{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:46:56Z","timestamp":1777852016473,"version":"3.51.4"},"reference-count":51,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100007797","name":"University of Helsinki","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100007797","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Prime Minister\u2019s office Finland","award":["VN\/29015\/2021"],"award-info":[{"award-number":["VN\/29015\/2021"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    The rapid expansion of digital health services (DHS) highlights the need to assess their accessibility and effectiveness, particularly among older adults. Despite increasing digitalization, many older individuals still face barriers, including limitations in digital competence and access.\n                    <jats:bold>Objective:<\/jats:bold>\n                    This study examines the use, barriers, and perceived benefits of DHS among individuals aged 75 and older in Finland.\n                    <jats:bold>Methods:<\/jats:bold>\n                    A nationwide survey was conducted in March 2023 using both electronic and paper questionnaires. In addition to descriptive analysis, regression analysis was performed to identify variables associated with perceived benefits of digital health services.\n                    <jats:bold>Results:<\/jats:bold>\n                    Of the 1124 responses (1011 electronic, 113 paper), 1100 were fully completed. Overall, 84% of respondents had used DHS, with usage being higher among those under 85\u00a0years (87%) than those over 85 (57%). The majority of respondents (82%) reported using the national Omakanta service, which grants access to personal health information. Digital competence and the number of services used were the strongest predictors of perceived benefits, alongside higher satisfaction, service frequency, and female gender.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    DHS adoption among older adults, especially in Finland, may be higher than previously reported. However, digital social services remain underdeveloped. Addressing the digital divide is essential to ensuring equitable access.\n                  <\/jats:p>","DOI":"10.1177\/14604582261416861","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T22:20:21Z","timestamp":1768342821000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The use and perceived benefits of digital health services among Finnish older adults: Survey study"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1127-4205","authenticated-orcid":false,"given":"Paulus","family":"Torkki","sequence":"first","affiliation":[{"name":"University of Helsinki"}]},{"given":"Sanna","family":"Lakoma","sequence":"additional","affiliation":[{"name":"University of Helsinki"}]},{"given":"Suvi","family":"Hiltunen","sequence":"additional","affiliation":[{"name":"Union for Senior Services"}]},{"given":"Miia","family":"Jansson","sequence":"additional","affiliation":[{"name":"University of Oulu"},{"name":"RMIT University"},{"name":"Oulu University Hospital and University of Oulu"}]},{"given":"Anne","family":"Kouvonen","sequence":"additional","affiliation":[{"name":"University of Helsinki"}]},{"given":"Henna","family":"H\u00e4rk\u00f6nen","sequence":"additional","affiliation":[{"name":"University of Oulu"},{"name":"Oulu University Hospital and University of Oulu"}]},{"given":"Marja","family":"Harjumaa","sequence":"additional","affiliation":[{"name":"Nordic Healthcare Group"},{"name":"University of Oulu"}]},{"given":"Riikka-Leena","family":"Leskel\u00e4","sequence":"additional","affiliation":[{"name":"Nordic Healthcare Group"}]},{"given":"Paula","family":"Pennanen","sequence":"additional","affiliation":[{"name":"Nordic Healthcare Group"}]},{"given":"Anastasiya","family":"Verho","sequence":"additional","affiliation":[{"name":"University of Helsinki"}]},{"given":"Susanna","family":"Martikainen","sequence":"additional","affiliation":[{"name":"Nordic Healthcare Group"},{"name":"University of Eastern Finland"}]},{"given":"Elina","family":"Laukka","sequence":"additional","affiliation":[{"name":"University of Helsinki"},{"name":"Nordic Healthcare Group"},{"name":"Oulu University of Applied Sciences"}]}],"member":"179","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.iotcps.2022.04.001"},{"key":"e_1_3_9_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40012-023-00380-3"},{"key":"e_1_3_9_4_2","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/8830200"},{"key":"e_1_3_9_5_2","unstructured":"EUR-Lex - 52012DC0736 - EN - EUR-Lex. https:\/\/eur-lex.europa.eu\/legal-content\/EN\/ALL\/?uri=celex:52012DC0736 (accessed 17 April 2024)."