Acta Informatica Pragensia X:X | DOI: 10.18267/j.aip.31990

Acceptability of Telemedicine Among Nurses Caring for Older Adults: A Quantitative Descriptive Study

Simona Hvalič-Touzery ORCID...1, Nejc Berzelak ORCID...2, Mojca Šetinc ORCID...1, Vesna Dolničar ORCID...1, Angela Kydd ORCID...3, Jerneja Laznik ORCID...1
1 Faculty of Social Sciences, University of Ljubljana, Ljubljana, Slovenia
2 Social Protection Institute of the Republic of Slovenia, Ljubljana, Slovenia
3 Edinburgh Napier University, Edinburgh, United Kingdom

Background: Telemedicine, though decades old, saw only limited use until the COVID-19 pandemic, but despite increasing adoption, barriers to using telemedicine remain pervasive.

Objective: We sought to explore the acceptability of telemedicine among nurses caring for older adults by extending the Technology Acceptance Model (TAM).

Methods: A descriptive, non-experimental, quantitative research design was used. An online survey was administered to Slovenian registered nurses experienced in caring for older adults (n = 244), of whom 111 with no prior telemedicine experience were included in the analysis. Data were collected between September and December 2023 and analysed using descriptive statistics, Pearson correlations and ordered logistic regression models.

Results: Willingness to use telemedicine was positively associated with perceived usefulness for nursing practice and patient empowerment (both p < .05) and negatively influenced by technology anxiety and technology-based ageism (both p < .05). Technology anxiety was particularly associated with stronger resistance among the nurses least willing to use telemedicine. Higher self-rated telemedicine knowledge correlated positively with willingness to use telemedicine (p < .05), but this relationship ceased to be significant after perceived usefulness and technology anxiety were included in the model. Age was also negatively associated with nurses’ willingness to use telemedicine (p < .05), suggesting generational barriers.

Conclusion: Extending the TAM with domain-specific measures related to nursing practice and patient empowerment and with affective components – technology anxiety and technology-based ageism – improved its power to explain willingness to use telemedicine among nurses. Telemedicine knowledge is an important external factor, so professional development should help to improve digital skills and address ageist assumptions to support a socially inclusive and confident nursing workforce.

Keywords: Acceptability of telemedicine; TAM; Technology acceptance model; Digital health technologies; Technology-based ageism; Technology anxiety; Slovenia.

Received: March 5, 2026; Revised: June 1, 2026; Accepted: June 25, 2026; Prepublished online: August 10, 2026 

Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211. https://doi.org/10.1016/0749-5978(91)90020-T Go to original source...
    2. Ajzen, I., & Fishbein, M. (1980). Understanding Attitudes and Predicting Social Behavior. Prentice-Hall.
    3. Alexandre, B., Reynaud, E., Osiurak, F., & Navarro, J. (2018). Acceptance and acceptability criteria: a literature review. Cognition Technology & Work, 20(2), 165-177. https://doi.org/10.1007/s10111-018-0459-1 Go to original source...
    4. Alhussein, M., Patel, B., & Liu, X. (2023). Closing the gap: Technology access and telehealth use among older adults in the U.S. Medicare beneficiaries. Telematics and Informatics Reports, 12, 100103. https://doi.org/10.1016/j.teler.2023.100103 Go to original source...
    5. AlQudah, A. A., Al-Emran, M., & Shaalan, K. (2021). Technology Acceptance in Healthcare: A Systematic Review. Applied Sciences, 11(22), Article 22. https://doi.org/10.3390/app112210537 Go to original source...
    6. Andersson, E. K., Dallora, A. L., Marcinowicz, L., Stjernberg, L., Björling, G., Anderberg, P., & Bohman, D. (2023). Self-Reported eHealth literacy among nursing students in Sweden and Poland: The eNursEd cross-sectional multicentre study. Health Informatics Journal, 29(4), 14604582231214588. https://doi.org/10.1177/14604582231214588 Go to original source...
    7. Asua, J., Orruño, E., Reviriego, E., & Gagnon, M. P. (2012). Healthcare professional acceptance of telemonitoring for chronic care patients in primary care. BMC Medical Informatics and Decision Making, 12(1), 139. https://doi.org/10.1186/1472-6947-12-139 Go to original source...
