EPIDEMIOLOGY AND HEALTH DATA INSIGHTS
Review Article

Impact of Digital Technologies on Access to and Satisfaction with Health and Social Care Among Older Adults

Epidemiology and Health Data Insights, 2(5), 2026, ehdi057, https://doi.org/10.63946/ehdi/19458
Publication date: Sep 29, 2026
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ABSTRACT

Digital technologies are increasingly used to support healthcare and social care for older adults, yet their effects on access and satisfaction depend on technological, individual, and organizational conditions. This structured narrative review synthesized current evidence on the impact of digital technologies on access to and satisfaction with health and social care among older adults. A comprehensive literature search was conducted iteratively from February 2025 through May 2026 in seven international and regional databases and search platforms. English- and Russian-language publications addressing older adults, digital health technologies, healthcare or social care access, satisfaction, and related implementation outcomes were considered. Forty-eight publications were included. Because study designs, populations, technologies, and outcomes were heterogeneous, findings were synthesized narratively and organized thematically. Evidence most consistently suggested that telemedicine, electronic health technologies, mobile health technologies, remote monitoring, mobile applications, and wearable devices may reduce geographical and mobility-related barriers, support continuity of care and chronic disease management, and improve satisfaction when services are usable, trusted, and adequately supported. Satisfaction findings were more context-dependent than access outcomes. Digital literacy, connectivity, affordability, interface usability, privacy concerns, technophobia, and access to technical or professional support repeatedly influenced adoption. Evidence specifically addressing social care, long-term care, and integration between healthcare and social services was comparatively limited. Digital technologies may complement conventional care for older adults, but age-appropriate design, digital-literacy support, privacy safeguards, non-digital alternatives, and integration into existing care pathways are important for equitable implementation.

KEYWORDS

Aged Digital Health Telemedicine Health Services Accessibility Patient Satisfaction Social Care Health Literacy

CITATION (Vancouver)

Aidarbekova BB. Impact of Digital Technologies on Access to and Satisfaction with Health and Social Care Among Older Adults. Epidemiology and Health Data Insights. 2026;2(5):ehdi057. https://doi.org/10.63946/ehdi/19458
APA
Aidarbekova, B. B. (2026). Impact of Digital Technologies on Access to and Satisfaction with Health and Social Care Among Older Adults. Epidemiology and Health Data Insights, 2(5), ehdi057. https://doi.org/10.63946/ehdi/19458
Harvard
Aidarbekova, B. B. (2026). Impact of Digital Technologies on Access to and Satisfaction with Health and Social Care Among Older Adults. Epidemiology and Health Data Insights, 2(5), ehdi057. https://doi.org/10.63946/ehdi/19458
AMA
Aidarbekova BB. Impact of Digital Technologies on Access to and Satisfaction with Health and Social Care Among Older Adults. Epidemiology and Health Data Insights. 2026;2(5), ehdi057. https://doi.org/10.63946/ehdi/19458
Chicago
Aidarbekova, Balnur Bauyrzhanqyzy. "Impact of Digital Technologies on Access to and Satisfaction with Health and Social Care Among Older Adults". Epidemiology and Health Data Insights 2026 2 no. 5 (2026): ehdi057. https://doi.org/10.63946/ehdi/19458
MLA
Aidarbekova, Balnur Bauyrzhanqyzy "Impact of Digital Technologies on Access to and Satisfaction with Health and Social Care Among Older Adults". Epidemiology and Health Data Insights, vol. 2, no. 5, 2026, ehdi057. https://doi.org/10.63946/ehdi/19458