},{"key":"e_1_3_9_6_2","doi-asserted-by":"crossref","unstructured":"Kunonga TP Spiers GF Beyer FR et al. Effects of digital technologies on older people\u2019s access to health and social care: umbrella review. J Med Internet Res; 23: e25887.","DOI":"10.2196\/25887"},{"key":"e_1_3_9_7_2","first-page":"121","article-title":"An integrated holistic model for an eHealth system: a national implementation approach and a new cloud-based security model","volume":"47","author":"Al-Sharhan S","year":"2019","unstructured":"Al-Sharhan S, Omran E, Lari K. An integrated holistic model for an eHealth system: a national implementation approach and a new cloud-based security model. Int J Inf Manag 2019; 47: 121\u2013130.","journal-title":"Int J Inf Manag"},{"key":"e_1_3_9_8_2","doi-asserted-by":"publisher","DOI":"10.1108\/IJOA-07-2020-2355"},{"key":"e_1_3_9_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2019.07.004"},{"key":"e_1_3_9_10_2","doi-asserted-by":"crossref","unstructured":"Hall AK Bernhardt JM Dodd V et al. The Digital Health Divide 2014; 42: 202\u2013209.","DOI":"10.1177\/1090198114547815"},{"key":"e_1_3_9_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11623-w"},{"key":"e_1_3_9_12_2","doi-asserted-by":"crossref","unstructured":"Heponiemi T Kaihlanen AM Kouvonen A et al. The role of age and digital competence on the use of online health and social care services: a cross-sectional population-based survey. Digit Health; 8: 205520762210744.","DOI":"10.1177\/20552076221074485"},{"key":"e_1_3_9_13_2","doi-asserted-by":"crossref","unstructured":"Kainiemi E Saukkonen P Virtanen L et al. Perceived benefits of digital health and social services among older adults: a population-based cross-sectional survey. Digit Health; 9: 20552076231173559.","DOI":"10.1177\/20552076231173559"},{"key":"e_1_3_9_14_2","unstructured":"Vehko T Ruotsalainen S Hypp\u00f6nen H. E-health and e-welfare of Finland: check point 2018. https:\/\/www.julkari.fi\/bitstream\/handle\/10024\/138244\/RAP2019_7_e-health_and_e-welfare_web_4.pdf (2019 accessed 17 April 2024)."},{"key":"e_1_3_9_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2018.03.012"},{"key":"e_1_3_9_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/1460458219889501"},{"key":"e_1_3_9_17_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.1073756"},{"key":"e_1_3_9_18_2","doi-asserted-by":"publisher","DOI":"10.1108\/S2050-206020150000010002"},{"key":"e_1_3_9_19_2","doi-asserted-by":"crossref","unstructured":"Heponiemi T Jormanainen V Leemann L et al. Digital divide in perceived benefits of online health care and social welfare services: National cross-sectional survey study. J Med Internet Res; 22: e17616.","DOI":"10.2196\/17616"},{"key":"e_1_3_9_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/1461444818787348"},{"key":"e_1_3_9_21_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0192119"},{"key":"e_1_3_9_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40345-018-0127-7"},{"key":"e_1_3_9_23_2","first-page":"1","article-title":"The association between internet use and health-related outcomes in older adults and the elderly: a cross-sectional study","volume":"21","author":"Duplaga M","year":"2021","unstructured":"Duplaga M. The association between internet use and health-related outcomes in older adults and the elderly: a cross-sectional study. BMC Med Inf Decis Making 2021; 21: 1\u201312.","journal-title":"BMC Med Inf Decis Making"},{"key":"e_1_3_9_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahr.2023.100117"},{"key":"e_1_3_9_25_2","doi-asserted-by":"publisher","DOI":"10.2196\/15543"},{"key":"e_1_3_9_26_2","doi-asserted-by":"publisher","DOI":"10.23996\/fjhw.124750"},{"key":"e_1_3_9_27_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-023-02391-8"},{"key":"e_1_3_9_28_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-11564-1"},{"key":"e_1_3_9_29_2","unstructured":"National FinSote survey - THL. https:\/\/thl.fi\/en\/research-and-development\/research-and-projects\/national-finsote-survey (accessed 21 April 2024)."