1. Legal concerns
There could be significant conflict between the standard in the patient's jurisdiction and the jurisdiction of the licensed health care worker.
The elderly who are restricted to bed due to various health issues and therefore cannot travel may not get the consultation from the doctor in a different State. Unless the doctor is licensed in both the home state of the patient as well as the state in which they practice to resolve the issue of cross-border licensing.
2. Ethical concerns
Privacy and security are central personal fears for older adults. As with any other type of data transmission, there are risks involved in telemedicine-based care. Leaking of sensitive information, such as health or test results, …show more content…
may have a negative and far-reaching impact on the personal and professional life of the elderly.
Effective remote health care consultations may be avoided because older patients have concerns about the confidentiality of their personal information in the consultation through telehealth.
3. Acceptance
The elderly are often resistant to use of new technology such as telehealth, in particular acquiring the knowledge and skills necessary for use of electronic devices and computer systems.
They are slow to adopt new technologies which means they may find it hard to use in the first place. They also show more difficulty in using them than younger people. Therefore, the elderly may have a lower rate of acceptance of broadband-enabled telecare applications.
4. Feasibility
For those elderly who suffered from severe mental or physical disability, such as Alzheimer's disease, they may not be able to get the information or communicate with the doctor through telehealth.
It entirely deprives seniors of the opportunity to become active participants in the telecare system.
5. Social
Telehealth may change the patient-physician relationship and have a negative impact on the elderly’s social and personal contact.
The relationships between patients and healthcare providers or caregiver can be affected by telehealth. Having a regular doctor with whom you have a trusting relationship is especially valuable to the older adult population. The elderly generally prefer personal contact with the doctor to establish and maintain a direct face-to-face relationship.
Besides, linking with the outside world is highly valued by the elderly, and replacing it with an electronic device is not considered a welcome trade-off.
6. Finances
The elderly may rarely make health care purchases because of fear the high costs of purchasing computer equipment or other electronic devices. The elderly are often unwilling to invest in home health care monitoring systems. Most of them rely on a third party, usually government or employer health insurance, to pay for their health care and rarely make out-of-pocket health
purchases.