scholarly journals Internet and Health Information Technology Use and Psychological Distress Among Older Adults With Self-Reported Vision Impairment: Case-Control Study (Preprint)

2019 ◽  
Author(s):  
Namkee G Choi ◽  
Diana M DiNitto ◽  
Othelia EunKyoung Lee ◽  
Bryan Y Choi
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Information Technology ◽  
Psychological Distress ◽  
Health Information ◽  
Health Care Services ◽  
Vision Impairment ◽  
The Internet ◽  
Socioeconomically Disadvantaged ◽  
Care Services

BACKGROUND The number of older adults with vision impairment (VI) is growing. As health care services increasingly call for patients to use technology, it is important to examine internet/health information technology (HIT) use among older adults with VI. OBJECTIVE This study aimed to examine (1) the rates of internet/HIT use among older adults with VI compared with a matched sample of their peers without VI, (2) associations of VI with internet/HIT use, and (3) association of HIT use with psychological distress, assessed with the Kessler-6 screen. METHODS Data were obtained from the 2013 to 2018 US National Health Interview Survey. Older adults (aged ≥65 years) with self-reported VI were matched with older adults without VI, in a 1:1 ratio, based on age, sex, number of chronic medical conditions, and functional limitations (N=2866). Descriptive statistics and multivariable logistic regression models, with sociodemographic factors, health conditions, health insurance type, and health care service use as covariates, were used to examine the research questions. RESULTS In total, 3.28% of older adults (compared with 0.84% of those aged 18-64 years) reported VI, and 25.7% of them were aged ≥85 years. Those with VI were significantly more socioeconomically disadvantaged than those without VI and less likely to use the internet (adjusted odds ratio [aOR] 0.64, 95% CI0.49-0.83) and HIT (aOR 0.74, 95% CI 0.56-0.97). However, among internet users, VI was not associated with HIT use. HIT use was associated with lower odds of mild/moderate or serious psychological distress (aOR 0.62, 95% CI 0.43-0.90), whereas VI was associated with greater odds of mild/moderate or serious distress (aOR 1.84, 95% CI 1.36-2.49). Health care provider contacts were also associated with higher odds of internet or HIT use. CONCLUSIONS Compared with their matched age peers without VI, older adults with VI are less likely to use HIT because they are less likely to use the internet. Socioeconomically disadvantaged older adults experiencing a digital divide need help to access information and communication technologies through a fee waiver or subsidy to cover internet equipment and subscription and ensure continuous connectivity. Older adults with VI who do not know how to use the internet/HIT but want to learn should be provided instruction, with special attention to accessibility features and adaptive devices. Older adults with a low income also need better access to preventive eye care and treatment of VI as well as other health care services.

scholarly journals Internet and Health Information Technology Use and Psychological Distress Among Older Adults With Self-Reported Vision Impairment: Case-Control Study

10.2196/17294 ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. e17294 ◽  
Author(s):  
Namkee G Choi ◽  
Diana M DiNitto ◽  
Othelia EunKyoung Lee ◽  
Bryan Y Choi
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Information Technology ◽  
Psychological Distress ◽  
Health Information ◽  
Health Care Services ◽  
Vision Impairment ◽  
The Internet ◽  
Socioeconomically Disadvantaged ◽  
Care Services

Background The number of older adults with vision impairment (VI) is growing. As health care services increasingly call for patients to use technology, it is important to examine internet/health information technology (HIT) use among older adults with VI. Objective This study aimed to examine (1) the rates of internet/HIT use among older adults with VI compared with a matched sample of their peers without VI, (2) associations of VI with internet/HIT use, and (3) association of HIT use with psychological distress, assessed with the Kessler-6 screen. Methods Data were obtained from the 2013 to 2018 US National Health Interview Survey. Older adults (aged ≥65 years) with self-reported VI were matched with older adults without VI, in a 1:1 ratio, based on age, sex, number of chronic medical conditions, and functional limitations (N=2866). Descriptive statistics and multivariable logistic regression models, with sociodemographic factors, health conditions, health insurance type, and health care service use as covariates, were used to examine the research questions. Results In total, 3.28% of older adults (compared with 0.84% of those aged 18-64 years) reported VI, and 25.7% of them were aged ≥85 years. Those with VI were significantly more socioeconomically disadvantaged than those without VI and less likely to use the internet (adjusted odds ratio [aOR] 0.64, 95% CI0.49-0.83) and HIT (aOR 0.74, 95% CI 0.56-0.97). However, among internet users, VI was not associated with HIT use. HIT use was associated with lower odds of mild/moderate or serious psychological distress (aOR 0.62, 95% CI 0.43-0.90), whereas VI was associated with greater odds of mild/moderate or serious distress (aOR 1.84, 95% CI 1.36-2.49). Health care provider contacts were also associated with higher odds of internet or HIT use. Conclusions Compared with their matched age peers without VI, older adults with VI are less likely to use HIT because they are less likely to use the internet. Socioeconomically disadvantaged older adults experiencing a digital divide need help to access information and communication technologies through a fee waiver or subsidy to cover internet equipment and subscription and ensure continuous connectivity. Older adults with VI who do not know how to use the internet/HIT but want to learn should be provided instruction, with special attention to accessibility features and adaptive devices. Older adults with a low income also need better access to preventive eye care and treatment of VI as well as other health care services.