    8. Ayalon, L., & Tesch-Römer, C. (2018). Contemporary Perspectives on Ageism. Springer Nature. https://doi.org/10.1007/978-3-319-73820-8 Go to original source...
    9. Bagot, K., Moloczij, N., Arthurson, L., Hair, C., Hancock, S., Bladin, C. F., & Cadilhac, D. A. (2020). Nurses' Role in Implementing and Sustaining Acute Telemedicine: A Mixed-Methods, Pre-Post Design Using an Extended Technology Acceptance Model. Journal of Nursing Scholarship, 52(1), 34-46. https://doi.org/10.1111/jnu.12509 Go to original source...
    10. Barcenilla, J., & Bastien, J. M. C. (2010). L'acceptabilité des nouvelles technologies: Quelles relations avec l'ergonomie, l'utilisabilité et l'expérience utilisateur ? Le travail humain, 72, 311-331. https://doi.org/10.3917/th.724.0311 Go to original source...
    11. Botin, L., Bertelsen, P., & Nøhr, C. (2017). Chapter 6 - Sustainable and Viable Introduction of Tele-Technologies in Healthcare: A Partial Two-Sided Market Approach. In V. Vimarlund (Ed.), E-Health Two-Sided Markets, (pp. 93-123). Academic Press. https://doi.org/10.1016/B978-0-12-805250-1.00008-3 Go to original source...
    12. Brewster, L., Mountain, G., Wessels, B., Kelly, C., & Hawley, M. (2014). Factors affecting front line staff acceptance of telehealth technologies: A mixed-method systematic review. Journal of Advanced Nursing, 70(1), 21-33. https://doi.org/10.1111/jan.12196 Go to original source...
    13. Burrell, A., Zrubka, Z., Champion, A., Zah, V., Vinuesa, L., Holtorf, A.-P., Di Bidino, R., Earla, J. R., Entwistle, J., Boltyenkov, A. T., Braileanu, G., Kolasa, K., Roydhouse, J., Asche, C., Redekop, K., Pfeiffer, C., Le, L., Janodia, M., Sharkawy, M., … Paul, S. (2022). How Useful Are Digital Health Terms for Outcomes Research? An ISPOR Special Interest Group Report. Value in Health, 25(9), 1469-1479. https://doi.org/10.1016/j.jval.2022.04.1730 Go to original source...
    14. Canfield, C., & Galvin, S. (2018). Bedside Nurse Acceptance of Intensive Care Unit Telemedicine Presence. Critical Care Nurse, 38(6), e1-e4. https://doi.org/10.4037/ccn2018926 Go to original source...
    15. Chen, S.-C., Jones, C., & Moyle, W. (2020). Health Professional and Workers Attitudes Towards the Use of Social Robots for Older Adults in Long-Term Care. International Journal of Social Robotics. https://doi.org/10.1007/s12369-019-00613-z Go to original source...
    16. Chow, S. K., Chin, W., Lee, H., Leung, H., & Tang, F. (2012). Nurses' perceptions and attitudes towards computerisation in a private hospital. Journal of Clinical Nursing, 21(11-12), 1685-1696. https://doi.org/10.1111/j.1365-2702.2011.03905.x Go to original source...
    17. Cimperman, M., Makovec Brenčič, M., & Trkman, P. (2016). Analyzing older users' home telehealth services acceptance behavior-Applying an Extended UTAUT model. International Journal of Medical Informatics, 90, 22-31. https://doi.org/10.1016/j.ijmedinf.2016.03.002 Go to original source...
    18. Clement David-Olawade, A., Olawade, D. B., Ojo, I. O., Famujimi, M. E., Olawumi, T. T., & Esan, D. T. (2024). Nursing in the Digital Age: Harnessing telemedicine for enhanced patient care. Informatics and Health, 1(2), 100-110. https://doi.org/10.1016/j.infoh.2024.07.003 Go to original source...
    19. Coffetti, E., Paans, W., Roodbol, P. F., & Zuidersma, J. (2023). Individual and Team Factors Influencing the Adoption of Information and Communication Technology by Nurses: A Systematic Review. CIN: Computers, Informatics, Nursing, 41(4), 205-214. https://doi.org/10.1097/CIN.0000000000000931 Go to original source...
