The digital health divide: evaluating online health information access and use among older adults.
The digital health divide: evaluating online health information access and use among older adults.
复制标题
数字健康鸿沟：评估老年人在线健康信息的获取和使用。
DOI：
10.1177/1090198114547815
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发表时间：
2015-04
期刊：
影响因子：
--
通讯作者：
Vollrath MW
中科院分区：
文献类型：
--
作者：
Hall AK;Bernhardt JM;Dodd V;Vollrath MW
卫生信息技术（HIT）的创新为减少医疗保健支出、提高护理质量和改善老年人的健康结果提供了机会。然而，对老年人获取和使用HIT的机会有限，包括使用互联网获取健康信息的问题，引发了关于数字健康鸿沟的辩论。本研究评估了潜在的数字健康鸿沟与老年人用户和非用户之间的在线健康信息源的特征和信仰差异。采用随机抽样的老年人进行横断面调查设计。共有225名老年人（年龄范围= 50-92岁，M = 68.9岁，SD = 10.4）参加了本研究。76%的受访者可以上网。在线健康信息的使用者和非使用者在年龄（M = 66.29 vs. M = 71.13）、教育和以前的医疗保健系统经验方面存在显著差异。在线健康信息的用户和非用户在互联网和技术访问方面也存在显着差异，但是，很大一部分非用户可以访问互联网（56.3%），台式电脑（55.9%）和笔记本电脑或上网本（43.2%）。使用在线健康信息的用户在计算机自我效能测量上的平均得分高于非用户，t（159）=-7.29，p < .0001。这项研究发现，老年人使用者和非使用者之间存在显着差异。研究结果提出了减少这种鸿沟的策略，并对健康教育计划的影响，以促进老年人使用HIT。
Innovations in health information technology (HIT) provide opportunities to reduce health care spending, improve quality of care, and improve health outcomes for older adults. However, concerns relating to older adults’ limited access and use of HIT, including use of the Internet for health information, fuel the digital health divide debate. This study evaluated the potential digital health divide in relation to characteristic and belief differences between older adult users and nonusers of online health information sources. A cross-sectional survey design was conducted using a random sample of older adults. A total of 225 older adults (age range = 50–92 years, M = 68.9 years, SD = 10.4) participated in the study. Seventy-six percent of all respondents had Internet access. Users and nonusers of online health information differed significantly on age (M = 66.29 vs. M = 71.13), education, and previous experience with the health care system. Users and nonusers of online health information also differed significantly on Internet and technology access, however, a large percentage of nonusers had Internet access (56.3%), desktop computers (55.9%), and laptop computers or netbooks (43.2%). Users of online health information had higher mean scores on the Computer Self-Efficacy Measure than nonusers, t(159) = −7.29, p < .0001. This study found significant differences between older adult users and nonusers of online health information. Findings suggest strategies for reducing this divide and implications for health education programs to promote HIT use among older adults.
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作者：
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