RESEARCH PAPER
Health in old age, and patients’ approaches to telemedicine in Poland
 
More details
Hide details
1
Ateneum University, Gdansk
2
Institute of Psychology, The Kazimierz Wielki University, Bydgoszcz, Poland
CORRESPONDING AUTHOR
Leszek Buliński   

Ateneum University, Gdansk, Gdansk, 80-802 Gdansk, Poland
 
Ann Agric Environ Med. 2017;24(2):322–328
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Polish ageing society still experiences health-related problems and the increasing difficulties in receiving medical care. The initiation of telemedicine programmes can change this situation for better. The question arises if telemedicine is a solution that the elderly are willing to accept and take advantage of in order to raise their quality of life.

Material and methods:
Questionnaire based research was conducted in 2015 on a sample group of 312 seniors. The respondents completed the Diener Satisfaction with Life Scale (SWLS) and the subscale of Health States from Fragebogen zur Lebenszufriedenheit (FLZ) by Fahrenberg et al. Each participant gave their consent to take part in the research.

Results:
SWLS presents a relatively stable value in the subsequent decades of being old (60-69 years M=21.93 SD=6.25; 70-79 years M=21.70 SD=5.52; 80+ M=21.38 SD=5.82). The health related quality of life (the FLZ subscale), varied in the analysed subgroups (F=7.783 p=0.000), and was related to comorbidity and polytherapy. A positive attitude towards telemedicine was expressed by 40% of those surveyed. However the seniors’ need for telemedical services was more limited and did not exceed the 10%.

Conclusions:
In Poland in ageing there still dominates the experience of multiple ailments and polytherapy, something which justifies a search for new, easily accessible, and economically sound solutions for health care. Telemedicine is a promising solution although there is a need for concrete steps to be taken to raise willingness amongst geriatric patients to take advantage of telemedicine.

 
REFERENCES (24)
1.
Tanaka M, Ishii A, Yamano E, Ogikubo H, Okazaki M, Kamimura K, Konishi Y, Emoto S, Watanabe Y. Effect of a human-type communication robot on cognitive function in elderly women living alone. Med Sci Monit. 2012; 18(9): CR550–557. doi: 10.12659/MSM.883350 [PubMed].
 
2.
Zych A A, Piękni osiemdziesięcioletni, czyli paradygmat „starzenia się z wdziękiem” a realia życia [Beautiful Eighty-year-olds or the Paradigm of ‘Ageing Gracefully’ and the Reality of Life.] [in:] L. Buliński (ed.), Realność złego starzenia się. Poza polityczną i społeczną powinnością [The Reality of Ageing Badly. Beyond Political and Social Obligation], 139–156. Wydawnictwo Adam Marszałek, Toruń. 2015 [in Polish].
 
3.
Bielawska J. Rola pielęgniarki w opiece długoterminowej [The Role of the Nurse in Long-term Care]. Zeszyty Naukowe PWSZ im. Witelona w Legnicy, 2015; 15(2): 7–20 [in Polish].
 
4.
Derejczyk J, Bień B, Kokoszka-Paszkot J, Szczygieł J. Gerontologia i geriatria w Polsce na tle Europy – czy należy inwestować w ich rozwój w naszym kraju? [Gerontology and Geriatrics in Poland against a European Backcloth – Should Investment Be Made in Its Development Here in Poland?] Gerontologia Pol. 2009; 16(3): 149–159 [in Polish].
 
5.
Okólski M. Demograficzna starość przeznaczeniem nowoczesnego społeczeństwa [Demographic Old Age – Our Society’s Destiny]. Zoon Politikon. 2014; 5: 59–72 [in Polish].
 
6.
Burns LR, D’Aunno T, Kimberly JR. Globalization and its many faces: the case of the health sector. [in:] Gatignon H, Kimberly JR, Gunther RE. (ed.) The INSEAD-Wharton alliance on globalizing. Strategies for building successful global businesses, 395–421. Cambridge University Press, Cambridge. 2004.
 
7.
Lagergren M, Johnell K, Schön P, Danielsson M. Healthy life years in old age: Swedish development 1980–2010 according to different health indicators. Scand J Public Health. 2016; 44: 55–61.
 
