老年人个人健康信息管理：范围综述。

Personal Health Information Management Among Older Adults: Scoping Review.

机构信息

Department of Information Management & Business Analytics, College of Business & Public Administration, Drake University, Des Moines, IA, United States.

Department of Public Health, College of Health Sciences, Des Moines University, Des Moines, IA, United States.

出版信息

J Med Internet Res. 2021 Jun 7;23(6):e25236. doi: 10.2196/25236.

DOI:10.2196/25236

PMID:34096872

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8218209/

Abstract

BACKGROUND

Older adults face growing health care needs and could potentially benefit from personal health information management (PHIM) and PHIM technology. To ensure effective PHIM and to provide supportive tools, it is crucial to investigate the needs, challenges, processes, and tools used by this subpopulation. The literature on PHIM by older adults, however, remains scattered and has not provided a clear picture of what we know about the elements that play a role in older adults' PHIM.

OBJECTIVE

The goal of our review was to provide a comprehensive overview of extant knowledge on PHIM by older adults, establish the status quo of research on this topic, and identify research gaps.

METHODS

We carried out a scoping review of the literature from 1998 to 2020, which followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) framework. First, we executed a broad and structured search. We then carried out a qualitative analysis of papers pertinent to the topic taking into consideration the five elements of the patient work system as follows: (1) personal-level factors, (2) PHIM tasks, (3) tools used, (4) physical settings of PHIM activities, and (5) socio-organizational aspects.

RESULTS

The review included 22 studies. Consolidated empirical evidence was related to all elements of the patient work system. Multiple personal factors affected PHIM. Various types of personal health information were managed (clinical, patient-generated, and general) and tools were used (electronic, paper-based, and others). Older adults' PHIM was intertwined with their surroundings, and various individuals participated. The largest body of evidence concerned personal factors, while findings regarding the physical environment of PHIM were scarce. Most research has thus far examined older adults as a single group, and scant attention has been paid to age subgroups.

CONCLUSIONS

Opportunities for further PHIM studies remain across all elements of the patient work system in terms of empirical, design science, or review work.

摘要

背景

老年人面临着日益增长的医疗保健需求，他们可能会从个人健康信息管理（PHIM）和 PHIM 技术中受益。为了确保有效的 PHIM 并提供支持性工具，了解这一人群的需求、挑战、流程和使用的工具至关重要。然而，关于老年人 PHIM 的文献仍然分散，并没有清楚地描述我们对老年人 PHIM 中起作用的元素的了解。

目的

本综述的目的是全面概述老年人 PHIM 的现有知识，确定该主题研究的现状，并确定研究空白。

方法

我们对 1998 年至 2020 年的文献进行了范围综述，该综述遵循了系统评价和荟萃分析扩展的首选报告项目（PRISMA-ScR）框架。首先，我们进行了广泛而结构化的搜索。然后，我们对与主题相关的论文进行了定性分析，同时考虑了患者工作系统的五个要素，包括：（1）个人层面的因素，（2）PHIM 任务，（3）使用的工具，（4）PHIM 活动的物理环境，以及（5）社会组织方面。

结果

该综述包括 22 项研究。综合经验证据与患者工作系统的所有要素都有关。多个个人因素影响 PHIM。各种类型的个人健康信息得到管理（临床、患者生成和一般），并使用各种工具（电子、纸质和其他）。老年人的 PHIM 与其周围环境交织在一起，各种人员参与其中。最大的证据体现在个人因素方面，而关于 PHIM 物理环境的研究则很少。迄今为止，大多数研究都将老年人作为一个单一的群体进行研究，很少关注年龄亚组。