    20. Davis, F. (1989). Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology. MIS Quarterly, 13(3), 319-340. https://doi.org/10.2307/249008 Go to original source...
    21. de Kok, L., Oosting, D., Spruit, M., & Spruit, M. (2020). The Influence of Knowledge and Attitude on Intention to Adopt Cybersecure Behaviour. Information and Security: An International Journal, 46(3), 251-266. https://doi.org/10.11610/isij.4618 Go to original source...
    22. Dillon, A., & Morris, M. G. (1996). User Acceptance of Information Technology: Theories and Models. Annual Review of Information Science and Technology, 31, 3-32.
    23. Dolničar, V., Berzelak, N., & Hvalič-Touzery, S. (2022). Factors impacting intention to use smart technology enabled care services among family carers of older people in the context of long-distance care (J5-1785) [Data set]. https://doi.org/10.23668/psycharchives.8240 Go to original source...
    24. Dolničar, V., Petrovčič, A., Škafar, M., Laznik, J., Prevodnik, K., & Hvalič-Touzery, S. (2024). Determinants of the intention to use mHealth in the future: Evidence from an intervention study of patients with chronic diseases in Slovenia. International Journal of Medical Informatics, 190, 105537. https://doi.org/10.1016/j.ijmedinf.2024.105537 Go to original source...
    25. Edison, S. W., & Geissler, G. L. (2003). Measuring attitudes towards general technology: Antecedents, hypotheses and scale development. Journal of Targeting, Measurement and Analysis for Marketing, 12(2), 137-156. https://doi.org/10.1057/palgrave.jt.5740104 Go to original source...
    26. Edo, O. C., Ang, D., Etu, E.-E., Tenebe, I., Edo, S., & Diekola, O. A. (2023). Why do healthcare workers adopt digital health technologies-A cross-sectional study integrating the TAM and UTAUT model in a developing economy. International Journal of Information Management Data Insights, 3(2), 100186. https://doi.org/10.1016/j.jjimei.2023.100186 Go to original source...
    27. European Commission. (2018). Market study on telemedicine. European Commission. https://health.ec.europa.eu/document/download/e8937f58-0bbc-4616-b515-08dacef8ae3e_en
    28. Felber, N. A., Lipworth, W., Tian, Y. J. (Angelina), Roulet Schwab, D., & Wangmo, T. (2024). Informing existing technology acceptance models: A qualitative study with older persons and caregivers. European Journal of Ageing, 21(1), 12. https://doi.org/10.1007/s10433-024-00801-5 Go to original source...
    29. Glinkowski, W., Pawłowska, K., & Kozłowska, L. (2013). Telehealth and Telenursing Perception and Knowledge Among University Students of Nursing in Poland. Telemedicine Journal and E-Health, 19(7), 523-529. https://doi.org/10.1089/tmj.2012.0217 Go to original source...
    30. Gottlob, A., Schmitt, T., Frydensberg, M. S., Rosińska, M., Leclercq, V., & Habimana, K. (2025). Telemedicine in cancer care: Lessons from COVID-19 and solutions for Europe. European Journal of Public Health, 35(1), 35-41. https://doi.org/10.1093/eurpub/ckae206 Go to original source...
    31. Guise, V., & Wiig, S. (2017). Perceptions of telecare training needs in home healthcare services: A focus group study. BMC Health Services Research, 17(1), 164. https://doi.org/10.1186/s12913-017-2098-2 Go to original source...
    32. Hänninen, R., Taipale, S., & Haapio-Kirk, L. (2025). Digital Repertoires: Embedded and everyday technologies in later life. UCL Press. https://uclpress.co.uk/book/digital-repertoires/
    33. Holden, R. J., Asan, O., Wozniak, E. M., Flynn, K. E., & Scanlon, M. C. (2016). Nurses' perceptions, acceptance, and use of a novel in-room pediatric ICU technology: Testing an expanded technology acceptance model. BMC Medical Informatics and Decision Making, 16(1), 1-10. Scopus. https://doi.org/10.1186/s12911-016-0388-y Go to original source...
