Assessing Telemedicine Demand and Viability in Indonesian Geriatric Clinics: A Comprehensive HOT FIT and Sociotechnical Analysis

TL;DR

This study explores how telemedicine can be effectively implemented in Indonesian geriatric clinics by analyzing stakeholder needs and system requirements.

Contribution

The paper introduces a comprehensive geriatric telemedicine framework tailored for Indonesia using Human-Organization-Technology Fit and Sociotechnical System approaches.

Findings

Ten key dimensions for geriatric telemedicine services were identified, including technology, infrastructure, and workflow.

Stakeholder input revealed the importance of involving diverse roles and regulations in telemedicine implementation.

The study recommends IT development and longitudinal evaluations to improve elderly health outcomes through telemedicine.

Abstract

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.

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.

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.

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.