Introduction:
There is a growing use of in primary and secondary care facilities of digital health in terms of receiving exam results, repeating prescriptions, health promotion, and disease prevention. There is a general agreement in the literature that this approach is cost-efficient and time efficient for National Health Systems, specific health facilities, and, more generally, for individuals’ health. Due to the demographic change in Europe, there is a high number of older people.. The introduction of technology to improve health promotion and health care provided to citizens must be balanced by a sufficient level of participation and use of the technology itself by all citizens, especially by those who potentially have the most need (older adults).

Methods:
This integrative review aims to identify the state of the arts across Europe regarding access, use, and confidence in using digital health technology by older people (65+). Three central databases have been interrogated: Pubmed, Cinhal, and EMBASE in the last 5 years. Inclusion criteria were research carried out in English, focused on older people above the age of 65.

Results:
The results displayed a frustration perceived by older people in using these tools of which they recognize the usefulness but at the same time need to have perfect mastery. Results show a general difficulty for older people to access hospital portals, due to a need for digital and health literacy and a general lack of confidence about privacy and security in disclosing their data on the internet.

Conclusion:
If, on the one hand, these technologies have demonstrated value in the management of some illnesses and in facilitating the patient-health system relationship, these mustnt become a barrier to adequate access to care which is a social determinant of health. A process of education and support for older people should be implemented.