    34. Hrzic, R. (2023). Digital Public Health in Slovenia. European Journal of Public Health, 33(Supplement_2), ckad160.376. https://doi.org/10.1093/eurpub/ckad160.376 Go to original source...
    35. Hvalič Touzery, S., Pesjak, K., Laznik, J., & Šetinc, M. (2025). Odnos študentov zdravstvene nege in medicinskih sester do tehnologij, ki se uporabljajo pri zdravstveni in socialni oskrbi starejših oseb ter izkušnje z njimi: Končno poročilo kvalitativne raziskave. Fakulteta za družbene vede, University of Ljubljana.
    36. Hvalič-Touzery, S., Šetinc, M., & Dolničar, V. (2024). Exploring Acceptance Factors for Welfare Technology among Nurses in Non-Clinical Care for Older Adults: A Scoping Review. Health & Social Care in the Community, 2024(1), 5595930. https://doi.org/10.1155/2024/5595930 Go to original source...
    37. Janković, M., Zilli, D., Bizjak Bajec, N., Leskovšek, J., Baje, M., & Iljaž, R. (2020). Telemedicina v referenčnih ambulantah: Pilotna študija. In T. Marčun & E. Dornik (Eds), Digitalni mostovi v zdravstvu: E-Kongres MI'2020: Zbornik prispevkov in povzetkov (pp. 1-6). SDMI.
    38. Jayousi, S., Barchielli, C., Alaimo, M., Caputo, S., Paffetti, M., Zoppi, P., & Mucchi, L. (2024). ICT in Nursing and Patient Healthcare Management: Scoping Review and Case Studies. Sensors, 24(10), 3129. https://doi.org/10.3390/s24103129 Go to original source...
    39. Jedwab, R. M., Manias, E., Hutchinson, A. M., Dobroff, N., & Redley, B. (2022). Understanding nurses' perceptions of barriers and enablers to use of a new electronic medical record system in Australia: A qualitative study. International Journal of Medical Informatics, 158, 104654. https://doi.org/10.1016/j.ijmedinf.2021.104654 Go to original source...
    40. Jortberg, B. T., Beck Dallaghan, G. L., Schatte, D., Christner, J., & Ryan, M. S. (2022). Expansion of telehealth curriculum: National survey of clinical education leaders. Journal of Telemedicine and Telecare, 28(6). https://doi.org/10.1177/1357633X211058330 Go to original source...
    41. Kalicki, A. V., Moody, K. A., Franzosa, E., Gliatto, P. M., & Ornstein, K. A. (2021). Barriers to telehealth access among homebound older adults. Journal of the American Geriatrics Society, 69(9), 2404-2411. https://doi.org/10.1111/jgs.17163 Go to original source...
    42. Kaufman, A., Rudel, D., & Rudel, I. (2020). Telemedicinsko spremljanje bolnikov s sladkorno boleznijo v diabetoloških ambulantah. In T. Marčun & E. Dornik (Eds), Digitalni mostovi v zdravstvu: E-Kongres MI'2020: Zbornik prispevkov in povzetkov, (p. 19). SDMI.
    43. Kaye, S. P. (2017). Nurses' Attitudes Toward Meaningful Use Technologies: An Integrative Review. CIN: Computers, Informatics, Nursing, 35(5), 237-247. https://doi.org/10.1097/CIN.0000000000000310 Go to original source...
    44. Khanassov, V., Ilali, M., Ruiz, A. S., Rojas-Rozo, L., & Sourial, R. (2024). Telemedicine in primary care of older adults: A qualitative study. BMC Primary Care, 25(1), Article 1. https://doi.org/10.1186/s12875-024-02518-x Go to original source...
    45. Konttila, J., Siira, H., Kyngäs, H., Lahtinen, M., Elo, S., Kääriäinen, M., Kaakinen, P., Oikarinen, A., Yamakawa, M., Fukui, S., Utsumi, M., Higami, Y., Higuchi, A., & Mikkonen, K. (2019). Healthcare professionals' competence in digitalisation: A systematic review. Journal of Clinical Nursing, 28(5-6), 745-761. https://doi.org/10.1111/jocn.14710 Go to original source...
