Choi Kup-Sze, Chan Sze-Ho, Ho Cho-Lik, Matejak Marek
The Hong Kong Polytechnic University, Hong Kong, Hong Kong.
Charles University in Prague, Praha, Czech Republic.
Digit Health. 2022 Jun 20;8:20552076221109083. doi: 10.1177/20552076221109083. eCollection 2022 Jan-Dec.
The need for health and social care for community-dwelling elderly is on the rise as the population ages. Through the provision of comprehensive services by multiple professionals in local communities, elderly people can receive continual care in a non-medical setting, which is favorable for early detection and intervention of potential problems. However, the lack of digitalization in primary care affects the effectiveness of the services and precludes full exploitation of the data. This study proposed an information system dedicated to caring for community-dwelling elderly people and investigated its acceptance and usability.
An information system was designed for elderly care centers in the community, where data generated during care delivery, involving socio-demographic data, bio-measurements and health assessments and questionnaires, were digitized and stored for information management and exchange. A study was conducted to evaluate the acceptance and usability of the system after routine use of 6 months. The users of the system at an elderly care center were recruited to respond to a technology acceptance questionnaire and a system usability questionnaire.
The mean scores of the acceptance and usability questionnaires reached 5.1 out of the highest possible score of 7. The constructs of the acceptance questionnaire had good reliability. The social influence and facilitating conditions constructs had a significant correlation with the behavioral intention construct.
The proposed information system demonstrated good acceptance and usability, which supported the feasibility of implementing it in community care centers for older adults. Further research will be conducted to address the limitation of sample size by extending the system to other elderly care centers, forming a large user base for a more in-depth and comprehensive performance evaluation.
随着人口老龄化，社区居家老年人对健康和社会护理的需求不断增加。通过当地社区的多专业人员提供综合服务，老年人可以在非医疗环境中获得持续护理，这有利于潜在问题的早期发现和干预。然而，初级保健中缺乏数字化影响了服务的有效性，阻碍了数据的充分利用。本研究提出了一个专门用于照顾社区居家老年人的信息系统，并调查了其可接受性和可用性。
为社区老年护理中心设计了一个信息系统，在护理过程中产生的数据，包括社会人口统计学数据、生物测量数据、健康评估和问卷，被数字化并存储，用于信息管理和交换。在系统常规使用6个月后进行了一项研究，以评估该系统的可接受性和可用性。招募了一家老年护理中心的系统用户，以回答一份技术接受问卷和一份系统可用性问卷。
接受度和可用性问卷的平均得分在满分7分中达到了5.1分。接受度问卷的各项指标具有良好的可靠性。社会影响和便利条件指标与行为意向指标有显著相关性。
所提出的信息系统显示出良好的可接受性和可用性，这支持了在社区老年护理中心实施该系统的可行性。将进一步开展研究，通过将该系统扩展到其他老年护理中心来解决样本量的限制，形成一个更大的用户群体，以便进行更深入、全面的性能评估。
