Functional Assessment Of Currently Employed Technology Scale (FACETS) 4.0: Update On A Brief Intake Instrument To Facilitate Treatment Planning And Communication With Patients

In the absence of data indicating that older adults utilize information technology (IT) for communicating with health care providers or insurers, Medicare, private insurers and providers of health care have increasingly defaulted to use of websites and IT for patient communication. The Functional Assessment of Currently Employed Technology Scale (FACETS) assesses an individual’s use of various information technologies (ITs). Research using FACETS has demonstrated that use of the internet and other IT declines significantly with increasing age beyond 60 years, especially for accessing health care. In the context of the current COVID-19 crisis, Medicare’s restrictions on reimbursement for the use of the telephone for accessing health care are discussed as a barrier to care. Recommendations are made for increasing access to care, as well as increasing the use of FACETS to assess which media are most available to older adults for accessing health care.

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Processos de comunicação das operadoras de saúde: apontamentos para utilização da internet para promoção da saúde no Brasil

Cadernos de Comunicação ◽

10.5902/2316882x28866 ◽

2018 ◽

Vol 22 (1) ◽

Author(s):

Paola Lanzalotta Marcelino ◽

Jorge Pedro Sousa ◽

Mozahir Salomão Bruck

Keyword(s):

Health Care ◽

Health Promotion ◽

Organizational Communication ◽

Health Care Providers ◽

The Internet ◽

Care Providers ◽

Communication Processes ◽

Care Workers ◽

Use Of The Internet ◽

Medios Sociales

O presente artigo busca debater sobre processos de comunicação e sobre rearranjos teóricos recentes quanto à comunicação organizacional, direcionados a utilização da internet para promoção da saúde no Brasil. Discute também como o papel das mídias sociais pode ser determinante em ações que tem como primazia novas estratégias nesse sentido, sobretudo para empresas operadoras de saúde.Palavras chave: Comunicação organizacional; Operadoras de saúde; Internet Procesos de comunicación de las operadoras de salud: apuntes para utilización de internet para promoción de la salud en BrasilResumen: El presente artículo busca debatir sobre procesos de comunicación y sobre reajustes teóricos recientes en cuanto a la comunicación organizacional, dirigidos a la utilización de Internet para promoción de la salud en Brasil. También discute cómo el papel de los medios sociales puede ser determinante en acciones que tienen como primacía nuevas estrategias en ese sentido y para empresas operadoras de salud.Palabras clave: Comunicación organizacional; Operadoras de salud; InternetCommunication processes of health care providers: notes for use of the internet for health promotion in BrazilAbstract: This article aims to discuss communication processes and recent theoretical rearrangements regarding organizational communication, directed to the use of the internet for health promotion in Brazil. It also discusses how the role of social media can be decisive in actions that have as a priority new strategies in this sense, especially for healthcare companies.Keywords: Organizational communication; Health care workers; Internet

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Use of the Internet to Communicate with Health Care Providers in the United States: Estimates from the 2003 and 2005 Health Information National Trends Surveys (HINTS)

Journal of Medical Internet Research ◽

10.2196/jmir.9.3.e20 ◽

2007 ◽

Vol 9 (3) ◽

pp. e20 ◽

Cited By ~ 112

Author(s):

Ellen Burke Beckjord ◽

Lila J Finney Rutten ◽

Linda Squiers ◽

Neeraj K Arora ◽

Lindsey Volckmann ◽

...

Keyword(s):

United States ◽

Health Care ◽

Health Information ◽

Health Care Providers ◽

The United States ◽

The Internet ◽

Care Providers ◽

Use Of The Internet ◽

National Trends

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Interdisciplinary Therapy Assessments for the Older Adult

Perspectives on Gerontology ◽

10.1044/gero17.1.11 ◽

2012 ◽

Vol 17 (1) ◽

pp. 11-16

Author(s):

Lynn Chatfield ◽

Sandra Christos ◽

Michael McGregor

Keyword(s):

Older Adults ◽

Health Care ◽

Standardized Testing ◽

Health Care Providers ◽

Outcome Measurement ◽

Care Providers ◽

Patient Centered ◽

Screening Process ◽

Evidenced Based ◽

Changing Economy

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.

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New Syphilis Cases in Older Adults, 2004–2019: An Analysis of Surveillance Data From South China

Frontiers in Medicine ◽

10.3389/fmed.2021.781759 ◽

2021 ◽

Vol 8 ◽

Author(s):

Cheng Wang ◽

Peizhen Zhao ◽

Mingzhou Xiong ◽

Joseph D. Tucker ◽

Jason J. Ong ◽

...