    46. Köttl, H., Allen, L. D., Mannheim, I., & Ayalon, L. (2023). Associations Between Everyday ICT Usage and (Self-)Ageism: A Systematic Literature Review. The Gerontologist, 63(7), 1172-1187. https://doi.org/10.1093/geront/gnac075 Go to original source...
    47. Köttl, H., & Mannheim, I. (2021). Ageism & digital technology: Policy measures to address ageism as a barrier to adoption and use of digital technology. EuroAgeism. https://research.tilburguniversity.edu/en/publications/ageism-amp-digital-technology-policy-measures-to-address-ageism-a/
    48. Kovač, D., Juharn, S., Maček, T., Klevže, M., & Saje Wang, S. (2022). Arhitekturni izzivi razvoja rešitve Connected mHealth. In M. Heričko & T. Beranič (Eds), OTS 2022 Sodobne informacijske tehnologije in storitve: Zbornik petindvajsete konference, (pp. 218-223). Univerza v Mariboru, Univerzitetna založba. https://doi.org/10.18690/um.feri.10.2022 Go to original source...
    49. Kydd, A., Fleming, A., Paoletti, I., & Hvalič Touzery, S. (2020). Exploring Terms Used for the Oldest Old in the Gerontological Literature. The Journal of Aging and Social Change, 10(2), 53-73. https://doi.org/10.18848/2576-5310/CGP/v10i02/53-73 Go to original source...
    50. Li, L., & Cotton, A. (2019). A Systematic Review of Nurses' Perspectives Toward the Telemedicine Intensive Care Unit: A Basis for Supporting Its Future Implementation in China? Telemedicine and E-Health, 25(5), 343-350. https://doi.org/10.1089/tmj.2018.0006 Go to original source...
    51. Luca, M. M., Mustea, L., Taran, A., Stefea, P., & Vatavu, S. (2021). Challenges on Radical Health Redesign to Reconfigure the Level of e-Health Adoption in EU Countries. Frontiers in Public Health, 9, 728287. https://doi.org/10.3389/fpubh.2021.728287 Go to original source...
    52. Lucas, J., & Wang, X. (2024). Declines in Telemedicine Use Among Adults: United States, 2021 and 2022. National Health Statistics Reports, (205), 1-11. https://www.cdc.gov/nchs/data/nhsr/nhsr205.pdf Go to original source...
    53. Mandal, S., Wiesenfeld, B. M., Mann, D., Lawrence, K., Chunara, R., Testa, P., & Nov, O. (2022). Evidence for Telemedicine's Ongoing Transformation of Health Care Delivery Since the Onset of COVID-19: Retrospective Observational Study. JMIR Formative Research, 6(10), e38661. https://doi.org/10.2196/38661 Go to original source...
    54. Mandal, S., Wiesenfeld, B., Mann, D., & Nov, O. (2025). The "New" New Normal: Changes in Telemedicine Utilization Since COVID-19. The American Journal of Managed Care, 31, e74-e78. https://doi.org/10.37765/ajmc.2025.89700 Go to original source...
    55. Mannheim, I., Varlamova, M., van Zaalen, Y., & Wouters, E. J. M. (2023). The Role of Ageism in the Acceptance and Use of Digital Technology. Journal of Applied Gerontology: The Official Journal of the Southern Gerontological Society, 42(6), 1283-1294. https://doi.org/10.1177/07334648231163426 Go to original source...
    56. Mannheim, I., Wouters, E. J. M., Boekel, L. C. van, & Zaalen, Y. van. (2021). Attitudes of Health Care Professionals Toward Older Adults' Abilities to Use Digital Technology: Questionnaire Study. Journal of Medical Internet Research, 23(4), e26232. https://doi.org/10.2196/26232 Go to original source...
    57. McDonough, C. C. (2016). The Effect of Ageism on the Digital Divide Among Older Adults. Gerontology & Geriatric Medicine, 2(1), 1-7. https://doi.org/10.24966/GGM-8662/100008 Go to original source...
    58. McVey, C. (2023). Telenursing: A Concept Analysis. CIN: Computers, Informatics, Nursing, 41(5), 275-280. https://doi.org/10.1097/CIN.0000000000000973 Go to original source...
