{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T04:34:14Z","timestamp":1790224454635,"version":"4.1.0"},"reference-count":88,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004329","name":"Javna Agencija za Raziskovalno Dejavnost RS","doi-asserted-by":"publisher","award":["J5-2558"],"award-info":[{"award-number":["J5-2558"]}],"id":[{"id":"10.13039\/501100004329","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004329","name":"Javna Agencija za Raziskovalno Dejavnost RS","doi-asserted-by":"publisher","award":["J5-4578"],"award-info":[{"award-number":["J5-4578"]}],"id":[{"id":"10.13039\/501100004329","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004329","name":"Javna Agencija za Raziskovalno Dejavnost RS","doi-asserted-by":"publisher","award":["P5-0399"],"award-info":[{"award-number":["P5-0399"]}],"id":[{"id":"10.13039\/501100004329","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The scaling of digital health platforms, accelerated by the COVID-19 pandemic, has globally reshaped the delivery of healthcare services, presenting both opportunities and challenges. Ensuring equitable access, especially for digitally disadvantaged groups, is a critical concern, and this study explores older adults\u2019 perspectives on digital health platforms during and after the COVID-19 pandemic and examines their strategies for coping with the general challenges of the digitalization of health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 77 older adults (aged at least 65), including both internet users and non-users, participated in 11 focus group sessions in Slovenia between September and December 2022. Hybrid thematic analysis was used to develop an understanding of the challenges confronted by older adults in the digital health landscape.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three key themes emerged from the focus group sessions, which highlight digital inequalities that impact access to digital health platforms and their services: the challenges of digitalized health services, coping with these challenges, and the outcomes of health service digitalization. The \u201cdigital health paradox\u201d is evident, in which opportunities are provided for some while access is limited for those unwilling or unable to use digital health platforms. Proxy users, often family or friends, help bridge this gap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Ensuring the availability and viability of traditional health service access is crucial for empowering older adults to choose between digital health platforms and alternatives. Recognizing the importance of traditional approaches is vital, and healthcare providers and policymakers should prioritize inclusivity to ensure a diverse and equitable healthcare system for older adults and vulnerable populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076241282247","type":"journal-article","created":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T18:17:18Z","timestamp":1727288238000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["\u201cI\u2019m still struggling with it, and it scares me\u201d: A qualitative analysis of older adults\u2019 experiences with digital health portals during and after COVID-19"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6310-9324","authenticated-orcid":false,"given":"Simona","family":"Hvali\u010d-Touzery","sequence":"first","affiliation":[{"name":"Faculty of Social Sciences, University of Ljubljana, Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerneja","family":"Laznik","sequence":"additional","affiliation":[{"name":"Faculty of Social Sciences, University of Ljubljana, Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andra\u017e","family":"Petrov\u010di\u010d","sequence":"additional","affiliation":[{"name":"Faculty of Social Sciences, University of Ljubljana, Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,25]]},"reference":[{"key":"bibr1-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1016\/j.icte.2023.02.007"},{"key":"bibr2-20552076241282247","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20043407"},{"key":"bibr3-20552076241282247","unstructured":"World Health Organization. Global strategy on digital health 2020-2025. Available at: https:\/\/www.who.int\/docs\/default-source\/documents\/gs4dhdaa2a9f352b0445bafbc79ca799dce4d.pdf (2021, accessed 12 February 2024)."},{"key":"bibr4-20552076241282247","unstructured":"European Commission. Digital decade. Available at: https:\/\/digital-skills-jobs.europa.eu\/en\/actions\/european-initiatives\/digital-decade (2021, accessed 12 February 2024)."