Digital integration of older adults in Europe: Linking skills, ehealth use and growth patterns

Kovács Erika (2026) Digital integration of older adults in Europe: Linking skills, ehealth use and growth patterns. Prosperitas, early access online. p. 15. ISSN 2786-4359 (Online) (In Press)

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Abstract

This study examines digital health participation among adults aged 65–74 across European Union member states, focusing on the relationship between digital skills and multidimensional e-health use. The research addresses a key gap in the literature, as previous studies have typically analysed single dimensions of e-health use or treated older adults as a homogeneous group. Conceptually, the study builds on competence-based and digital divide frameworks, interpreting digital health use as the outcome of interactions between individual capabilities and structural conditions. Using harmonised Eurostat data, the analysis combines longitudinal trend analysis (2015–2024), a composite e-health indicator, correlation analysis, and cluster analysis. The results show a substantial increase in digital health use among older adults across the EU, particularly after 2019. A strong positive association is observed between digital skills and e-health use, especially for more advanced activities. Cluster analysis reveals persistent cross-national differences, indicating that similar skill levels may lead to different levels of e-health uptake. The findings highlight the need for combined policy approaches targeting both digital skills development and user-centred digital health services.