Background: The rapid expansion of digital health services (DHS) highlights the need to assess their accessibility and effectiveness, particularly among older adults. Despite increasing digitalization, many older individuals still face barriers, including limitations in digital competence and access. Objective: This study examines the use, barriers, and perceived benefits of DHS among individuals aged 75 and older in Finland. Methods: A nationwide survey was conducted in March 2023 using both electronic and paper questionnaires. In addition to descriptive analysis, regression analysis was performed to identify variables associated with perceived benefits of digital health services. Results: Of the 1124 responses (1011 electronic, 113 paper), 1100 were fully completed. Overall, 84% of respondents had used DHS, with usage being higher among those under 85 years (87%) than those over 85 (57%). The majority of respondents (82%) reported using the national Omakanta service, which grants access to personal health information. Digital competence and the number of services used were the strongest predictors of perceived benefits, alongside higher satisfaction, service frequency, and female gender. Conclusions: DHS adoption among older adults, especially in Finland, may be higher than previously reported. However, digital social services remain underdeveloped. Addressing the digital divide is essential to ensuring equitable access.
Keywords: delivery of healthcare; digital technology; elderly; social welfare; telemedicine.