},{"key":"bibr5-20552076241282247","doi-asserted-by":"publisher","DOI":"10.2196\/33819"},{"key":"bibr6-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-023-04437-5"},{"key":"bibr7-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1016\/j.technovation.2022.102547"},{"key":"bibr8-20552076241282247","unstructured":"European Parliament. The rise of digital health technologies during the pandemic. Available at: https:\/\/www.europarl.europa.eu\/thinktank\/en\/document\/EPRS_BRI(2021)690548 (2021, accessed 12 February 2024)."},{"key":"bibr9-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1007\/s40685-020-00125-x"},{"key":"bibr10-20552076241282247","doi-asserted-by":"publisher","DOI":"10.2196\/26189"},{"key":"bibr11-20552076241282247","doi-asserted-by":"publisher","DOI":"10.31449\/upinf.161"},{"key":"bibr12-20552076241282247","first-page":"169","volume":"3","author":"Rant \u017d","year":"2017","journal-title":"Uporabna informatika"},{"key":"bibr13-20552076241282247","unstructured":"European Commission.Communication from the Commission to the European Parliament, The Council, The European Economic and Social Committee and The Committee of the Regions on Enabling the Digital Transformation of Health and Care in the Digital Single Market; Empowering Citizens and Building a Healthier Society. Available at: https:\/\/eur-lex.europa.eu\/legal-content\/EN\/TXT\/?uri=COM%3A2018%3A233%3AFIN (2018, accessed 12 February 2024)."},{"key":"bibr14-20552076241282247","volume":"33","author":"Hrzic R","journal-title":"Eur J Public Health"},{"key":"bibr15-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1080\/03601277.2020.1743008"},{"key":"bibr16-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2011.03.002"},{"key":"bibr17-20552076241282247","first-page":"3","volume":"72","author":"Cuzak G","year":"2021","journal-title":"Farmacevtski vestnik"},{"key":"bibr18-20552076241282247","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.942703"},{"key":"bibr19-20552076241282247","unstructured":"European Commission. EHealth, Interoperability of Health Data and Artificial Intelligence for Health and Care in the EU Lot 1 - Interoperability of Electronic Records in the EU (2020) SMART 2019\/0056. Available at: https:\/\/digital-strategy.ec.europa.eu\/en\/library\/interoperability-electronic-health-records-eu (2021, accessed 12 February 2024)."},{"key":"bibr20-20552076241282247","volume-title":"The digital disconnect: The social causes and consequences of digital inequalities","author":"Helsper EJ"},{"key":"bibr21-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1080\/01296612.2003.11726709"},{"key":"bibr22-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igac059.110"},{"key":"bibr23-20552076241282247","unstructured":"Eurostat. Digital economy and society. Dataset. Available at: https:\/\/ec.europa.eu\/eurostat\/web\/products-datasets\/-\/tin00028 (2024, accessed 12 May 2024)."},{"key":"bibr24-20552076241282247","first-page":"300","volume":"235","author":"Wildenbos GA","year":"2017","journal-title":"Stud Health Technol Inform"},{"key":"bibr25-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1177\/2333721419844886"},{"key":"bibr26-20552076241282247","doi-asserted-by":"crossref","DOI":"10.1016\/j.techfore.2023.122319","volume":"189","author":"Frishammar J","year":"2023","journal-title":"Technol Forecast Soc Change"},{"key":"bibr27-20552076241282247","doi-asserted-by":"crossref","DOI":"10.1093\/jamiaopen\/ooac061","volume":"5","author":"Zoorob D","year":"2022","journal-title":"JAMIA Open"},{"key":"bibr28-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssaho.2023.100511"},{"key":"bibr29-20552076241282247","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.588590"},{"key":"bibr30-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1177\/09697330221095140"},{"key":"bibr31-20552076241282247","first-page":"1","volume":"9","author":"Kainiemi E","year":"2023","journal-title":"Digit Health"},{"key":"bibr32-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1016\/j.tele.2017.12.005"},{"key":"bibr33-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1016\/j.poetic.2006.05.003"},{"key":"bibr34-20552076241282247","doi-asserted-by":"crossref","unstructured":"Reisdorf BC, Axelsson AS, Maurin H. Living offline \u2013 a qualitative study of internet non-use in Great Britain and Sweden. Selected Papers of Internet Research, 2. Quello Center Working Paper. Available at: https:\/\/ssrn.com\/abstract=2721929 (2016, accessed 10 February 2024).","DOI":"10.2139\/ssrn.2721929"},{"key":"bibr35-20552076241282247","doi-asserted-by":"crossref","unstructured":"Pap\u00ed-G\u00e1lvez N, La Parra-Casado D. La Brecha Digital Generacional En La Comunidad Valenciana: Principales Indicadores y Discursos. Available at: http:\/\/hdl.handle.net\/10045\/131233 (2023, accessed 10 March 2024).","DOI":"10.14198\/bua.2023.papi.brecha"},{"key":"bibr36-20552076241282247","unstructured":"Barral Buceta B.