Factors affecting usage of a personal health record (PHR) to manage health.
Factors affecting usage of a personal health record (PHR) to manage health.
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DOI：
10.1037/a0033911
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发表时间：
2013-12
影响因子：
3.7
通讯作者：
Morrow DG
中科院分区：
文献类型：
--
作者：
Taha J;Czaja SJ;Sharit J;Morrow DG
随着医疗保健行业进入数字时代，越来越多的患者可以访问电子个人健康记录(PHR)，这些记录与提供商维护的电子健康记录捆绑在一起。这种前所未有的对个人健康信息的获取可以使患者更有效地管理自己的健康，但实际上人们对患者成功使用PHR执行健康管理任务的能力或影响任务绩效的个人因素知之甚少。这项研究评估了56名中年人(40-59岁)和51名老年人(60-85岁)使用模拟PHR执行15项常见健康管理任务的能力，这些任务包括药物管理、实验室/检测结果的审查/解释以及健康维护活动。结果表明，两个年龄段的参与者在使用PHR完成常规健康管理任务方面都经历了显著的困难。数据还显示，老年人，特别是那些算术能力和技术经验较低的人，在使用该系统时遇到了更大的问题。此外，数据显示，预测一个人的任务绩效的认知能力因任务的复杂程度而异。这项研究的结果确定了在设计PHR时要考虑的重要因素，以便它们满足中老年人的需求。随着PHR部署的增加，了解影响有效PHR使用的个别因素对于防止有能力使用PHR的人和不能使用PHR的人之间的医疗差距扩大至关重要。
As the health care industry shifts into the digital age, patients are increasingly being provided with access to electronic personal health records (PHRs) that are tethered to their provider-maintained electronic health records. This unprecedented access to personal health information can enable patients to more effectively manage their health, but little is actually known about patients’ ability to successfully use a PHR to perform health management tasks or the individual factors that influence task performance. This study evaluated the ability of 56 middle-aged adults (40–59 years) and 51 older adults (60–85 years) to use a simulated PHR to perform 15 common health management tasks encompassing medication management, review/interpretation of lab/test results, and health maintenance activities. Results indicated that participants in both age groups experienced significant difficulties in using the PHR to complete routine health management tasks. Data also showed that older adults, particularly those with lower numeracy and technology experience, encountered greater problems using the system. Furthermore, data revealed that the cognitive abilities predicting one’s task performance varied according to the complexity of the task. Results from this study identify important factors to consider in the design of PHRs so that they meet the needs of middle-aged and older adults. As deployment of PHRs is on the rise, knowledge of the individual factors that impact effective PHR use is critical to preventing an increase in health care disparities between those who are able to use a PHR and those who are not.
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影响因子：
3.7
作者：
Czaja, SJ;Sharit, J;Nair, S
通讯作者：
Nair, S
影响因子：
120.7
作者：
Green, Beverly B.;Cook, Andrea J.;Thompson, Robert S.
通讯作者：
Thompson, Robert S.
DOI：
10.1093/geronj/47.4.p250
发表时间：
1992-07-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
JAY, GM;WILLIS, SL
通讯作者：
WILLIS, SL
影响因子：
3.6
作者：
Fagerlin, Angela;Zikmund-Fisher, Brian J.;Smith, Dylan M.
通讯作者：
Smith, Dylan M.
影响因子：
4.8
作者：
FOLSTEIN, MF;FOLSTEIN, SE;MCHUGH, PR
通讯作者：
MCHUGH, PR