TY -的AU -克拉克,玛蒂娜盟——Fruhling,安·L AU - Sitorius玛丽莲AU -温德尔,托马斯盟——伯纳德,塔玛拉·L AU -温德尔,约翰R PY - 2020 DA - 2020/6/1 TI -年龄影响病人的沟通和技术偏好的时代意义的使用:混合方法研究乔- J地中海互联网Res SP - e13470六世- 22 - 6千瓦患者KW -个人健康记录KW -需求评估KW -数据显示KW -沟通KW -年龄组AB -背景:确定患者与其卫生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具有积极影响。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。采用扎根理论对定性数据进行分析。根据年龄、性别、种族和邮政编码招募患者。结果:共招募了104例患者:34例年轻成人(19-39岁)，33例中年(40-64岁)，37例老年人(>65岁)。年轻人(平均8.29,SD 1.66)比中年参与者(平均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. SN - 1438-8871 UR - //www.mybigtv.com/2020/6/e13470 UR - https://doi.org/10.2196/13470 UR - http://www.ncbi.nlm.nih.gov/pubmed/32478658 DO - 10.2196/13470 ID - info:doi/10.2196/13470 ER -