    59. Mihevc, M., Puntar, Š., & Petek Šter, M. (2023). Telemonitoring bolnikov z arterijsko hipertenzijo in/ali sladkorno boleznijo tipa 2 v ambulanti družinske medicine: Rezultati pilotnega projekta mešane zasnove. Medicinski Razgledi, 62(1), 3-16.
    60. Ministry of Health of Slovenia. (2023). Developing eHealth for a healthier society in Slovenia. https://reform-support.ec.europa.eu/what-we-do/health-and-long-term-care/developing-ehealth-healthier-society-slovenia_en
    61. Ministry of Health of Slovenia, & National Institute of Public Health. (2025). National Health Literacy Strategy 2025-2035. Ministry of Health of the Republic of Slovenia. https://www.gov.si/assets/ministrstva/MZ/DOKUMENTI/DJZ-Preventiva-in-skrb-za-zdravje/zdravstvena-pismenost/National-Health-Literacy-Strategy-2025-2035.pdf
    62. Mun, M., Choi, S., & Woo, K. (2024). Investigating perceptions and attitude toward telenursing among undergraduate nursing students for the future of nursing education: A cross-sectional study. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-024-01903-2 Go to original source...
    63. Nadal, C., Sas, C., & Doherty, G. (2020). Technology Acceptance in Mobile Health: Scoping Review of Definitions, Models, and Measurement. Journal of Medical Internet Research, 22(7), e17256. https://doi.org/10.2196/17256 Go to original source...
    64. Neiertz, C., Wouters, E. J. M., & Mannheim, I. (2023). The Association of Technology-Based Ageism with Using Digital Technology in Physical Therapy for Older Persons. Healthcare, 11(19), 2672. https://doi.org/10.3390/healthcare11192672 Go to original source...
    65. Ngusie, H. S., Kassie, S. Y., Zemariam, A. B., Walle, A. D., Enyew, E. B., Kasaye, M. D., Seboka, B. T., & Mengiste, S. A. (2024). Understanding the predictors of health professionals' intention to use electronic health record system: Extend and apply UTAUT3 model. BMC Health Services Research, 24(1), 1-16. https://doi.org/10.1186/s12913-024-11378-1 Go to original source...
    66. OECD. (2023a). Health at a glance 2023: OECD Indicators. OECD Publishing. https://doi.org/10.1787/7a7afb35-en Go to original source...
    67. OECD. (2023b). The COVID-19 Pandemic and the Future of Telemedicine (OECD Health Policy Studies). OECD Publishing. https://doi.org/10.1787/ac8b0a27-en Go to original source...
    68. Oliveira Hashiguchi, T. (2020). Bringing health care to the patient: An overview of the use of telemedicine in OECD countries (No. 116). OECD Health Working Papers. https://www.oecd.org/en/publications/bringing-health-care-to-the-patient_8e56ede7-en.html
    69. Omboni, S., Padwal, R. S., Alessa, T., Benczúr, B., Green, B. B., Hubbard, I., Kario, K., Khan, N. A., Konradi, A., Logan, A. G., Lu, Y., Mars, M., McManus, R. J., Melville, S., Neumann, C. L., Parati, G., Renna, N. F., Ryvlin, P., Saner, H., … Wang, J. (2022). The worldwide impact of telemedicine during COVID-19: Current evidence and recommendations for the future. Connected Health and Telemedicine, 1, 7-35. https://doi.org/10.20517/ch.2021.03 Go to original source...
    70. Parker, D., Dunning, T., Goddard-Jones, M., & Mather, C. (2020). The role of nurses in supporting older people to access quality, safe aged care [Position statement]. Australian College of Nursing. https://www.acn.edu.au/wp-content/uploads/position-statement-role-of-nurses-in-supporting-older-people.pdf
    71. Perlusz, S. (2004). Emotions and technology acceptance: Development and validation of a technology affect scale. In 2004 IEEE International Engineering Management Conference, (pp. 845-847). IEEE. https://doi.org/10.1109/IEMC.2004.1407500 Go to original source...
