Fraser Health Authority, Surrey, BC, Canada.
JMIR Aging. 2024 May 28;7:e53098. doi: 10.2196/53098.
This viewpoint article, which represents the opinions of the authors, discusses the barriers to developing a patient-oriented frailty website and potential solutions. A patient-oriented frailty website is a health resource where community-dwelling older adults can navigate to and answer a series of health-related questions to receive a frailty score and health summary. This information could then be shared with health care professionals to help with the understanding of health status prior to acute illness, as well as to screen and identify older adult individuals for frailty. Our viewpoints were drawn from 2 discussion sessions that included caregivers and care providers, as well as community-dwelling older adults. We found that barriers to a patient-oriented frailty website include, but are not limited to, its inherent restrictiveness to frail persons, concerns over data privacy, time commitment worries, and the need for health and lifestyle resources in addition to an assessment summary. For each barrier, we discuss potential solutions and caveats to those solutions, including assistance from caregivers, hosting the website on a trusted source, reducing the number of health questions that need to be answered, and providing resources tailored to each users' responses, respectively. In addition to screening and identifying frail older adults, a patient-oriented frailty website will help promote healthy aging in nonfrail adults, encourage aging in place, support real-time monitoring, and enable personalized and preventative care.
这篇观点文章代表了作者的观点,讨论了开发以患者为中心的衰弱网站所面临的障碍和潜在解决方案。以患者为中心的衰弱网站是一种健康资源,社区居住的老年人可以访问该网站并回答一系列与健康相关的问题,以获得衰弱评分和健康总结。然后,这些信息可以与医疗保健专业人员共享,以帮助了解急性疾病之前的健康状况,以及筛查和识别脆弱的老年人。我们的观点来自于包括照顾者和护理提供者以及社区居住的老年人在内的两次讨论会议。我们发现,以患者为中心的衰弱网站面临的障碍包括但不限于其对脆弱人群的固有限制、对数据隐私的担忧、对时间承诺的担忧,以及除评估摘要外还需要健康和生活方式资源。对于每个障碍,我们讨论了潜在的解决方案和这些解决方案的注意事项,包括照顾者的协助、在可信赖的来源上托管网站、减少需要回答的健康问题数量,以及根据每个用户的回答提供定制的资源。除了筛查和识别脆弱的老年人外,以患者为中心的衰弱网站还有助于促进非脆弱成年人的健康老龄化、鼓励就地老龄化、支持实时监测以及实现个性化和预防性护理。