Authors
Zhang Zhang, Thomas Km Cudjoe, Sato Ashida, Jacqueline Massare, Kacey Chae, Phillip Phan, Peter Abadir, Alicia I Arbaje, Mathias Unberath, Nancy L Schoenborn
Published in
JMIR aging. Volume 9. Pages e86148. Jul 29, 2026. Epub Jul 29, 2026.
Abstract
Artificial intelligence (AI) has the potential to improve health among older adults, yet how different stakeholders decide to develop, finance, and adopt AI innovations is not well understood.
This study aimed to understand the decision-making of different stakeholders regarding AI and technologies for the health care of older adults.
We conducted semistructured interviews with 15 older adults and care partners, 15 clinicians, 8 health system or insurance leaders, 5 investors, and 6 technology developers. Data were analyzed using thematic content analysis.
All stakeholders considered cost, value, and usability important in adopting AI health technologies but emphasized different aspects of each concept. Older adults and care partners prioritized out-of-pocket costs and ease of use, whereas payers emphasized disease prevalence and implementation feasibility. Developers and investors focused on profitability and scalability, resulting in tension with end users' priorities. Participant suggestions included problem-driven design, greater stakeholder engagement, public-private partnerships, and educating older adults about AI.
As with prior health-related technology innovations, aligning decisional priorities across stakeholders is critical to motivate impactful AI health technologies for older adults.
PMID:
42525445
Bibliographic data and abstract were imported from PubMed on 29 Jul 2026.
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