REFERENCES

  1. Yamshchikov ON, Marchenko AP, Emelyanov SA, Kopylov DM, Yamshchikova SO, Marchenko NA. Mediko-sotsial'nye aspekty vliyaniya tsifrovykh tekhnologii na zdorov'e naseleniya (obzor literatury) [Medical and social aspects of the impact of digital technologies on population health: a literature review]. ORGZDRAV: Novosti. Mneniya. Obuchenie. Vestnik VShOUZ [Internet]. 2025;4(42) [cited 2026 Jul 26]. Available from: https://www.vshouz.ru/journal/2025/mediko-sotsialnye-aspekty-vliyaniya-tsifrovykh-tekhnologiy-na-zdorove-naseleniya-obzor-literatury/ [Russian].
  2. Bazaeva MV. Vliyanie tsifrovykh tekhnologii na zdravookhranenie [Impact of digital technologies on healthcare]. Informatsionnoe obshchestvo. 2024;(3):80-87. doi:10.52605/16059921_2024_03_80. [Russian].
  3. Cabañero-Garcia E, Martinez-Lacoba R, Pardo-Garcia I, Amo-Saus E. Barriers to health, social and long-term care access among older adults: a systematic review of reviews. Int J Equity Health. 2025;24(1):72. doi:10.1186/s12939-025-02429-y.
  4. Kim S, Chow BC, Park S, Liu H. The usage of digital health technology among older adults in Hong Kong and the role of technology readiness and eHealth literacy: path analysis. J Med Internet Res. 2023;25:e41915. doi:10.2196/41915.
  5. Oh SS, Kim KA, Kim M, Oh J, Chu SH, Choi J. Measurement of digital literacy among older adults: systematic review. J Med Internet Res. 2021;23(2):e26145. doi:10.2196/26145.
  6. Dong Q, Liu T, Liu R, Yang H, Liu C. Effectiveness of digital health literacy interventions in older adults: single-arm meta-analysis. J Med Internet Res. 2023;25:e48166. doi:10.2196/48166.
  7. Kebede AS, Ozolins LL, Holst H, Galvin K. Digital engagement of older adults: scoping review. J Med Internet Res. 2022;24(12):e40192. doi:10.2196/40192.
  8. Clarke CS, Round J, Morris S, Kharicha K, Ford J, Manthorpe J, Iliffe S, Goodman C, Walters K. Exploring the relationship between frequent internet use and health and social care resource use in a community-based cohort of older adults: an observational study in primary care. BMJ Open. 2017;7(7):e015839. doi:10.1136/bmjopen-2017-015839.
  9. Bachofner Y, Seifert A, Sepahniya S, Fabian C. Exploring online health information seeking and sharing among older adults: a mini-review about acceptance, potentials, and barriers. Front Digit Health. 2024;6:1336430. doi:10.3389/fdgth.2024.1336430.
  10. Li G, Jin C, Zhao B, Wu B. Smartphone use, technology affordance for healthcare and elders' life satisfaction. Front Public Health. 2022;10:861897. doi:10.3389/fpubh.2022.861897.
  11. Zhang C, Mohamad E, Azlan AA, Wu A, Ma Y, Qi Y. Social media and eHealth literacy among older adults: systematic literature review. J Med Internet Res. 2025;27:e66058. doi:10.2196/66058.
  12. Wilson J, Heinsch M, Betts D, Booth D, Kay-Lambkin F. Barriers and facilitators to the use of e-health by older adults: a scoping review. BMC Public Health. 2021;21(1):1556. doi:10.1186/s12889-021-11623-w.
  13. Zhang Y, Rosli Y, Mohd Saat NZ, Abd Talib R, Tang S. Scoping review of the e-health literature in older adults. Digit Health. 2025;11:20552076251362545. doi:10.1177/20552076251362545.
  14. Vergouw JW, Smits-Pelser H, Kars MC, van Houwelingen T, van Os-Medendorp H, Kort H, Bleijenberg N. Needs, barriers and facilitators of older adults towards eHealth in general practice: a qualitative study. Prim Health Care Res Dev. 2020;21:e54. doi:10.1017/S1463423620000547.
  15. Denecke K, Cvijic L, Petersen C. Toward inclusive design heuristics for digital health interventions for the aging population: scoping review. J Med Internet Res. 2025;27:e79449. doi:10.2196/79449.
  16. Baethge C, Goldbeck-Wood S, Mertens S. SANRA—a scale for the quality assessment of narrative review articles. Res Integr Peer Rev. 2019;4:5. doi:10.1186/s41073-019-0064-8.
  17. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi:10.1136/bmj.n71.
