Addressing the Personal Health Information Management Needs of Older Adults

项目摘要 老年人是医疗保健的最大消费者，需要医疗保健费用的最大部分。如何 老年人管理他们的健康对健康提供系统、医疗保健 支出和公共卫生。面对功能变化、慢性疾病和生活转型 在这种情况下，老年人需要有组织地获得他们的健康信息， 决策针对老年人的个人健康信息管理（PHIM）系统已经存在，但很少有老年人 成年人使用它们。局限性包括健康素养差，计算机技能差，以及身体或认知能力差。 残疾。本研究的目标是通过以下方式改进老年人PHIM系统的设计 推进我们对PHIM需求的理解，实践和老年人的偏好，以及他们的 持份者使用综合的社会技术方法，我们的多学科研究团队将进行 一系列定性访谈、焦点小组、调查和可用性研究，以更深入地了解 老年人个人健康信息管理的需求和背景。这项研究将解决 以下目标：1）描述个人健康信息管理（PHIM）的需求和实践， 来自不同社会经济群体和各种居住环境的老年人，2）检查角色 关键利益相关者在老年人个人健康信息管理中发挥的作用，3）使用平衡 建立老年人个人健康信息需求和实践模型的理论框架; 4）开发 一套设计概念、设计和设计指南，以满足已确定的PHIM需求和偏好。的 本工作的长期目标是改进健康信息管理的设计和开发 支持老年人健康和独立的系统。

PROJECT SUMMARY Older adults are the largest consumers of health care and require the greatest portion of health care costs. How older adults manage their health has profound consequences for health delivery systems, health care expenditure, and public health. Faced with changes in functioning, chronic diseases and transitions in living situation, older adults require organized access to their health information to make significant health-related decisions. Personal health information management (PHIM) systems for older adults exist, but few older adults use them. Limitations include poor health literacy, poor computer skills, and physical or cognitive disabilities. The goal of this research is to improve the design of PHIM systems for older adults through advancing our understanding of the PHIM needs, practices and preferences of older adults and their stakeholders. Using an integrative sociotechnical approach, our multidisciplinary research team will conduct a series of qualitative interviews, focus groups, surveys and usability studies to gain a deeper understanding of older adult personal health information management needs and context. This research will address the following aims: 1) Characterize the personal health information management (PHIM) needs and practices of older adults from diverse socioeconomic groups and in a variety of residential contexts, 2) Examine the roles which key stakeholders play in personal health information management for older adults, 3) Use the Balance Theory framework to model the personal health information needs and practices of older adults and 4) Develop a set of design concepts, design and design guidelines to meet the identified PHIM needs and preferences. The long term goal of this work is to improve the design and development of health information management systems that support the health and independence of older adults.