Abstract：
BACKGROUND: The growing elderly population in Indonesia presents challenges for the healthcare system, prompting the exploration of telemedicine as a solution. However, its effective implementation in Indonesia faces obstacles.
METHODS: This research aimed to develop a comprehensive geriatric telemedicine framework in Padang City by studying multiple stakeholders. We employed qualitative methods, including in- -depth interviews, across two hospitals, a Health Office, and a Community Health Center, involving 18 elderly participants.
RESULTS: The study identified ten key dimensions for geriatric telemedicine services: technology, Human-Computer Interface (HCI), infrastructure, system workflow, clinical content, people (diverse roles), organization (ecosystem, service workflow, internal and external regulations), and financing (social security agency on health and independent). We used the Human-Organization- Technology Fit and Sociotechnical System approaches for analysis.
CONCLUSIONS: The study suggests implications for future implementation and advocates for broader participant involvement, information technology (IT) studies for system development, and longitudinal evaluations to assess the impact on elderly health outcomes.
METHODS: This research aimed to develop a comprehensive geriatric telemedicine framework in Padang City by studying multiple stakeholders. We employed qualitative methods, including in- -depth interviews, across two hospitals, a Health Office, and a Community Health Center, involving 18 elderly participants.
RESULTS: The study identified ten key dimensions for geriatric telemedicine services: technology, Human-Computer Interface (HCI), infrastructure, system workflow, clinical content, people (diverse roles), organization (ecosystem, service workflow, internal and external regulations), and financing (social security agency on health and independent). We used the Human-Organization- Technology Fit and Sociotechnical System approaches for analysis.
CONCLUSIONS: The study suggests implications for future implementation and advocates for broader participant involvement, information technology (IT) studies for system development, and longitudinal evaluations to assess the impact on elderly health outcomes.
摘要：
背景：印度尼西亚不断增长的老年人口给医疗保健系统带来了挑战，促使人们探索远程医疗作为一种解决方案。然而,它在印度尼西亚的有效实施面临障碍。
方法：本研究旨在通过研究多个利益相关者，在巴东市开发一个全面的老年远程医疗框架。我们采用了定性的方法，包括深度访谈,横跨两家医院，卫生办公室，还有一个社区卫生中心,涉及18名老年人。
结果：该研究确定了老年远程医疗服务的十个关键维度：技术，人机界面(HCI)基础设施,系统工作流,临床内容，人(不同的角色)，组织(生态系统，服务工作流,内部和外部法规)，和融资(社会保障机构对健康和独立)。我们使用人-组织-技术拟合和社会技术系统方法进行分析。
结论：该研究提出了对未来实施的影响，并倡导更广泛的参与者参与，系统开发的信息技术(IT)研究，和纵向评估，以评估对老年人健康结果的影响。
方法：本研究旨在通过研究多个利益相关者，在巴东市开发一个全面的老年远程医疗框架。我们采用了定性的方法，包括深度访谈,横跨两家医院，卫生办公室，还有一个社区卫生中心,涉及18名老年人。
结果：该研究确定了老年远程医疗服务的十个关键维度：技术，人机界面(HCI)基础设施,系统工作流,临床内容，人(不同的角色)，组织(生态系统，服务工作流,内部和外部法规)，和融资(社会保障机构对健康和独立)。我们使用人-组织-技术拟合和社会技术系统方法进行分析。
结论：该研究提出了对未来实施的影响，并倡导更广泛的参与者参与，系统开发的信息技术(IT)研究，和纵向评估，以评估对老年人健康结果的影响。
