J. Med. Internet Res. - Relationship between health service use and health information technology use among older adults: analysis of the US National Health Interview Survey.

Tópicos

{ age(1611) year(1155) adult(843) }
{ data(2317) use(1299) case(1017) }
{ group(2977) signific(1463) compar(1072) }
{ ehr(2073) health(1662) electron(1139) }
{ patient(1821) servic(1111) care(1106) }
{ health(1844) social(1437) communiti(874) }
{ inform(2794) health(2639) internet(1427) }
{ studi(1410) differ(1259) use(1210) }
{ howev(809) still(633) remain(590) }
{ data(1737) use(1416) pattern(1282) }
{ take(945) account(800) differ(722) }
{ system(1050) medic(1026) inform(1018) }
{ state(1844) use(1261) util(961) }
{ medic(1828) order(1363) alert(1069) }
{ first(2504) two(1366) second(1323) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ survey(1388) particip(1329) question(1065) }
{ imag(1947) propos(1133) code(1026) }
{ measur(2081) correl(1212) valu(896) }
{ chang(1828) time(1643) increas(1301) }
{ concept(1167) ontolog(924) domain(897) }
{ design(1359) user(1324) use(1319) }
{ care(1570) inform(1187) nurs(1089) }
{ compound(1573) activ(1297) structur(1058) }
{ record(1888) medic(1808) patient(1693) }
{ patient(2837) hospit(1953) medic(668) }
{ use(1733) differ(960) four(931) }
{ activ(1452) weight(1219) physic(1104) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ can(981) present(881) function(850) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Older adults are the most frequent and heaviest users of health services in the United States; however, previous research on older adults' use of health information technology (HIT) has not examined the possible association of HIT use among older adults with their use of health services.OBJECTIVE: This study examined the relationship between US older adults' use of health services and their use of the Internet for health-related activities, controlling for socioeconomic characteristics and aging-related limitations in sensory and cognitive function. It also examined gender differences in the pattern of association between the types of health services used and HIT use.METHODS: The data for this study were drawn from the 2009 US National Health Interview Survey (NHIS), which was the first nationally representative household survey to collect data on HIT (Internet) use. First, the rates of lifetime and 12-month HIT use among sample adults (n = 27,731) by age group (18-29 to 85 and over) were analyzed. Second, bivariate analysis of sociodemographic characteristics, health status, and health service use by HIT use status among those aged 65 or older (n = 5294) was conducted. Finally, multivariate binary logistic regression analysis was used to test the study hypotheses with 12-month HIT use as the dependent variable and 12-month health service uses among the age group 65 or older as possible correlates.RESULTS: The rates of HIT use were significantly lower among the age groups 65 or older compared with the younger age groups, although the age group 55 to 64 was not different from those younger. The rates of HIT use decreased from 32.2% in the age group 65 to 74 to 14.5% in the age group 75 to 84 and 4.9% in the 85 and older age group. For both genders, having seen or talked to a general practitioner increased the odds of HIT use. However, having seen or talked to a medical specialist, eye doctor, or physical therapist/occupational therapist (PT/OT) were significantly associated with HIT use only for older women, while having seen or talked to a mental health professional only marginally increased the odds of HIT use only for older men. Having visited or talked to a chiropractor and having had overnight hospitalization, surgery, and/or homecare services were not associated with the odds of HIT use for either gender.CONCLUSIONS: Older-adult users of general health services were more likely to use HIT than nonusers of general health services, while older-adult users of specialized health services were not different from nonusers of specialized health services in their odds of HIT use. The findings have implications for narrowing the age-related and socioeconomic status-related gaps in HIT use. The access gaps among racial/ethnic minority older adults and poorly educated and/or low-income older adults are especially striking and call for concerted efforts to facilitate Internet access and HIT use among these disadvantaged older adults.

Resumo Limpo

ckground older adult frequent heaviest user health servic unit state howev previous research older adult use health inform technolog hit examin possibl associ hit use among older adult use health servicesobject studi examin relationship us older adult use health servic use internet healthrel activ control socioeconom characterist agingrel limit sensori cognit function also examin gender differ pattern associ type health servic use hit usemethod data studi drawn us nation health interview survey nhis first nation repres household survey collect data hit internet use first rate lifetim month hit use among sampl adult n age group analyz second bivari analysi sociodemograph characterist health status health servic use hit use status among age older n conduct final multivari binari logist regress analysi use test studi hypothes month hit use depend variabl month health servic use among age group older possibl correlatesresult rate hit use signific lower among age group older compar younger age group although age group differ younger rate hit use decreas age group age group older age group gender seen talk general practition increas odd hit use howev seen talk medic specialist eye doctor physic therapistoccup therapist ptot signific associ hit use older women seen talk mental health profession margin increas odd hit use older men visit talk chiropractor overnight hospit surgeri andor homecar servic associ odd hit use either genderconclus olderadult user general health servic like use hit nonus general health servic olderadult user special health servic differ nonus special health servic odd hit use find implic narrow agerel socioeconom statusrel gap hit use access gap among racialethn minor older adult poor educ andor lowincom older adult especi strike call concert effort facilit internet access hit use among disadvantag older adult