Keyword(s):

Older Adults ◽

Health Care ◽

Health Care Providers ◽

Temporal Trends ◽

Health Concern ◽

Targeted Prevention ◽

Care Providers ◽

Annual Percent Change ◽

Syphilis Infection ◽

Over Time

Background: Sexual health among older adults is a major public health concern globally. The syphilis burden is increasing in older adults in China. This study aimed to describe factors associated with syphilis infection and diagnosis among older adults in China during a 16 year period.Methods: Using 16 years of data (2004–2019) from the syphilis case report system of Guangdong, China, we compared data from older adults (aged ≥50 years) with those from younger people (aged 15–49 years). We compared the two age group with the Chi-square test for difference, and Joinpoint regression models to assess the temporal trends.Results: During the study period, 242,115 new syphilis diagnoses were reported in older adults. The mean notification rate of new diagnoses was 64.1 per 100,000 population across the entire 16-year period, which significantly increased over time (average annual percent change [AAPC] 16.2%, 95% CI 13.7–18.7). Syphilis diagnoses increased significantly over time among less developed cities and older women. In 2019, compared with younger adults, newly diagnosed older adults were more likely to be male, native to reporting city, had unknown transmission routes, and were diagnosed late.Conclusion: Our findings call for an urgent need to deliver more targeted prevention interventions for older adults, such as strengthen awareness among health care providers, and integration of syphilis services and primary health care for older adults.

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Understanding COVID-19 vaccines and immunity

Dental Update ◽

10.12968/denu.2021.48.2.157 ◽

2021 ◽

Vol 48 (2) ◽

pp. 157-160

Author(s):

Lakshman Samaranayake ◽

Sukumaran Anil

Keyword(s):

Health Care ◽

Health Care Providers ◽

Dental Health ◽

The Internet ◽

Care Providers ◽

The Public ◽

Dental Health Care ◽

The World

COVID-19 Vaccines are currently the talk of the world. The internet is full of memes on COVID-19 vaccines - myths more than truths. In this commentary we further review some of the issues related to the success and failure of COVID-19 vaccines, and the theoretical and practical elements on vaccinations and immunity that the dental health care providers have to be knowledgeable, so as to offer advice and guidance to their team, the patients, as well as the public.

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Improving Patient Safety with Information Technology

Handbook of Research on Advances in Health Informatics and Electronic Healthcare Applications ◽

10.4018/978-1-60566-030-1.ch009 ◽

2010 ◽

pp. 144-152 ◽

Cited By ~ 1

Author(s):

James G. Anderson

Keyword(s):

Health Care ◽

Information Technology ◽

Medication Errors ◽

Health Care Providers ◽

Adverse Drug Events ◽

Health Care Systems ◽

Simulation Models ◽

Care Providers ◽

Care Systems ◽

Computer Simulation Models

Over three-quarters of a million people are injured or die in hospitals annually from adverse drug events. The majority of medication errors result from poorly designed health care systems rather than from negligence on the part of health care providers. Health care systems, in general, rely on voluntary reporting which seriously underestimates the number of medication errors and adverse drug events (ADEs) by as much as 90%. This chapter reviews the literature on (1) the incidence and costs of medication errors and ADEs; (2) detecting and reporting medication errors and related ADEs; (3) and the use of information technology to reduce the number of medication errors and ADEs in health care settings. Results from an analysis of data on medication errors from a regional data sharing consortium and from computer simulation models designed to analyze the effectiveness of information technology (IT) in preventing medication errors are summarized.

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It’s Complicated: Improving Undergraduate Nursing Students’ Understanding Family and Care of LGBTQ Older Adults

Journal of Family Nursing ◽

10.1177/1074840719864099 ◽

2019 ◽

Vol 25 (4) ◽

pp. 506-532 ◽

Cited By ~ 2

Author(s):

Nadine Henriquez ◽

Kathryn Hyndman ◽

Kathryn Chachula

Keyword(s):

Older Adults ◽

Health Care ◽

Nursing Students ◽

Health Care Providers ◽

Social Issues ◽

Care Providers ◽

Undergraduate Nursing Students ◽

Case Study Methodology ◽

Undergraduate Nursing

Research has identified the need for improved cultural competence of health care providers regarding the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community’s needs. This article articulates the teaching approach and methodology of an unfolding LGBTQ family case study for undergraduate nursing students. This method provided a forum for exploration of personal biases and gender-affirming techniques, and addressed the challenges of aging for a transgender woman and family within the context of societal stigma and discrimination. Students gained knowledge concerning shifts in family structures and understanding of the nurses’ role encouraging inclusiveness and equitable access in health care settings, advocating for vulnerable populations, and addressing specific health concerns for transgender older adults. Student responses demonstrated increased knowledge of family diversity, and critical thought regarding the intersectionality of discrimination and aging. The findings revealed the case study methodology facilitated student understanding of the unique health and social issues for LGBTQ older adults within a family context.