\n                      Actores, coalici\u00f3ns e implementaci\u00f3n nas pol\u00edticas de eSa\u00fade: Entre a continuidade e a innovaci\u00f3n.\n                      PhD Thesis,Universidade de Santiago de Compostela, Escola de Doutoramento Internacional (EDIUS), Span,  2021"},{"key":"bibr37-20552076241282247","doi-asserted-by":"crossref","DOI":"10.2196\/17616","volume":"22","author":"Heponiemi T","year":"2020","journal-title":"J Med Internet Res"},{"key":"bibr38-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1007\/s10433-020-00558-7"},{"key":"bibr39-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1016\/j.techsoc.2020.101287"},{"key":"bibr40-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2023.105225"},{"key":"bibr41-20552076241282247","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph19094950","volume":"19","author":"\u021a\u0103ran AM","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"bibr42-20552076241282247","first-page":"41","volume":"15","author":"Jamwal Y","year":"2024","journal-title":"Int J Pharma Profession Res"},{"key":"bibr43-20552076241282247","first-page":"122","volume":"8","author":"Adamczyk M","year":"2021","journal-title":"Case Poland Entrepreneur Sustain Issues"},{"key":"bibr44-20552076241282247","doi-asserted-by":"crossref","DOI":"10.1016\/j.techfore.2023.122935","volume":"197","author":"Ueno A","year":"2023","journal-title":"Technol Forecast Soc Change"},{"key":"bibr45-20552076241282247","volume":"22","author":"Wong ZSY","year":"2020","journal-title":"J Med Internet Res"},{"key":"bibr46-20552076241282247","unstructured":"Statistical Office of Republic of Slovenia. International day of older persons. SiStat. Available at: https:\/\/op.europa.eu\/en\/publication-detail\/-\/publication\/78938111-461e-11ee-92e3-01aa75ed71a1\/language-en\/format-PDF\/source-292293207 (2023, accessed 10 February 2024)."},{"key":"bibr47-20552076241282247","unstructured":"European Commission. Digital Economy and Society Index (DESI). Available at: https:\/\/digital-strategy.ec.europa.eu\/en\/policies\/desi-slovenia (2022, accessed 4 April 2024)."},{"key":"bibr48-20552076241282247","volume-title":"Anketna raziskava o digitalnem udejstvovanju starej\u0161ih odraslih v Sloveniji: Sumarni pregled frekven\u010dnih porazdelitev in opisnih statistik zbranih podatkov","author":"Prevodnik K"},{"key":"bibr49-20552076241282247","unstructured":"Petrov\u010di\u010d A, Gro\u0161elj D, Bartol J. Dataset for: survey on digital engagement of older adults in Slovenia (J5-2558). Available at: https:\/\/www.psycharchives.org\/en\/item\/1b3bf32c-dc62-4891-9274-9b6437360dbe (2022, accessed 15 February 2024)."},{"key":"bibr50-20552076241282247","unstructured":"European Commission.\n                      Digital decade e-Health indicators development \u2013 Final report\n                      . Available at: https:\/\/op.europa.eu\/en\/publication-detail\/-\/publication\/78938111-461e-11ee-92e3-01aa75ed71a1\/language-en\/format-PDF\/source-292293207 (2023, accessed 15 February 2024)."},{"key":"bibr51-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"bibr52-20552076241282247","doi-asserted-by":"publisher","DOI":"10.4135\/9781412984249"},{"key":"bibr53-20552076241282247","volume-title":"Defining exploratory-descriptive qualitative (EDQ) research and considering its application to healthcare","author":"Hunter DJ"},{"key":"bibr54-20552076241282247","volume-title":"Nursing research: Generating and assessing evidence for nursing practice","author":"Polit DF","year":"2021","edition":"11"},{"key":"bibr55-20552076241282247","volume-title":"The practice of nursing research: Conduct, critique & utilization","author":"Burns N","year":"2001","edition":"4"},{"key":"bibr56-20552076241282247","volume-title":"The good research guide: For small-scale social research projects","author":"Denscombe M","year":"2017"},{"key":"bibr57-20552076241282247","volume-title":"Qualitative Research \u2013 a Practical Guide for Health and Social Care Researchers and Practitioners","author":"Ayton D","year":"2023"},{"key":"bibr58-20552076241282247","volume-title":"Focus group: A practical guide for applied research","author":"Krueger RA","year":"2015","edition":"5"},{"key":"bibr59-20552076241282247","unstructured":"European Parliament, Council of the European Union.EU General Data Protection Regulation (GDPR): Regulation (EU) 2016\/679 of the European Parliament and of the Council of 27 April 2016 on the Protection of Natural Persons with Regard to the Processing of Personal Data and on the Free Movement of Such Data, and Repealing Directive 95\/46\/EC (General Data Protection Regulation) [Internet]. Available at: https:\/\/eur-lex.europa.eu\/eli\/reg\/2016\/679\/oj (2016, accessed 12 February 2024)."