scholarly journals Role of contemporary technologies in health care knowledge management: a review

2020 ◽  
Vol 6 (9) ◽  
pp. 366
Author(s):  
Muluneh E. Gizaw ◽  
Getachew W. Tessema
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Knowledge Management ◽  
Health Information ◽  
Quality Of Health Care ◽  
Health Care Services ◽  
Scale Up ◽  
Content Management ◽  
Care Services

<p>The emergence of knowledge management (KM) technologies has been enabling health care sectors to promote effective management of knowledge and provide evidence-based medicine for improving service deliveries. As a result, the health care industry is increasingly becoming a knowledge-based community that depends critically on using technologies to KM activities. This paper attempts to review various literatures and gives an intellectual background to the study from various studies conducted by different researchers on the thoughts of various KM technologies in health systems. According to the study, technologies play a prominent role in health care sectors in utilizing their organizational and personal knowledge effectively which in turn enhances the quality of health care services. The usage and practice of KM in the health sector is increasingly promoted due to the emergence of health information technology. There are number of information technology solutions that assist healthcare sectors in knowledge management. Health care portals, search engines, retrieval and classification tools, e-collaboration tools, content management systems and other technologies are widely employed to manage the massive and ongoing health information and share it with their users. Therefore, it is indispensable to pay special attention in using these technologies to manage organizational and individual knowledge available within and outside healthcare organization. Overall, this study has proved that information and communication technology are valuable to support and scale up knowledge management processes for the effectiveness and quality of health care services.</p>

A Follow up to Semi-Automatic Systems for Exchanging Health Information

2016 ◽  
pp. 1316-1334
Author(s):  
Dimitrios Emmanouil ◽  
Antonia Mourtzikou
Keyword(s):  
Health Care ◽  
Health Information ◽  
Mobile Devices ◽  
Automatic System ◽  
Health Care Services ◽  
Care Services ◽  
Fully Automatic ◽  
Citizen Service ◽  
Automatic Systems

The present research is an attempt to explore the applicability of the best possible service in the area of organized health care services, at fixed predefined points of service. The suggestion is that there should be a system that will receive and provide information about health matters of general public concern. Thus following the lead of Citizen Service Centers in Greece, it can be extended conveniently to mobile devices. The main survey was conducted on a sample of Municipalities and Citizens in the year 2013. The results indicate that the new proposed system could be more secure for citizens for future use, based on supervising procedure by proper employee who will provide more help to the users, instead of a fully automatic system.

Later Life Care Planning and Concerns of Transgender Older Adults in Canada

2019 ◽  
Vol 89 (1) ◽  
pp. 39-56 ◽  
Author(s):  
Celeste Pang ◽  
Gloria Gutman ◽  
Brian de Vries
Keyword(s):  
Older Adults ◽  
Health Care ◽  
End Of Life Care ◽  
Health Care Services ◽  
Later Life ◽  
Care Planning ◽  
Life Care ◽  
Transgender People ◽  
Care Services ◽  
Transgender Persons

While the particular health-care concerns of transgender people have been documented and transgender aging is an emerging area of scholarship, little is known about planning for later and end-of-life care among transgender older adults. As part of a larger project, focus groups and interviews were conducted with 24 transgender older adults (average age 70 years) living in five cities in Canada exploring their concerns and explicit plans for later life care. Three primary themes emerged: (a) “dealing with the day-to-day” reflecting economic precarity and transitioning in later life, (b) fractures and support within family and community, and (c) “there’s a huge gap between principle and practice” reflecting mixed experiences and perceptions of health-care services. These themes suggest that effective promotion of care planning among older transgender persons requires an appreciation of the daily exigencies of their lives and the extent and nature of social support available to them.

