Lakha Shehnaz Fatima, Sarmiento Stephanie, Pennefather Peter, Purdy Nancy, Holyoke Paul, Fels Deborah
Toronto Metropolitan University, Inclusive Media and Design Centre, Toronto, Ontario, Canada.
University of Toronto, Mechanical and Industrial Engineering, Toronto, Ontario, Canada.
Digit Health. 2025 Jun 25;11:20552076251350932. doi: 10.1177/20552076251350932. eCollection 2025 Jan-Dec.
Gaps in the health system make it difficult for older adults to have their communication needs and wants heard for that necessary communication to happen. In this study, we investigate attitudes of community-based healthcare professionals (HCPs) regarding the potential utility of a digital technology platform. This platform was designed to enable older adults receiving HCP services in a community setting to provide qualitative narrative impressions and evaluations of their needs and how these needs were addressed by the services. MyHealthMyRecord (MHMR) technology is being designed to provide a digital video-scrapbook for recording and sharing healthcare-related information, observation, and qualitative narratives.
HCPs were recruited in collaboration with SE Health, a large community-care provider based in Toronto, Canada. Using a user-centered and inclusive design approach, HCPs in community care were asked to comment on the use of the MHMR platform by their patients and to examine a platform prototype. Each session, which lasted approximately 60 min, involved a 40-min semistructured face-to-face interview, followed by a demonstration of the system. Data were analyzed using the Consensual Qualitative Research analysis.
A convenience sample of 7 HCPs, all comfortable with digital technology, participated in the study. The analysis identified 11 themes, with all participants recognizing the value of the MHMR platform in enhancing their capacity to provide services, particularly in tracking to relevant events between patients' visits.
The HCPs appreciated how the MHMR platform could be used to enhance community health service delivery through valid, reliable, and responsive Person/Patient-Reported Outcomes. It was appreciated that such data could be useful in improving community care experiences while also being useful at a system-wide learning level.
卫生系统存在的不足使得老年人难以让其沟通需求和愿望得到倾听，从而无法实现必要的沟通。在本研究中，我们调查了社区医疗保健专业人员（HCPs）对数字技术平台潜在效用的态度。该平台旨在使在社区环境中接受HCP服务的老年人能够提供关于其需求的定性叙述性印象和评估，以及这些需求是如何通过服务得到满足的。“我的健康我的记录”（MHMR）技术旨在提供一个数字视频剪贴簿，用于记录和共享医疗保健相关信息、观察结果和定性叙述。
与加拿大多伦多的大型社区护理提供商SE Health合作招募HCPs。采用以用户为中心的包容性设计方法，要求社区护理中的HCPs对其患者使用MHMR平台的情况发表意见，并检查平台原型。每个约60分钟的环节包括40分钟的半结构化面对面访谈，随后是系统演示。使用共识定性研究分析方法对数据进行分析。
7名熟悉数字技术的HCPs组成的便利样本参与了研究。分析确定了11个主题，所有参与者都认识到MHMR平台在增强他们提供服务的能力方面的价值，特别是在跟踪患者就诊之间的相关事件方面。
HCPs赞赏MHMR平台如何能够通过有效、可靠和及时响应的个人/患者报告结果来增强社区卫生服务的提供。人们认识到，这些数据不仅有助于改善社区护理体验，而且在全系统的学习层面也很有用。