    72. Prevodnik, K., Hvalič-Touzery, S., Dolničar, V., Zaletel, J., Laznik, J., & Petrovčič, A. (2022). Izkušnje kronično obolelih pacientov s telemedicinsko obravnavo v ambulantah družinske medicine: Analiza fokusnih skupin. Obzornik zdravstvene nege, 56(4), Article 4. https://doi.org/10.14528/snr.2022.56.4.3150 Go to original source...
    73. Raja, M., Bjerkan, J., Kymre, I. G., Galvin, K. T., & Uhrenfeldt, L. (2021). Telehealth and digital developments in society that persons 75 years and older in European countries have been part of: A scoping review. BMC Health Services Research, 21(1), 1157. https://doi.org/10.1186/s12913-021-07154-0 Go to original source...
    74. Rant, Ž. (2021). Telemedicine in Slovenia. In BLED 2021 Proceedings. AIS. https://aisel.aisnet.org/bled2021/12 Go to original source...
    75. Rant, Ž., & Rudel, D. (2021). Telemedicine services in Slovenia. In P. Šprajc, A. Žnidaršič, D. Maletič, D. Tomić, N. Petrović, O. Arsenijević, V. Uli, & Y. Ziegler (Eds), 40th International Conference on Organizational Science Development: Values, Competencies and Changes in Organizations: Conference Proceedings (pp. 850-863). Univerza v Mariboru. https://doi.org/10.18690/978-961-286-442-2 Go to original source...
    76. Roberts, E. T., & Mehrotra, A. (2020). Assessment of Disparities in Digital Access Among Medicare Beneficiaries and Implications for Telemedicine. JAMA Internal Medicine, 180(10), 1386-1389. https://doi.org/10.1001/jamainternmed.2020.2666 Go to original source...
    77. Rouidi, M., Elouadi, A., & Hamdoune, A. (2022). Acceptance and use of telemedicine technology by health professionals: Development of a conceptual model. Digital Health, 8, 205520762210816. https://doi.org/10.1177/20552076221081693 Go to original source...
    78. Rudel, D., Balorda, Z., Slemenik-Pušnik, C., Epšek-Lenart, M., Lavre, J., & Pušnik, S. (2016). Telemedicine support to patients with chronic diseases for better long-term control at home. Zdravniski Vestnik, 85(11-12), 676-685. Go to original source...
    79. Saadé, R. G., & Kira, D. (2009). Computer Anxiety in E-Learning: The Effect of Computer Self-Efficacy. Journal of Information Technology Education: Research, 8, 177-191. https://doi.org/10.28945/166 Go to original source...
    80. Saigí-Rubió, F., Nascimento, I. J. B. do, Robles, N., Ivanovska, K., Katz, C., Azzopardi-Muscat, N., & Ortiz, D. N. (2022). The Current Status of Telemedicine Technology Use Across the World Health Organization European Region: An Overview of Systematic Reviews. Journal of Medical Internet Research, 24(10), e40877. https://doi.org/10.2196/40877 Go to original source...
    81. Sedlan König, L. (2024). Words matter: Breaking down terminology for older generations. In Economics and business of aging, (pp. 15-27). Faculty of Economics and Business in Osijek.
    82. Senthilrajah, T., & Ahangama, S. (2025). The Sri Lankan enigma: Demystifying public healthcare information systems acceptance. BMC Health Services Research, 25(1), Article 24. https://doi.org/10.1186/s12913-024-12173-8 Go to original source...
    83. Shaver, J. (2022). The State of Telehealth Before and After the COVID-19 Pandemic. Primary Care, 49(4), 517-530. https://doi.org/10.1016/j.pop.2022.04.002 Go to original source...
    84. Sheeliya White, N., Franklin, S. S., N., J., Amalanathan, S. A. M., Kanagaraj, P., & Babu, A. S. (2024). Telemedicine and information technology in health care management: Perspectives and barriers among the nursing students. Journal of Education & Health Promotion, 13, 1-8. https://doi.org/10.4103/jehp.jehp_290_24 Go to original source...
    85. Shen, H., Chen, C., Yan, S., Hallensleben, C., van der Kleij, R., Li, M., Dai, H., Chavannes, N., & Zhou, Y. (2024). Online digital health and informatics education for undergraduate nursing students in China: Impacts and recommendations. BMC Medical Education, 24(1), Article 803. https://doi.org/10.1186/s12909-024-05785-5 Go to original source...