8.
Błachnio A, Buliński L. Securing health: social rehabilitation and wellbeing in late adulthood. Acta Neuropsychologica. 2013; 11(3): 239–248.
 
9.
Pąchalska M, Góral-Półrola J, Jastrzębowska G, Rasmus A, Kaczmarek BLJ, Małek A. The neurolinguistics of the US/THEM structure in aphasia. Acta Neuropsychologica 2015; 13(4): 309–330.
 
10.
Juczyński Z. Narzędzia pomiaru w promocji i psychologii zdrowia [Instruments of Measurement in Health Promotion and Psychology]. Pracownia Testów Psychologicznych PTP, Warszawa; 2001 [in Polish].
 
11.
Zeidler, W. Zadowolenie z życia: Inspiracje i próby konceptualizacji [Satisfaction with Life: Inspirations and Attempts at Conceptualisation]. Prz Psychol. 2011; 54(4): 323–342 [in Polish].
 
12.
Błachnio A, Śmiatacz K. Badania nad jakością życia polskich seniorów w czasach kryzysu [Research into the Quality of Life for Polish Seniors in Times of Crisis]. [in:] Z. Wyszkowska, M. Gotowska (ed.) Poziom i jakość życia w dobie kryzysu [The Level and Quality of Life in the Day of Crisis]. Wydawnictwo Uczelniane Uniwersytetu Technologiczno-Przyrodniczego, Bydgoszcz; 2013: 369–383 [in Polish].
 
13.
Fahrenberg J, Myrtek M, Brähler E, Schumacher J. Life Satisfaction Questionnaire. Primary data from the standardization sample 1994. [Translated Title] (Version 1) [Files on CD-ROM]. Trier: Center for Research Data in Psychology: Psych Data of the Leibniz Institute for Psychology Information ZPID; 2010 https://doi.org/10.5160/psychd... [Pub Med].
 
14.
Østergaard PJ, Gustafsson LN, Høyer EH, Munk-Jørgensen P. The type and prevalence of the use of analgesics among inpatients in a geriatric psychiatry department. Therap Adv Psychopharmacol. 2016; 6(1): 13–21.
 
15.
Yagil D, Cohen M, Beer JD. Older adults’ coping with the stress involved in the use of everyday technologies. J Appl Technol. 2016; 35(2): 131–149.
 
16.
Bujnowska-Fedak M, Tomczak M. Innowacyjne aplikacje telemedyczne i usługi e-zdrowia w opiece nad pacjentami w starszym wieku [Innovative Applications and E-health Services for Patient Care in Old Age]. Zdr Publ Zarządz. 2013; 11(4): 302–317 [in Polish].
 
17.
Darkins AW. Telemedicine and telehealth, Cambridge University Press, Cambridge. 2010.
 
18.
Tanski ME, Pines JM. Alternative geriatric care and quality metrics. [in:] Kahn J H, Magauran B G Jr, Olshaker J S. (ed.) Geriatric emergency medicine: principles and practice, pp.301–312, Cambridge University Press, Cambridge. 2014.
 
19.
Bujnowska-Fedak M, Pirogowicz I. Support for e-Health services among elderly primary care patients. Telemed J E Health. 2014; 20(8): 696–704. doi: 10.1089/tmj.2013.0318 [PubMed].
 
20.
Kielar M. Telemedycyna w geriatrii: opieka na dziś, wyzwanie dla jutro [Telemedicine in Geriatrics: Care for Today, a Challenge for Tomorrow]. Ogólnopolski Przegl Med. 2015; 4: 14–22 [in Polish].
 
21.
Chen K, Chan A. Use or non-use of gerontechnology – a qualitative study. Int J Environ Res Public Health. 2013; 10: 4645–4666.
 
22.
Devis FD. Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology. MIS Quarterly, 1989; 13(3): 319–340.
 
23.
Clark PA, Capuzzi K, Harrison J. Telemedicine: Medical, legal, and ethical perspectives. Med Sci Mon. 2010; 16(12): 261–272.
 
24.
Madden TJ, Ellen PS, Ajzen I. A Comparison of the Theory of Planned Behavior and the Theory of Reasoned Action. Pers Soc Psychol Bull. 1992; 18(1): 3–9. doi: 10.1177/0146167292181001.
 
eISSN:1898-2263
ISSN:1232-1966