Health@Home: The work of health information management in the household (HIMH): Implications for consumer health Informatics (CHI) innovations
Health@Home: The work of health information management in the household (HIMH): Implications for consumer health Informatics (CHI) innovations
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DOI：
10.1197/jamia.m1758
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发表时间：
2005-11-01
影响因子：
6.4
通讯作者：
Brennan, PF
中科院分区：
文献类型：
--
作者：
Moen, A;Brennan, PF
目的：现代卫生保健对非专业人员提出了巨大的健康信息管理需求。对他们的技能和习惯的洞察补充了当前消费者健康创新的发展，包括个人健康记录。使用五要素人因工作模型，家庭健康信息管理的特点是由家庭组织内的个人在给定的物理环境中使用某些工具和技术完成任务。设计：我们对HIMH的工作进行了描述性探索性研究，涉及来自中西部农村社区的49名社区居住志愿者。测量：在面对面的访谈中，我们使用半结构化的问卷和用于HIMH的工件照片收集数据。结果：HIMH的工作主要由个人负责，主要从事获取、管理和组织各种卫生信息的任务。基于纸张的工具是最常见的，居民根据预期的使用情况制定在家庭环境中存储信息的策略。家庭内的附属关系，例如亲子或配偶关系，是产生健康信息管理做法的组织。综合这些发现，确定了HIMH采用的几种储存策略。这些策略被标记为“及时”、“因为”、“以防万一”和“手边”，反映了健康信息人工制品的位置以及对检索这些信息的预期紧迫性。结论：外行人开发和使用强大的，复杂的策略来管理家庭健康信息。利用这些战略将补充和扩展当前的消费者健康创新，为面临管理个人健康信息日益增长需求的人们提供功能性支持。
Objective: Contemporary health care places enormous health information management demands on laypeople. Insights into their skills and habits complements current developments in consumer health innovations, including personal health records. Using a five-element human factors model of work, health information management in the household (HIMH) is characterized by the tasks completed by individuals within household organizations, using certain tools and technologies in a given physical environment.Design: We conducted a descriptive-exploratory study of the work of HIMH, involving 49 community-dwelling volunteers from a rural Midwestern community.Measurements: During in-person interviews, we collected data using semistructured questionnaires and photographs of artifacts used for HIMH.Results: The work of HIMH is largely the responsibility of a single individual, primarily engaged in the tasks of acquiring, managing, and organizing a diverse set of health information. Paper-based tools are most common, and residents develop strategies for storing information in the household environment aligned with anticipated use. Affiliative relationships, e.g., parent-child or spousal, within the household serve as the organization that gives rise to health information management practices. Synthesis of these findings led to identification of several storage strategies employed in HIMH. These strategies are labeled "just-in-time," "just-because," "just-in-case," and "just-at-hand," reflecting location of the artifacts of health information and anticipated urgency in the need to retrieve it.Conclusion: Laypeople develop and employ robust, complex strategies for managing health information in the home. Capitalizing on these strategies will complement and extend current consumer health innovations to provide functional support to people who face increasing demands to manage personal health information.