@文章{信息:doi/10.2196/13470，作者="Clarke, Martina A和Fruhling, Ann L和Sitorius, Marilyn和Windle, Thomas A和Bernard, Tamara L和Windle, John R"，标题="有意义使用时代年龄对患者沟通和技术偏好的影响:混合方法研究"，期刊="J医学互联网研究"，年="2020"，月="Jun"，日="1"，卷="22"，数="6"，页数="e13470"，关键词="患者;个人健康记录;需求评估;数据显示;沟通;背景:确定患者与其医疗保健提供者之间的有效沟通方式对患者的满意度、依从性和健康相关结果有积极影响。目的:本研究旨在确定患者在管理其健康时，年龄对其沟通和技术偏好的影响。我们假设患者的年龄会影响他们在与临床医生互动和管理他们的健康时的沟通和技术偏好。方法:采用混合方法研究，以确定心血管疾病患者的偏好。结果根据患者的年龄进行分析。 Grounded theory was used to analyze the qualitative data. Patients were recruited based on age, gender, ethnicity, and zip code. Results: A total of 104 patients were recruited: 34 young adults (19-39 years), 33 middle aged (40-64), and 37 senior citizens (>65). Young adults (mean 8.29, SD 1.66) reported higher computer self-efficacy than middle-aged participants (mean 5.56, SD 3.43; P<.05) and senior citizens (mean 47.55, SD 31.23; P<.05). Qualitative analysis identified the following three themes: (1) patient engagement (young adults favored mobile technologies and text messaging, middle-aged patients preferred phone calls, and senior citizens preferred direct interactions with the health care provider); (2) patient safety (young adults preferred electronic after-visit summaries [AVS] and medication reconciliation over the internet; middle-aged patients preferred paper-based or emailed AVS and medication reconciliation in person; senior citizens preferred paper-based summaries and in-person medication reconciliation); (3) technology (young adults preferred smartphones and middle-aged patients and senior citizens preferred tablets or PCs). Middle-aged patients were more concerned about computer security than any other group. A unique finding among senior citizens was the desire for caregivers to have access to their personal health record (PHR). Conclusions: Patients of different ages have different communication and technology preferences and different preferences with respect to how they would like information presented to them and how they wish to interact with their provider. The PHR is one approach to improving patient engagement, but nontechnological options need to be sustained to support all patients. ", issn="1438-8871", doi="10.2196/13470", url="//www.mybigtv.com/2020/6/e13470", url="https://doi.org/10.2196/13470", url="http://www.ncbi.nlm.nih.gov/pubmed/32478658" }