scholarly journals Prevalence and Factors Influencing Use of Internet and Electronic Health Resources by Middle-Aged and Older Adults in a US Health Plan Population: Cross-Sectional Survey Study

JMIR Aging ◽  
10.2196/11451 ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. e11451 ◽  
Author(s):  
Elizabeth Crouch ◽  
Nancy P Gordon

JMIR Aging ◽  
10.2196/13864 ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. e13864 ◽  
Author(s):  
Jing Wang ◽  
Yan Du ◽  
Deidra Coleman ◽  
Michelle Peck ◽  
Sahiti Myneni ◽  
...  


2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Annette O. A. Plouvier ◽  
Tim C. Olde Hartman ◽  
Olga A. de Bont ◽  
Sjoerd Maandag ◽  
Bastiaan R. Bloem ◽  
...  


2021 ◽  
Vol 9 ◽  
Author(s):  
Jingjin Shi ◽  
Xueming Yan ◽  
Miao Wang ◽  
Ping Lei ◽  
Guangjun Yu

Background: Pediatrician workforce shortages have aroused great attention from health authorities in China. Telemedicine services have been known to enhance the management of children's health, yet the rate of adoption and usage in Chinese hospitals still at a quite low level, and the factors influencing the acceptance of telemedicine services remains unclear.Objective: The purpose of this empirical study was to evaluate the reliability and validity of a technology acceptance measurement instrument applied in healthcare, to investigate the perception of telemedicine services on the provider-side and demand-side, and to determine the factors that may drive individuals to adopt telemedicine services.Methods: A cross-sectional survey study based at Shanghai Children's Hospital, Shanghai Jiao Tong University, was conducted in March 2020. A total of 456 valid responses were obtained by convenience sampling. The internal consistency of items was assessed by Cronbach's alpha (α), composite reliability (CR) and average variance extracted (AVE) to evaluate both the reliability and validity of the questionnaire. Structural equation modeling analysis was used to test and verify the interrelationships among relevant variables.Results: Price value is the strongest predictor (β = 0.30, p = 0.02), facilitating conditions (β = 0.28, p = 0.01) and hedonic motivation (β = 0.13, p = 0.04) also have significantly positive direct effects on telemedicine acceptance. The results showed the perception of child patients' families were significantly more acceptable to telemedicine services than pediatricians (t = −2.99, p < 0.01). Participants with no prior experience and lower education may be more willing to adopt telemedicine.Conclusion: Telemedicine will likely continue to have an integral role in pediatric health care delivery, and the findings can assist policy makers and hospital administrators in determining the more valued characteristics of telemedicine services from a behavioral perspective. Future attention will be paid to the pricing, training and service quality of telemedicine in China.



10.2196/28729 ◽  
2021 ◽  
Author(s):  
Tarja Heponiemi ◽  
Anu Kaihlanen ◽  
Kia Gluschkoff ◽  
Kaija Saranto ◽  
Sari Nissinen ◽  
...  


2019 ◽  
Vol 89 ◽  
pp. 39-45 ◽  
Author(s):  
Kristien Scheepmans ◽  
Koen Milisen ◽  
Koen Vanbrabant ◽  
Louis Paquay ◽  
Hendrik Van Gansbeke ◽  
...  


2020 ◽  
pp. 026921632095681
Author(s):  
Rupak Datta ◽  
Jeffrey Topal ◽  
Dayna McManus ◽  
Tara Sanft ◽  
Louise Marie Dembry ◽  
...  

Background: Antimicrobial use during end-of-life care of older adults with advanced cancer is prevalent. Factors influencing the decision to prescribe antimicrobials during end-of-life care are not well defined. Aim: To evaluate factors influencing medicine subspecialists to prescribe intravenous and oral antimicrobials during end-of-life care of older adults with advanced cancer to guide an educational intervention. Design: 18-item single-center cross-sectional survey. Setting/participants: Inpatient medicine subspecialists in 2018. Results: Of 186 subspecialists surveyed, 67 (36%) responded. Most considered withholding antimicrobials at the time of clinical deterioration during hospitalization ( n = 54/67, 81%), viewed the initiation of additional intravenous antimicrobials as escalation of care ( n = 44/67, 66%), and believed decision-making should involve patients or surrogates and providers ( n = 64/67, 96%). Fifty-one percent ( n = 30/59) of respondents who conducted advance care planning did not discuss antimicrobials. Barriers to discussing end-of-life antimicrobials included the potential to overwhelm patients or families, challenges of withdrawing antimicrobials, and insufficient training. Conclusions: Although the initiation of additional intravenous antimicrobials was viewed as escalation of care, antimicrobials were not routinely discussed during advance care planning. Educational interventions that promote recognition of antimicrobial-associated adverse events, incorporate antimicrobial use into advance care plans, and offer communication simulation training around the role of antimicrobials during end-of-life care are warranted.



2019 ◽  
Vol 12 ◽  
pp. 1179173X1983335
Author(s):  
Cyrus Ahalt ◽  
Timothy Buisker ◽  
Janet Myers ◽  
Brie Williams

Background: In jails and prisons worldwide, older adults are among the fastest growing demographic groups. Criminal justice–involved populations smoke tobacco at high rates. Older adults are also disproportionate smokers and have more difficulty quitting smoking than other age groups. Yet, little is known about tobacco use or knowledge and attitudes toward smoking cessation among the growing population of incarcerated older adults. Methods: A descriptive, cross-sectional survey study of 102 adults aged 55 years or older recently incarcerated in an urban jail using items from the Global Adult Tobacco Survey (GATS). Results: More than 70% of participants reported being current smokers despite strong knowledge (95%) of the connection between smoking and serious illness. More than half of current smokers reported a past failed quit attempt (62%) and/or said they would like to quit (60%). Conclusions: High rates of tobacco use in this population suggest that correctional institutions represent a critical site for the delivery of appropriate smoking cessation interventions to older adults, including integrated treatment approaches for those with co-occurring behavioral health diagnoses.





Author(s):  
Tarja Heponiemi ◽  
Kia Gluschkoff ◽  
Tuulikki Vehko ◽  
Anu Kaihlanen ◽  
Kaija Saranto ◽  
...  


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