Decision makers’ perceptions on implementing welfare technology in Swedish municipal elder care: a qualitative study

Abstract

Background: Welfare technology is often depicted as a potential solution for managing the increasing challenges on elder care services, which is expected to rise due to demographic changes. In this study, we explore local decision-makers’ perceptions on implementing welfare technologies in Swedish municipal elder care. Methods: Four politicians and twelve local government officials were interviewed, and reflexive thematic analysis was utilized. Results: Our findings suggest that welfare technology is portrayed as a sustainable long-term solution, governed by bureaucratic structures. Successful implementation requires shared responsibility among various stakeholders but also moving in-between resistance and acceptance among staff and older people. Furthermore, welfare technology was viewed to reduce staff burdens and increase independence and participation for older people. Conclusions: Welfare technology is viewed positively by local decision-makers as a long-term solution to challenges associated with funding and staff shortages in elder care. It is expected to reduce the burden on staff and increase independence and participation for older people. However, bureaucratic challenges must be addressed to enhance the quality of elder care.