  18. Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editors. JBI Manual for Evidence Synthesis. Adelaide: JBI; 2024. https://doi.org/10.46658/JBIMES-24-01
  19. Kultanova NB, Spankulova LS. Evolyutsiya telemeditsiny i ee razvitie v sisteme zdravookhraneniya Kazakhstana [Evolution of telemedicine and its development in the healthcare system of Kazakhstan]. Qainar J Soc Sci. 2024;3(4):64-82. doi:10.58732/2958-7212-2024-4-64-82. [Russian].
  20. Zhang Y, Leuk JS, Teo WP. Domains, feasibility, effectiveness, cost, and acceptability of telehealth in aging care: scoping review of systematic reviews. JMIR Aging. 2023;6:e40460. doi:10.2196/40460.
  21. Fernandes G, Figueiredo T, Costa E, Coelho L, Loyens D. Impact of telehealth on health outcomes and quality of life in the older adults population: a systematic review. Front Digit Health. 2025;7:1708960. doi:10.3389/fdgth.2025.1708960.
  22. Wong AKC, Bayuo J, Wong FKY, Yuen WS, Lee AYL, Chang PK, Lai JTC. Effects of a nurse-led telehealth self-care promotion program on the quality of life of community-dwelling older adults: systematic review and meta-analysis. J Med Internet Res. 2022;24(3):e31912. doi:10.2196/31912.
  23. Orlando JF, Beard M, Kumar S. Systematic review of patient and caregivers' satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients' health. PLoS One. 2019;14(8):e0221848. doi:10.1371/journal.pone.0221848.
  24. Ting CY, Abdul Halim NH, Ling JN, Tiong IK, Ahmad Shauki NIHJ, Lee YF, et al. The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia. BMC Geriatr. 2024;24(1):133. doi:10.1186/s12877-024-04676-0.
  25. Chen L, Jang F, Li M, Zong W, Yu H. Effectiveness of mHealth-based gamified interventions on physical activity in older adults: systematic review. JMIR Aging. 2025;8:e78686. doi:10.2196/78686.
  26. G R, Y NS, Panduranga Kundapur P, Mallya J. mHealth adoption by the older adults: a structured literature review. F1000Res. 2025;14:1358. doi:10.12688/f1000research.172707.1.
  27. Nadal C, Sas C, Doherty G. Technology acceptance in mobile health: scoping review of definitions, models, and measurement. J Med Internet Res. 2020;22(7):e17256. doi:10.2196/17256.
  28. Ahmad NA, Mat Ludin AF, Shahar S, Mohd Noah SA, Mohd Tohit N. Willingness, perceived barriers and motivators in adopting mobile applications for health-related interventions among older adults: a scoping review. BMJ Open. 2022;12(3):e054561. doi:10.1136/bmjopen-2021-054561.
  29. Alzghaibi H. Barriers to the utilization of mHealth applications in Saudi Arabia: insights from patients with chronic diseases. Healthcare (Basel). 2025;13(6):665. doi:10.3390/healthcare13060665.
  30. Azevedo RFL, Varzino M, Steinman E, Rogers WA. Evaluating effectiveness of mHealth apps for older adults with diabetes: meta-analysis of randomized controlled trials. J Med Internet Res. 2025;27:e65855. doi:10.2196/65855.
  31. Shin JH, Shields R, Lee J, Skrove Z, Tredinnick R, Ponto K, Fields B. Quality and accessibility of home assessment mHealth apps for community living: systematic review. JMIR Mhealth Uhealth. 2024;12:e52996. doi:10.2196/52996.
  32. Moore K, O'Shea E, Kenny L, Barton J, Tedesco S, Sica M, et al. Older adults' experiences with using wearable devices: qualitative systematic review and meta-synthesis. JMIR Mhealth Uhealth. 2021;9(6):e23832. doi:10.2196/23832.
  33. Hettiarachchi Senarath GM, Delir Haghighi P, Bai L, Shannon MM, Andrew NE, Srikanth V, et al. Barriers and facilitators to the uptake of electronic collection and use of patient-reported measures in routine care of older adults: a systematic review with qualitative evidence synthesis. JAMIA Open. 2024;7(3):ooae068. doi:10.1093/jamiaopen/ooae068.
  34. Zou C, Harvard A, Qian J, Fox BI. A systematic review of digital health technologies for the care of older adults during the COVID-19 pandemic. Digit Health. 2023;9:20552076231191050. doi:10.1177/20552076231191050.