},{"key":"bibr60-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2885.2012.01416.x"},{"key":"bibr61-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1177\/08944393221117753"},{"key":"bibr62-20552076241282247","volume-title":"The public health researcher: A methodological approach","author":"Daly J","year":"1997"},{"key":"bibr63-20552076241282247","doi-asserted-by":"crossref","unstructured":"Swain J. A hybrid approach to thematic analysis in qualitative research: Using a practical example. Available at: https:\/\/doi.org\/10.4135\/9781526435477 (2018, accessed 1 August 2024).","DOI":"10.4135\/9781526435477"},{"key":"bibr64-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X980100020301"},{"key":"bibr65-20552076241282247","doi-asserted-by":"publisher","DOI":"10.4324\/9780203793206"},{"key":"bibr66-20552076241282247","doi-asserted-by":"publisher","DOI":"10.14528\/snr.2022.56.4.3124"},{"key":"bibr67-20552076241282247","unstructured":"World Health Organization.\n                      Global Report on Ageism\n                      . Available at: https:\/\/www.who.int\/teams\/social-determinants-of-health\/demographic-change-and-healthy-ageing\/combatting-ageism\/global-report-on-ageism (2021, accessed 15 February 2024)."},{"key":"bibr68-20552076241282247","unstructured":"Varuh \u010dlovekovih pravic. Dostopnost do ambulant splo\u0161ne in dru\u017einske medicine. Available at: https:\/\/www.varuh-rs.si\/sl\/sporocila-za-javnost\/novica\/dostopnost-do-ambulant-splosne-in-druzinske-medicine\/ (2023, accessed 15 March 2024)."},{"key":"bibr69-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igad133"},{"key":"bibr70-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1177\/2055207620905422"},{"key":"bibr71-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlpt.2015.08.002"},{"key":"bibr72-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1080\/01972243.2021.1960659"},{"key":"bibr73-20552076241282247","unstructured":"Greenhalgh T. Digital healthcare is putting the most vulnerable at risk. Here\u2019s how we can fix that. Available at: https:\/\/www.sciencefocus.com\/future-technology\/digital-healthcare-digital (2024, accessed 1 August 2024)."},{"key":"bibr74-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-013-0458-x"},{"key":"bibr75-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2013.0318"},{"key":"bibr76-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-022-03360-5"},{"key":"bibr77-20552076241282247","volume":"60","author":"Garnett A","year":"2023","journal-title":"Inquiry (United States)"},{"key":"bibr78-20552076241282247","first-page":"026","volume":"2012","author":"Bla\u017eun H","year":"2012","journal-title":"NI 2012"},{"key":"bibr79-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1177\/15248399211014490"},{"key":"bibr80-20552076241282247","volume":"21","author":"Jin Y","year":"2019","journal-title":"J Med Internet Res"},{"key":"bibr81-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gny036"},{"key":"bibr82-20552076241282247","volume":"5","author":"Allen L","year":"2017","journal-title":"Lancet Glob Health"},{"key":"bibr83-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2017.1358354"},{"key":"bibr84-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2018.01.008"},{"key":"bibr85-20552076241282247","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2020.305784"},{"key":"bibr86-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1016\/j.telpol.2018.07.004"},{"key":"bibr87-20552076241282247","doi-asserted-by":"publisher","DOI":"10.1177\/1461444818797082"},{"key":"bibr88-20552076241282247","doi-asserted-by":"crossref","DOI":"10.1186\/s12913-022-07584-4","volume":"22","author":"Kaihlanen AM","year":"2022","journal-title":"BMC Health Serv Res"}],"container-title":["DIGITAL HEALTH"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20552076241282247","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20552076241282247","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20552076241282247","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:49:42Z","timestamp":1777398582000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20552076241282247"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":88,"alternative-id":["10.1177\/20552076241282247"],"URL":"https:\/\/doi.org\/10.1177\/20552076241282247","relation":{},"ISSN":["2055-2076","2055-2076"],"issn-type":[{"value":"2055-2076","type":"print"},{"value":"2055-2076","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"20552076241282247"}}