Turner Anne M, Osterhage Katie, Hartzler Andrea, Joe Jonathan, Lin Lorelei, Kanagat Natasha, Demiris George
University of Washington, Seattle, WA.
Group Health Research Institute, Seattle, WA.
AMIA Annu Symp Proc. 2015 Nov 5;2015:1234-41. eCollection 2015.
The personal health information management (PHIM) practices and needs of older adults are poorly understood. We describe initial results from the UW SOARING project (Studying Older Adults & Researching Information Needs and Goals), a participatory design investigation of PHIM in older adults (60 years and older). We conducted in-depth interviews with older adults (n=74) living in a variety of residential settings about their management of personal health information. A surprising 20% of participants report using patient portals and another 16% reported prior use or anticipated use of portals in the future. Participants cite ease of access to health information and direct communication with providers as valuable portal features. Barriers to the use of patient portals include a general lack of computer proficiency, high internet costs and security concerns. Design features based on consideration of needs and practices of older adults will facilitate appeal and maximize usability; both are elements critical to adoption of tools such as patient portals that can support older adults and PHIM.
人们对老年人的个人健康信息管理（PHIM）实践和需求了解甚少。我们描述了华盛顿大学SOARING项目（研究老年人及信息需求与目标）的初步结果，这是一项针对老年人（60岁及以上）个人健康信息管理的参与式设计调查。我们对居住在各种居住环境中的老年人（n = 74）进行了深入访谈，了解他们对个人健康信息的管理情况。令人惊讶的是，20%的参与者报告使用患者门户网站，另有16%的参与者报告曾使用过或预计未来会使用门户网站。参与者认为易于获取健康信息以及与医疗服务提供者直接沟通是门户网站的重要功能。使用患者门户网站的障碍包括普遍缺乏计算机操作能力、网络成本高以及安全担忧。基于对老年人需求和实践的考虑而设计的功能将提高吸引力并最大限度地提高可用性；这两者都是采用诸如患者门户网站等能够支持老年人和个人健康信息管理的工具的关键要素。
