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社区居住老年人对健康信息技术的接受与使用

Acceptance and use of health information technology by community-dwelling elders.

作者信息

Fischer Shira H, David Daniel, Crotty Bradley H, Dierks Meghan, Safran Charles

机构信息

Division of Clinical Informatics, Beth Israel Deaconess Medical Center, 1330 Beacon St., Suite 400, Brookline, MA 02446, United States; RAND Corporation, 20 Park Plaza, Suite 920, Boston, MA 02116, United States.

Division of Clinical Informatics, Beth Israel Deaconess Medical Center, 1330 Beacon St., Suite 400, Brookline, MA 02446, United States; Jonas Foundation Scholar, School of Nursing, Bouvé College of Health Sciences, Northeastern University, 360 Huntington Ave., Boston, MA 02115, United States.

出版信息

Int J Med Inform. 2014 Sep;83(9):624-35. doi: 10.1016/j.ijmedinf.2014.06.005. Epub 2014 Jun 16.

Abstract

OBJECTIVES

With the worldwide population growing in age, information technology may help meet important needs to prepare and support patients and families for aging. We sought to explore the use and acceptance of information technology for health among the elderly by reviewing the existing literature.

METHODS

Review of literature using PubMed and Google Scholar, references from relevant papers, and consultation with experts.

RESULTS

Elderly people approach the Internet and health information technology differently than younger people, but have growing rates of adoption. Assistive technology, such as sensors or home monitors, may help 'aging in place', but these have not been thoroughly evaluated. Elders face many barriers in using technology for healthcare decision-making, including issues with familiarity, willingness to ask for help, trust of the technology, privacy, and design challenges.

CONCLUSIONS

Barriers must be addressed for these tools to be available to this growing population. Design, education, research, and policy all play roles in addressing these barriers to acceptance and use.

摘要

目的

随着全球人口老龄化,信息技术可能有助于满足为患者及其家庭应对老龄化做准备和提供支持的重要需求。我们试图通过回顾现有文献来探究老年人对健康信息技术的使用和接受情况。

方法

使用PubMed和谷歌学术进行文献回顾、参考相关论文的参考文献并咨询专家。

结果

老年人使用互联网和健康信息技术的方式与年轻人不同,但采用率在不断提高。辅助技术,如传感器或家庭监测设备,可能有助于“居家养老”,但这些技术尚未得到充分评估。老年人在使用技术进行医疗决策时面临许多障碍,包括熟悉程度、寻求帮助的意愿、对技术的信任、隐私以及设计方面的问题。

结论

必须消除这些障碍,以便让这一不断增长的人群能够使用这些工具。设计、教育、研究和政策在消除这些接受和使用障碍方面都发挥着作用。

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