  35. Hamiduzzaman M, Gaffney HJ, Jindal S, Patra M, Gudur R, Pit S, Rahman A. Virtual healthcare for older adults with preventable chronic conditions: a meta-synthesis of quality aspects. J Appl Gerontol. 2025;44(7):1089-1108. doi:10.1177/07334648241296791.
  36. Wijayanti RR, Makmun KS. The impact of digital health technology on improving healthcare access and effectiveness. Public Health and Safety International Journal. 2024;4(2):182-187. doi:10.55642/phasij.v4i02.945.
  37. Liu T, Luo YT, Pang P. How older adults use digital technologies for healthcare? A systematic scoping review. J Med Syst. 2026;50(1):5. doi:10.1007/s10916-025-02331-8.
  38. Hepburn J, Williams L, McCann L. Barriers to and facilitators of digital health technology adoption among older adults with chronic diseases: updated systematic review. JMIR Aging. 2025;8:e80000. doi:10.2196/80000.
  39. Park J, Kim B, Cho J, Park S. Bridging the digital divide: factors influencing eHealth use among homebound older adults during the COVID-19 pandemic. J Appl Gerontol. 2026;45(3):550-558. doi:10.1177/07334648251343407.
  40. He H, Raja Ghazilla RA, Abdul-Rashid SH. Factors influencing the intention to use telemedicine services among older adults in China. Sci Rep. 2025;15(1):37772. doi:10.1038/s41598-025-14630-8.
  41. Malarvizhi CAN, Al Mamun A, Reza MNH, Masud MM. Ageing well with tech: exploring the determinants of e-healthcare services adoption in an emerging economy. Digit Health. 2024;10:20552076241272577. doi:10.1177/20552076241272577.
  42. Birati Y, Tzemah-Shahar R. Barriers to digital health adoption in older adults: scoping review informed by innovation resistance theory. J Med Internet Res. 2026;28:e75591. doi:10.2196/75591.
  43. Song X, Li S, Dong L, Li Y, Yang X, Bao J, et al. Technophobia in digital health contexts: a systematic review and meta-analysis with a focus on older adults. Digit Health. 2025;11:20552076251374218. doi:10.1177/20552076251374218.
  44. Sinabell I, Ammenwerth E. Challenges and recommendations for eHealth usability evaluation with elderly users: systematic review and case study. Univers Access Inf Soc. 2024;23:455-474. doi:10.1007/s10209-022-00949-w.
  45. Kang H, Baek J, Chu SH, Choi J. Digital literacy among Korean older adults: a scoping review of quantitative studies. Digit Health. 2023;9:20552076231197334. doi:10.1177/20552076231197334.
  46. Weber M, Schmitt KU, Frei A, Puhan MA, Raab AM. Needs assessment in community-dwelling older adults toward digital interventions to promote physical activity: cross-sectional survey study. Digit Health. 2023;9:20552076231203785. doi:10.1177/20552076231203785.
  47. de Siqueira Silva Í, de Araújo AJ, Lopes RH, Silva CRDV, Xavier PB, de Figueirêdo RC, et al. Digital home care interventions and quality of primary care for older adults: a scoping review. BMC Geriatr. 2024;24(1):507. doi:10.1186/s12877-024-05120-z.
  48. Arsenijevic J, Tummers L, Bosma N. Adherence to electronic health tools among vulnerable groups: systematic literature review and meta-analysis. J Med Internet Res. 2020;22(2):e11613. doi:10.2196/11613.
  49. Laukka E, Lakoma S, Harjumaa M, Hiltunen S, Härkönen H, Jansson M, et al. Older adults' preferences in the utilization of digital health and social services: a qualitative analysis of responses to open-ended questions. BMC Health Serv Res. 2024;24(1):1184. doi:10.1186/s12913-024-11564-1.
  50. Silva AB, Leal MT, Síndico SRF, Serrano-Miguel M, Loureiro HMAM. Mapping the use of information and communication technologies in health interventions for older adults: a rapid review. J Cross Cult Gerontol. 2026;41(2):28. doi:10.1007/s10823-026-09572-1.
  51. van Berkel C, Almond P, Hughes C, Smith M, Horsfield D, Duckworth H. Retrospective observational study of the impact on emergency admission of telehealth at scale delivered in community care in Liverpool, UK. BMJ Open. 2019;9(7):e028981. doi:10.1136/bmjopen-2019-028981.

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