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A FRAMEWORK FOR CARE TRANSITIONS FOR OLDER ADULTS WITH COMPLEX HEALTH CONDITIONS

Innovation in Aging ◽

10.1093/geroni/igz038.2534 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S687-S687

Author(s):

Paul Stolee ◽

Jacobi B Elliott ◽

Kerry Byrne ◽

Joanie Sims-Gould ◽

Catherine Tong ◽

...

Keyword(s):

Older Adults ◽

Health Care ◽

Health Care Providers ◽

Service Use ◽

Care Transitions ◽

Ethnographic Study ◽

System Level ◽

Health Conditions ◽

Care Providers ◽

Framework Analysis

Abstract For older adults with complex health conditions, transitions between care settings are common and a major risk to quality of care and patient safety. Care transition interventions have shown positive impacts on continuity of care and health service use, however, most require additional human resources (e.g., transition coach), focus on one transition or “handoff”, and provide support for individual patients without addressing underlying challenges of health system integration. We sought to develop a framework for system-level enhancements to care transitions for older adults. We report a secondary framework analysis of an ethnographic investigation (the “InfoRehab” project) of care transitions for older persons who had experienced a hip fracture. The ethnographic study involved interviews, observations, and document reviews for 23 patients, 19 family caregivers, and 92 health care providers. Data were collected at each transition point (1-4/patient) along the care continuum, at three Canadian sites (large urban, mid-size urban, rural). Our framework analysis followed the approach described by Gale et al. (2013), using as cases 12 peer-reviewed papers which had reported InfoRehab results. Two researchers coded findings from each paper, then developed an analytical framework of eight themes by consensus; these include: patient involvement and choice, family caregiver involvement, patient complexity, health care provider coordination, information sharing, documentation, system constraints, and relationships. NVivo 11 was used to index findings into these themes and to generate a matrix. We are working with system stakeholders, including patients and caregivers, to apply this framework in the development of improved systems for care transitions.

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MP34: Elder abuse in the emergency department: a systematic scoping review

CJEM ◽

10.1017/cem.2019.169 ◽

2019 ◽

Vol 21 (S1) ◽

pp. S54-S55

Author(s):

E. Mercier ◽

A. Nadeau ◽

A. Brousseau ◽

M. Emond ◽

J. Lowthian ◽

...

Keyword(s):

Older Adults ◽

Health Care ◽

Emergency Department ◽

Physical Abuse ◽

Health Care Providers ◽

Scoping Review ◽

Elder Abuse ◽

Community Dwelling ◽

Screening Tools ◽

Care Providers

Introduction: This systematic scoping review aims to synthetize the available evidence on the epidemiology, risk factors, clinical characteristics, screening tools, prevention strategies, interventions and knowledge of health care providers regarding elder abuse in the emergency department (ED). Methods: A systematic literature search was performed using three databases (Medline, Embase and Cochrane Library). Grey literature was scrutinized. Studies were considered eligible when they were observational studies or randomized control trials reporting on elder abuse in the prehospital and/or ED setting. Data extraction was performed independently by two researchers and a qualitative approach was used to synthetize the findings. Results: A total of 443 citations were retrieved from which 58 studies published between 1988 and 2018 were finally included. Prevalence of elder abuse following an ED visit varied between 0.01% and 0.03%. Reporting of elder abuse to proper law authorities by ED physicians varied between 2% to 50% of suspected cases. The most common reported type of elder abuse detected was neglect followed by physical abuse. Female gender was the most consistent factor associated with elder abuse. Cognitive impairment, behavioral problems and psychiatric disorder of the patient or the caregiver were also associated with physical abuse and neglect as well as more frequent ED consultations. Several screening tools have been proposed, but ED-based validation is lacking. Literature on prehospital- or ED-initiated prevention and interventions was scarce without any controlled trial. Health care providers were poorly trained to detect and care for older adults who are suspected of being a victim of elder abuse. Conclusion: Elder abuse in the ED is an understudied topic. It remains underrecognized and underreported with ED prevalence rates lower than those in community-dwelling older adults. Health care providers reported lacking appropriate training and knowledge with regards to elder abuse. Dedicated ED studies are required.

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