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Appl Clin Inform 2022; 13(01): 270-286
DOI: 10.1055/s-0042-1743238
Review Article

Barriers and Benefits of Information Communication Technologies Used by Health Care Aides

Hector Perez 
1   School of Publich Health Sciences, Faculty of Health, University of Waterloo, Waterloo (ON), Canada
,
Noelannah Neubauer 
1   School of Publich Health Sciences, Faculty of Health, University of Waterloo, Waterloo (ON), Canada
,
Samantha Marshall 
1   School of Publich Health Sciences, Faculty of Health, University of Waterloo, Waterloo (ON), Canada
,
Serrina Philip 
1   School of Publich Health Sciences, Faculty of Health, University of Waterloo, Waterloo (ON), Canada
,
Antonio Miguel-Cruz 
1   School of Publich Health Sciences, Faculty of Health, University of Waterloo, Waterloo (ON), Canada
2   Glenrose Rehabilitation Hospital, Edmonton (AB), Canada
3   Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton (AB), Canada
,
Lili Liu 
1   School of Publich Health Sciences, Faculty of Health, University of Waterloo, Waterloo (ON), Canada
› Author Affiliations Funding This project is supported by the Centre for Aging and Brain Health Innovation (CABHI) and Alberta Innovates grant number G2019000525 AICE-ABH, received by L.L. as principal investigator.
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Abstract

Background Although information and communication technologies (ICT) are becoming more common among health care providers, there is little evidence on how ICT can support health care aides. Health care aides, also known as personal care workers, are unlicensed service providers who encompass the second largest workforce, next to nurses, that provide care to older adults in Canada.

Objective The purpose of this literature review is to examine the range and extent of barriers and benefits of ICT used by health care workers to manage and coordinate the care-delivery workflow for their clients.

Methods We conducted a literature review to examine the range and extent of ICT used by health care aides to manage and coordinate their care delivery, workflow, and activities. We identified 8,958 studies of which 40 were included for descriptive analyses.

Results We distinguished the following five different purposes for the use and implementation of ICT by health care aides: (1) improve everyday work, (2) access electronic health records for home care, (3) facilitate client assessment and care planning, (4) enhance communication, and (5) provide care remotely. We identified 128 barriers and 130 benefits related to adopting ICT. Most of the barriers referred to incomplete hardware and software features, time-consuming ICT adoption, heavy or increased workloads, perceived lack of usefulness of ICT, cost or budget restrictions, security and privacy concerns, and lack of integration with technologies. The benefits for health care aides' adoption of ICT were improvements in communication, support to workflows and processes, improvements in resource planning and health care aides' services, and improvements in access to information and documentation.

Conclusion Health care aides are an essential part of the health care system. They provide one-on-one care to their clients in everyday tasks. Despite the scarce information related to health care aides, we identified many benefits of ICT adoption.

Keywords

information technology - delivery of health care - health personnel - workflow - aged

Author Contributions

All authors contributed to the study's conception and design. Data extraction, analysis, and synthesis were performed by H.P., N.N., and S.M. The first draft of the manuscript was written by H.P., N.N., S.M., and S.P., and all authors commented on previous versions of the manuscript. L.L., A.M.C., and N.N. read and approved the final manuscript.


Supplementary Material



Publication History

Received: 07 September 2021

Accepted: 03 January 2022

Article published online:
09 March 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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