A reality check on virtual communications in aged care: Pragmatics or power?

This paper reports research on the use of videoconferencing technologies to deliver specialist pain management services to frail older nursing home residents. Observational and client satisfaction data indicated that participants readily adapted to using the technology, and expressed preference for virtual consultations over face-to-face consultations. These data suggest the need to revisit a number of assumptions about the use of technologies in aged care; how the technologies should be used, and who should be making these decisions, the belief that technology cannot and should not replace face-to-face health consultations, and the role of technology in doctor-patient interactions. The theoretical and practical implications for aged care are explored, including the design of IT systems for aged care and policy principles that encourage the view of older people as passive recipients of health services.