TY -的AU -麦克莱恩,比安卡AU -侯赛因,Nazia盟——Donison瓦伦蒂娜AU -灰色,迈卡拉盟——Durbano萨拉非盟-•哈斯克里斯汀盟——Alibhai Shabbir穆罕默德•侯赛因盟——让马蒂娜PY - 2021 DA - 2021/2/9 TI -在网络环境中为老年人提供医疗信息:系统回顾乔- JMIR老化SP - e24092六世- 4 - 1 KW -电子健康千瓦系统回顾KW -老年评估KW -老年肿瘤学AB -背景:癌症是一种主要影响老年人的疾病，一些组织建议完成老年评估，以帮助癌症治疗决策。由于老年医学团队的短缺以及每年有大量的老年人被诊断患有癌症，基于网络的老年医学评估可能会改善老年人获得老年医学评估的机会。我们系统地回顾了文献，为我们基于网络的老年评估工具“我的计划综合健康评估”的设计获取了最新的证据。目的:本文旨在探讨以下问题:在没有医疗保健提供者的情况下，在基于web的环境中向老年人提供健康检测结果，对以患者为中心的结果(包括满意度、感知伤害、赋权、生活质量和医疗保健使用(例如，住院、医生就诊、急诊室就诊和费用)有什么影响?老年人和开发人员对未来为老年人设计应用程序或网站有什么建议?方法:本系统评价以PRISMA(系统评价和元分析首选报告项目)声明为指导。研究仅限于英文出版物，研究了一种基于网络的工具，该工具在没有医疗保健提供者的情况下向老年人(年龄≥65岁)提供检测结果。2019年11月29日，一名健康科学图书管理员对以下电子数据库进行了搜索:MEDLINE、Embase、CINAHL、PsycINFO和Cochrane图书馆。采用2018年混合方法评估工具版评估纳入研究的质量。 The findings are summarized narratively and in tabular format. Results: A total of 26,898 titles and abstracts were screened by 2 independent reviewers, of which 94 studies were selected for a full-text review, and 9 studies were included in this review. There were only 2 randomized controlled trials of high quality that explored the effects of receiving health care results on the web via eHealth tools for older adults or provided evidence-based recommendations for designing such tools. Older adults were generally satisfied with receiving screening results via eHealth tools, and several studies suggested that receiving health screening results electronically improved participants’ quality of life. However, user interfaces that were not designed with older adults in mind and older adults’ lack of confidence in navigating eHealth tools proved challenging to eHealth uptake and use. All 9 studies included in this systematic review made recommendations on how to design eHealth tools that are intuitive and useful for older adults. Conclusions: eHealth tools should incorporate specific elements to ensure usability for older adults. However, more research is required to fully elucidate the impact of receiving screening and results via eHealth tools without the presence of a health care provider for patient-centered outcomes in this target population. SN - 2561-7605 UR - https://aging.www.mybigtv.com/2021/1/e24092 UR - https://doi.org/10.2196/24092 UR - http://www.ncbi.nlm.nih.gov/pubmed/33560228 DO - 10.2196/24092 ID - info:doi/10.2196/24092 ER -