title: Support for e-health services among elderly primary care patients.
abstract: BACKGROUND
  E-health has a substantial potential to improve access to as well as support efficient and effective care for the elderly. Questions remain and must be addressed, however, regarding the challenges faced by the elderly in the use of this technology. The aim of the study was to assess the attitude (needs) and preferences of the elderly in a selected region of Poland regarding selected e-health services and the factors associated with them.
  
  
  METHODS
  The study was conducted among 286 patients over 60 years of age being served by general practitioners in southwest Poland's Lower Silesia Province. The assessment pertaining to e-health was based on a specially designed questionnaire.
  
  
  RESULTS
  Nearly one-third of the study respondents had a computer at home, and 61% of these (19% of all surveyed elderly) used it. Twenty-two percent of respondents used the Internet, at least occasionally, whereas 62% used mobile phones. Approximately 41% (n=116) of the elderly had a favorable attitude toward e-health services (labeled here as supporters) and were willing to use it if/when offered an opportunity to do so. A substantial majority (84%) of supporters expressed a desire to receive simple medical recommendations via mobile phone or a computer, although significant majorities (61% and 60%, respectively) would like to receive the results of tests by e-mail or short message service reminders for scheduled visits or prescribed medications. Slightly less than half (47%) of e-health supporters would request appointments online. Among the more important factors associated with support of e-health services were urban residence, higher education, and normal cognitive function, as well as having a computer, Internet access, or a mobile phone.
  
  
  CONCLUSIONS
  The majority of elderly patients in this Polish community are not overly enthusiastic about using information and communications technology tools in their healthcare. Nevertheless, a substantial percentage (41%) among this group support selected e-health services.
authors.affiliation: 1 Department of Family Medicine, Wroclaw Medical University , Wroclaw, Poland .
authors.forename: Maria Magdalena
authors.initials: MM
authors.lastname: Bujnowska-Fedak
authors.forename: Iwona
authors.initials: I
authors.lastname: Pirogowicz
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001292:Attitude to Computers; D040421:Cell Phone; D005260:Female; D015577:Geriatric Assessment; D006297:Health Services Accessibility; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D011044:Poland; D011320:Primary Health Care; D011795:Surveys and Questionnaires; D017216:Telemedicine / Q000706:statistics & numerical data*
keywords: attitudes; e-health services; elderly; information and communications technology tools; preferences