    86. Stanimirović, D. (2024). Utilizing digital solutions for advancing public health before, during, and after the Covid-19 pandemic: The case of Slovenia. Bahrain Medical Bulletin, 46(3), 2178-2183.
    87. Statistical Office of Republic of Slovenia. (2025). International day of older persons. SiStat. https://www.stat.si/statweb/en/News/Index/13859
    88. Survey Research Center. (2016). Guidelines for Best Practice in Cross-Cultural Surveys. Survey Research Center, Institute for Social Research. http://ccsg.isr.umich.edu/images/PDFs/CCSG_Full_Guidelines_2016_Version.pdf
    89. Taylor, J., Coates, E., Brewster, L., Mountain, G., Wessels, B., & Hawley, M. S. (2015). Examining the use of telehealth in community nursing: Identifying the factors affecting frontline staff acceptance and telehealth adoption. Journal of Advanced Nursing, 71(2), 326-337. https://doi.org/10.1111/jan.12480 Go to original source...
    90. The American Telemedicine Association. (2020). Telehealth: Defining 21st Century Care [Online post]. ATA. https://marketing.americantelemed.org/hubfs/Files/Resources/ATA_Telehealth_Taxonomy_9-11-20.pdf
    91. Van Eijk, J., Trappenburg, J., Asselbergs, F. W., & Jaarsma, T. (2024). Integrating telemedicine in routine heart failure management: Experiences of healthcare professionals - A qualitative study. Digital Health, 10, 20552076241272570. https://doi.org/10.1177/20552076241272570 Go to original source...
    92. van Houwelingen, C. T. M., Barakat, A., Best, R., Boot, W. R., Charness, N., & Kort, H. S. M. (2015). Dutch Nurses' Willingness to Use Home Telehealth: Implications for Practice and Education. Journal of Gerontological Nursing, 41(4), 47-56. https://doi.org/10.3928/00989134-20141203-01 Go to original source...
    93. van Houwelingen, C. T. M., Ettema, R. G. A., Kort, H. S. M., & ten Cate, O. (2017). Internet-Generation Nursing Students' View of Technology-Based Health Care. Journal of Nursing Education, 56(12), 717-724. https://doi.org/10.3928/01484834-20171120-03 Go to original source...
    94. Vänni, K. J., & Salin, S. E. (2019). Attitudes of Professionals Toward the Need for Assistive and Social Robots in the Healthcare Sector. In Social Robots: Technological, Societal and Ethical Aspects of Human-Robot Interaction, (pp. 205-236). Springer. https://doi.org/10.1007/978-3-030-17107-0_11 Go to original source...
    95. Venkatesh, V. (2000). Determinants of Perceived Ease of Use: Integrating Control, Intrinsic Motivation, and Emotion into the Technology Acceptance Model. Information Systems Research, 11(4), 342-365. https://doi.org/10.1287/isre.11.4.342.11872 Go to original source...
    96. Venkatesh, V., Morris, M. G., Davis, G. B., & Davis, F. D. (2003). User Acceptance of Information Technology: Toward a Unified View. MIS Quarterly, 27(3), 425-478. https://doi.org/10.2307/30036540 Go to original source...
    97. Walle, A. D., Demsash, A. W., Adem, J. B., Wubante, S. M., Shibabaw, A. A., Mamo, D. N., Kebede, S. D., Muluneh, A. A., Mengiste, M. B., Gebeyew, A. S., Butta, F. W., Chereka, A. A., Dubale, A. T., Kassie, S. Y., & Ferede, T. A. (2023). Exploring facilitators and barriers of the sustainable acceptance of e-health system solutions in Ethiopia: A systematic review. PLoS ONE, 18(9), e0287991. https://doi.org/10.1371/journal.pone.0287991 Go to original source...
    98. Zailani, S., Gilani, M. S., Nikbin, D., & Iranmanesh, M. (2014). Determinants of Telemedicine Acceptance in Selected Public Hospitals in Malaysia: Clinical Perspective. Journal of Medical Systems, 38(9), Article 111. https://doi.org/10.1007/s10916-014-0111-4 Go to original source...

    This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return