},{"key":"e_1_3_9_30_2","unstructured":"Valli ry. Selvitys ik\u00e4\u00e4ntyneiden digiosallisuudesta. https:\/\/www.valli.fi\/wp-content\/uploads\/2022\/10\/Selvitys-ika%CC%88a%CC%88ntyneiden-digiosallisuudesta-2022.pdf (2022 accessed 21 April 2024)."},{"key":"e_1_3_9_31_2","unstructured":"MyKanta - Citizens - Kanta.fi. https:\/\/www.kanta.fi\/en\/mykanta (accessed 4 May 2024)."},{"key":"e_1_3_9_32_2","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.5507"},{"key":"e_1_3_9_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.techsoc.2020.101287"},{"key":"e_1_3_9_34_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-05581-2_41"},{"key":"e_1_3_9_35_2","article-title":"Finland health system summary 2023","volume":"22","author":"Tynkkynen LK","year":"2023","unstructured":"Tynkkynen LK, Keskim\u00e4ki I, Karanikolos M, et al. Finland health system summary 2023. Finland: Health System Summary 2023; 22.","journal-title":"Finland: Health System Summary"},{"key":"e_1_3_9_36_2","doi-asserted-by":"publisher","DOI":"10.23996\/fjhw.125122"},{"key":"e_1_3_9_37_2","doi-asserted-by":"crossref","unstructured":"Vasilescu MD Serban AC Dimian GC et al. Digital divide skills and perceptions on digitalisation in the European Union - towards a smart labour market. PLoS One; 15: e0232032.","DOI":"10.1371\/journal.pone.0232032"},{"key":"e_1_3_9_38_2","doi-asserted-by":"publisher","DOI":"10.2196\/15543"},{"key":"e_1_3_9_39_2","doi-asserted-by":"publisher","DOI":"10.2196\/11931"},{"key":"e_1_3_9_40_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2019.0065"},{"key":"e_1_3_9_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2019.12.015"},{"key":"e_1_3_9_42_2","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnz163"},{"key":"e_1_3_9_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2024.104692"},{"key":"e_1_3_9_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.techfore.2023.122319"},{"key":"e_1_3_9_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2022.06.004"},{"key":"e_1_3_9_46_2","doi-asserted-by":"publisher","DOI":"10.2196\/17696"},{"key":"e_1_3_9_47_2","doi-asserted-by":"crossref","unstructured":"Lee M Kang D Yoon J et al. The difference in knowledge and attitudes of using mobile health applications between actual user and non-user among adults aged 50 and older. PLoS One; 15: e0241350.","DOI":"10.1371\/journal.pone.0241350"},{"key":"e_1_3_9_48_2","doi-asserted-by":"crossref","unstructured":"Sakaguchi-Tang DK Bosold AL Choi YK et al. Patient portal use and experience among older adults: systematic review. JMIR Med Inform; 5: e38.","DOI":"10.2196\/medinform.8092"},{"key":"e_1_3_9_49_2","doi-asserted-by":"publisher","DOI":"10.2196\/11254"},{"key":"e_1_3_9_50_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2013.0318"},{"key":"e_1_3_9_51_2","first-page":"1","article-title":"Barriers and drivers of health information technology use for the elderly, chronically ill, and underserved","volume":"175","author":"Jimison H","year":"2008","unstructured":"Jimison H, Gorman P, Woods S, et al. Barriers and drivers of health information technology use for the elderly, chronically ill, and underserved. Evid Rep Technol Assess 2008; 175: 1\u20131422.","journal-title":"Evid Rep Technol Assess"},{"key":"e_1_3_9_52_2","doi-asserted-by":"publisher","DOI":"10.1108\/S2050-206020150000010002"}],"container-title":["Health Informatics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14604582261416861","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/14604582261416861","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14604582261416861","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:29:07Z","timestamp":1777501747000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/14604582261416861"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":51,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/14604582261416861"],"URL":"https:\/\/doi.org\/10.1177\/14604582261416861","relation":{},"ISSN":["1460-4582","1741-2811"],"issn-type":[{"value":"1460-4582","type":"print"},{"value":"1741-2811","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"14604582261416861"}}