Evaluation of Barriers to Disabled Elderly's Access to eHealth in China Using Grey Relational Analysis.

This study aimed to identify and rank the barriers faced by disabled elderly in China while accessing eHealth primary care services. Primary data were collected from the disabled elderly based on technological, individual, relational, environmental, and organizational constructs. The Dynamic Grey Relational Analysis (DGRA) and Multiple-criteria Decision-making (MCDM) based TOPSIS techniques were used to identify and rank the barriers. We found that the most significant barrier was "aging limitation (reduction in hearing, sight, memory, and fine motor control)" in both (DGRA and MCDM) cases. The Kruskal-Wallis test was used to investigate the significance of this barrier in different age groups of disabled elderly. We found no significant differences among the three age groups of disabled elderly, which shows that the barrier "aging limitation (reduction in hearing. sight, memory, and fine motor control) " is the most significant barrier at each age group (when age ≥ 60) of disabled elderly. The average value of Grey Relational Grades (GRGaverage) and the sorting outcomes of the MCDM of the construct individual were higher than those of all other constructs. This study is the first of its kind to apply the DGRA. MCDM and KWT to expose the barriers while accessing eHealth services for the disabled elderly in China. [ABSTRACT FROM AUTHOR]