater, R. C., Koljack, C., Parnes, B. L., Vejar, M. M., Farro, S. A., Phimphasone-Brady, P., & Lum, H. D. (2020). Disparities in Video and Telephone Visits Among Older Adults During the COVID-19 Pandemic: Cross-Sectional Analysis. JMIR Aging, 3(2), e23176. https://doi.org/10.2196/23176
Skýbová, D., Šlachtová, H., Tomášková, H., Dalecká, A., & Ma?ar, R. (2021). Risk of Chronic Diseases Limiting Longevity and Healthy Aging by Lifestyle and Socio-Economic Factors During the Life-Course – a Narrative Review. Medycyna Pracy, 72(5), Article 5. https://doi.org/10.13075/mp.5893.01139
Smoli?, Š., Blaževski, N., & Fabijan?i?, M. (2022). Remote Healthcare During the COVID-19 Pandemic: Findings for Older Adults in 27 European Countries and Israel. Frontiers in Public Health, 10, 921379. https://doi.org/10.3389/fpubh.2022.921379
Tisdale, R. L., Ferguson, J., Van Campen, J., Greene, L., Sandhu, A. T., Heidenreich, P. A., & Zulman, D. M. (2022). Disparities in virtual cardiology visits among Veterans Health Administration patients during the COVID-19 pandemic. JAMIA Open, 5(4), 1–10. https://doi.org/10.1093/jamiaopen/ooac103
Tong, L., George, B., Crotty, B. H., Somai, M., Taylor, B. W., Osinski, K., & Luo, J. (2022). Telemedicine and health disparities: Association between patient characteristics and telemedicine, in-person, telephone and message-based care during the COVID-19 pandemic. IPEM-Translation, 3(4), 100010. https://doi.org/10.1016/j.ipemt.2022.100010
United Nations Department of Economic and Social Affairs, Population Division. (2022). World Population Prospects 2022: Summary of Results (UN DESA/POP/2022/TR/NO. 3; Issue UN DESA/POP/2022/TR/NO. 3). https://desapublications.un.org/file/989/download
Woo, P., Chung, J., Shi, J. M., Tovar, S., Ming-Sum, L., & Adams, A. L. (2023). Clinical Outcomes of Telehealth in Patients With Coronary Artery Disease and Heart Failure During the COVID-19 Pandemic. The American Journal of Cardiology, 187, 171–178. https://doi.org/10.1016/j.amjcard.2022.10.043
World Health Organization. (2020). Decade of healthy ageing: Baseline report. World Health Organization. https://apps.who.int/iris/rest/bitstreams/1327340/retrieve
World Health Organization. (2023). Methods for estimating the excess mortality associated with the COVID-19 pandemic. World Health Organization. https://cdn.who.int/media/docs/default-source/world-health-data-platform/covid-19-excessmortality/who_methods_for_estimating_the_excess_mortality_associated_with_the_covid-19_pandemic.pdf?sfvrsn=5a05fa76_2&download=true
Zhou, X., Andes, L. J., Rolka, D. B., & Imperatore, G. (2023). Changes in health care utilization among Medicare beneficiaries with diabetes two years into the COVID-19 pandemic. AJPM Focus, 100117. https://doi.org/10.1016/j.focus.2023.100117
Zou, C., Harvard, A., Qian, J., & Fox, B. I. (2023). A systematic review of digital health technologies for the care of older adults during COVID-19 pandemic. DIGITAL HEALTH, 9, 1–14. https://doi.org/10.1177/20552076231191050
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Amilia Wulandhani, Anhari Achadi, Putri Ardhani
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