P3-610: USE OF HEALTH CARE SERVICES AMONG OLDER ADULTS PARTICIPATING IN A MULTIDOMAIN LIFESTYLE INTERVENTION TO PREVENT COGNITIVE IMPAIRMENT (FINGER)

2006 ◽  
Vol 14 (7S_Part_25) ◽  
pp. P1363-P1363
Author(s):  
Tiia Ngandu ◽  
Jenni Kulmala ◽  
Riitta Antikainen ◽  
Tiina Laatikainen ◽  
Hilkka Soininen ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Cognitive Impairment ◽  
Lifestyle Intervention ◽  
Health Care Services ◽  
Care Services ◽  
Use Of Health Care

Redesigning acute care for cognitively impaired older adults: Optimizing health care services

Dementia ◽  
2016 ◽  
Vol 15 (5) ◽  
pp. 913-930 ◽  
Author(s):  
Michael A LaMantia ◽  
Malaz A Boustani ◽  
Shola Jhanji ◽  
Mungai Maina ◽  
Arif Nazir ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Acute Care ◽  
Health Care Services ◽  
Cognitively Impaired ◽  
Care Services

A Qualitative Investigation into the Use of Health Services among Melbourne Chinese

2001 ◽  
Vol 7 (3) ◽  
pp. 38 ◽  
Author(s):  
Bridget H-H. Hsu-Hage ◽  
K. C. Tang ◽  
Rebecca Jie Li ◽  
Vivian Lin ◽  
Tony Chow ◽  
...  
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Information ◽  
General Health ◽  
Health Care Services ◽  
Service Utilisation ◽  
Community Groups ◽  
Health Concerns ◽  
Care Services ◽  
Use Of Health Care

Understanding health service utilisation by community groups can be used to enhance cost-effective service delivery planning. In an inquiry into general health needs, and experiences with health service utilisation by Chinese living in Melbourne, we conducted a series of focus group discussions to explore community health-seeking behaviour. Seven focus groups were drawn from community groups and bilingual health workers in the period September-October 1999. Discussions were carried out in dialect familiar to the participants, facilitated by trained multilingual researchers, tape recorded and transcribed in Chinese and then translated into English. Cross validation was carried out by an independent researcher. Themes that emerged from these discussions included common pathways to care seeking, barriers to the use of health care services, general health concerns, and perceived validity of health information sources. Participants opt for self care when feeling unwell if the condition is perceived as ?not severe?. Use of over-the-counter medication is usually the first course of action. There is a tendency to ?wait and see? when feeling unwell. The use of Traditional Chinese Medicine Practitioners (TCMP) is common, while continuing to see Orthodox Western Medicine practitioners. There are, however, common concerns about the quality of care provided by TCM practitioners and their qualifications. Language, transport, and cost are among other barriers that undermine the use of health care services. Participants reported diabetes, heart disease risk factors, peptic ulcer, hay fever and asthma, poor vision, dental problems, social isolation, and gambling among the most common health concerns. Participants accepted health information from a wide range of sources and placed greater trust in material disseminated by SBS Chinese Radio Programs and the Chinese Health Foundation; an established community organisation run by voluntary health professionals. In conclusion, the study confirmed a number of patterns by which the Chinese community sought and utilised health services and associated factors.

scholarly journals Assessing the Health Needs of Chinese Older Adults: Findings from a Community-Based Participatory Research Study in Chicago's Chinatown

2010 ◽  
Vol 2010 ◽  
pp. 1-12 ◽  
Author(s):  
XinQi Dong ◽  
E-Shien Chang ◽  
Esther Wong ◽  
Bernarda Wong ◽  
Kimberly A. Skarupski ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Participatory Research ◽  
Health Care Services ◽  
Community Based Participatory Research ◽  
Health Sciences ◽  
Health Needs ◽  
Community Based ◽  
Chinese Older Adults ◽  
Care Services

The objective of this study is to examine the cultural views of healthy aging, knowledge and barriers to services, and perception of health sciences research among community-dwelling Chinese older adults in Chicago's Chinatown. This qualitative study is guided by the Precede-Proceed conceptual model with community-based participatory research design. Data analysis is based on eight focus group interviews with Chinese older (age60+) adults (n=78). We used a grounded theory framework to systematically guide the thematic structure of our data. Findings show participants described cultural conception of health in terms of physical function, psychological well-being, social support, and cognitive function. The availability, affordability, and cultural barriers towards health care services were major negative enabling factors that inhibit participants from fulfilling health needs. Perception and knowledge of health sciences research were also discussed. This study has implications for the delivery of culturally appropriate health care services to the Chinese aging population.

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