Exploring the Meaning of AI-Based Telemedicine Use Among Elderly Users in Rural Indonesia
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Abstract
Digital health systems have increasingly transformed healthcare delivery, particularly through AI-based telemedicine platforms that offer remote access and automated health monitoring. However, little is known about how elderly individuals in rural areas subjectively experience and interpret their engagement with such technologies. Existing research often overlooks emotional and relational dimensions, prompting the central question: what does it mean for elderly users to interact with AI-driven telemedicine in their everyday lives?
Here, we apply a descriptive phenomenological approach to explore the lived experiences of elderly individuals using AI-powered telemedicine systems in rural Indonesia. Data were collected through in-depth, semi-structured interviews with ten participants aged 60 and above and analyzed using Colaizzi’s method. The findings revealed five key themes: uncertainty and curiosity, emotional security, cognitive adaptation, trust dynamics, and the role of family mediation. These themes illustrate how digital health adoption among the elderly is shaped not just by functionality, but by evolving relationships, emotional reassurance, and social support.
This study contributes to a deeper understanding of aging, technology, and digital health by highlighting the essential meanings behind user engagement. The insights gained offer guidance for developing more empathetic and inclusive telemedicine systems for vulnerable populations. In practical terms, the study suggests that telemedicine platforms should incorporate user-friendly interfaces, emotional support features, and culturally attuned caregiver involvement to enhance elderly user engagement. From a policy perspective, the findings support the integration of AI-based telemedicine into national rural health strategies, emphasizing accessibility, digital literacy programs, and family-based support systems to ensure equitable healthcare for aging populations.
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