Emergency information management needs and practices of older adults: A descriptive study.
Emergency information management needs and practices of older adults: A descriptive study.
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老年人的紧急信息管理需求和实践：描述性研究。
DOI：
10.1016/j.ijmedinf.2017.12.001
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发表时间：
2018
影响因子：
4.9
通讯作者：
Phelan,ElizabethA
中科院分区：
文献类型：
--
作者：
Turner,AnneM;Osterhage,Katie;Loughran,Julie;Painter,Ian;Demiris,George;Hartzler,AndreaL;Phelan,ElizabethA
目的更好地了解老年人目前如何管理紧急信息，规划和管理的紧急信息的障碍和促进者，以及潜在的作用，信息技术，以促进紧急规划和management.IntroductionOlder成人面临着更高的风险，突发疾病/受伤，是年龄组的最大百分比的紧急和紧急医疗保健访问。紧急信息（紧急情况下所需的健康信息，如紧急联系信息，诊断和预先指示）需要保持和易于访问，以确保老年人在紧急情况下获得符合他们愿望的适当护理和治疗。目前的健康信息技术很少考虑到老年人，他们的照顾者，和emergency responders.MethodsAs一个更大的研究的一部分，我们进行了深入的采访，90名老年人生活在各种住宅环境（独立生活，退休社区，辅助生活），他们如何管理他们的健康信息的紧急信息需求。访谈包括重要健康信息人工制品的照片。采访转录和coded.ResultsAnalysis的深入访谈显示，紧急信息是一种类型的健康信息，老年人经常管理。与会者在是否进行应急规划（例如，应急信息的准备和持续管理）以及是否让其他人参与应急信息和应急规划方面意见不一。尽管它的重要性，紧急信息往往不是最新的，并不总是保持在位置容易明显的紧急responders.ConclusionEmergency信息，如紧急联系信息，诊断和预先指示，是一种类型的健康信息，老年人管理。在为老年人设计卫生信息技术时考虑紧急情况信息，可以解决一些障碍，并支持促进者进行紧急情况规划和信息管理。
ObjectiveTo better understand how older adults currently manage emergency information, the barriers and facilitators to planning and management of emergency information, as well as the potential role of information technology to facilitate emergency planning and management.IntroductionOlder adults face a much higher risk of sudden illness/injury and are the age group with the largest percentages of emergent and urgent healthcare visits. Emergency information (health information needed in an emergency situation such as emergency contact information, diagnoses, and advance directives) needs to be maintained and easily accessible to ensure older adults get appropriate care and treatment consistent with their wishes in emergency situations. Current health information technologies rarely take into consideration the emergency information needs of older adults, their caregivers, and emergency responders.MethodsAs part of a larger study we performed in-depth interviews with 90 older adults living in a variety of residential settings (independent living, retirement communities, assisted living) regarding how they manage information about their health. Interview sessions included photos of important health information artifacts. Interviews were transcribed and coded.ResultsAnalysis of in-depth interviews revealed that emergency information is a type of health information that older adults frequently manage. Participants differed in whether they practice emergency planning (e.g. the preparation and continued management of emergency information), and in whether they involve others in emergency information and emergency planning. Despite its importance, emergency information was often not up-to-date and not always kept in locations readily apparent to emergency responders.ConclusionEmergency information, such as emergency contact information, diagnoses, and advance directives, is a type of health information that older adults manage. Considering emergency information in the design of health information technologies for older adults could address some of the barriers and support the facilitators to emergency planning and information management.