Resumos Similares

J. Med. Internet Res. - The digital divide among low-income homebound older adults: Internet use patterns, eHealth literacy, and attitudes toward computer/Internet use. ( 0,843968585340219 )
Int J Health Geogr - Association of duration of residence in the southeastern United States with chronic kidney disease may differ by race: the REasons for Geographic and Racial Differences in Stroke (REGARDS) cohort study. ( 0,815068717106026 )
J. Med. Internet Res. - Online health-searching behavior among HIV-seropositive and HIV-seronegative men who have sex with men in the Baltimore and Washington, DC area. ( 0,802571894817781 )
J. Med. Internet Res. - Computer skills and internet use in adults aged 50-74 years: influence of hearing difficulties. ( 0,788481773407552 )
Health Informatics J - Factors influencing Internet usage in older adults (65 years and above) living in rural and urban Sweden. ( 0,769630859871282 )
Telemed J E Health - Men calling healthline. ( 0,763322808360159 )
Med Decis Making - Subjective numeracy and preference to stay with the status quo. ( 0,741920942072779 )
Int J Med Inform - Older adults: are they ready to adopt health-related ICT? ( 0,734973221138081 )
Telemed J E Health - E-health use in african american internet users: can new tools address old disparities? ( 0,733962248165062 )
Spat Spatiotemporal Epidemiol - Imputational modeling of spatial context and social environmental predictors of walking in an underserved community: the PATH trial. ( 0,726979975372195 )
J. Med. Internet Res. - Internet use among older adults: association with health needs, psychological capital, and social capital. ( 0,726620974829934 )
Comput. Biol. Med. - Indicators of hypertriglyceridemia from anthropometric measures based on data mining. ( 0,726202057376349 )
Int J Health Geogr - Changing patterns in the association between regional socio-economic context and dental caries experience according to gender and age: a multilevel study in Korean adults. ( 0,722058541273775 )
Comput Math Methods Med - Use of CHAID decision trees to formulate pathways for the early detection of metabolic syndrome in young adults. ( 0,719821836067856 )
Telemed J E Health - A U.K. case study of who uses NHS direct: investigating the impact of age, gender, and deprivation on the utilization of NHS direct. ( 0,718478298371063 )
Int J Health Geogr - Neighborhood level risk factors for type 1 diabetes in youth: the SEARCH case-control study. ( 0,708236317320856 )
Int J Comput Assist Radiol Surg - Use of normative distribution of gray to white matter ratio in orthogonal planes in human brain studies and computer-assisted neuroradiology. ( 0,700193406063986 )
Telemed J E Health - Comparative effectiveness study to assess two examination modalities used to detect dental caries in preschool urban children. ( 0,696716549940656 )
J Telemed Telecare - Effects of a telehealth programme using mobile data transmission on primary healthcare utilisation among children in Bamako, Mali. ( 0,695002684980875 )
Med Decis Making - Health-Related Quality of Life in HIV-Infected and At-Risk Women: The Impact of Illicit Drug Use and Hepatitis C on a Community Preference Weighted Measure. ( 0,692999730706064 )
Int J Health Geogr - Spatial epidemiology of dry eye disease: findings from South Korea. ( 0,690428255929257 )
J. Med. Internet Res. - Recruitment via the Internet and social networking sites: the 1989-1995 cohort of the Australian Longitudinal Study on Women's Health. ( 0,690059343576279 )
J Am Med Inform Assoc - Social disparities in internet patient portal use in diabetes: evidence that the digital divide extends beyond access. ( 0,688275697497246 )
Comput Math Methods Med - Association of perceived stress with stressful life events, lifestyle and sociodemographic factors: a large-scale community-based study using logistic quantile regression. ( 0,687703970273743 )
Med Biol Eng Comput - Quantitative geometric analysis of rib, costal cartilage and sternum from childhood to teenagehood. ( 0,682779687062573 )
J. Med. Internet Res. - Impact of internet use on loneliness and contact with others among older adults: cross-sectional analysis. ( 0,680532568850436 )
J. Med. Internet Res. - Internet access and use in adults with hearing loss. ( 0,679989984482998 )
J Telemed Telecare - Teleconsulting for minor head injury: the Piedmont experience. ( 0,677016985344733 )
J. Med. Internet Res. - Subdividing the digital divide: differences in internet access and use among rural residents with medical limitations. ( 0,675033246180548 )
J. Med. Internet Res. - Personal health record reach in the Veterans Health Administration: a cross-sectional analysis. ( 0,673617852943584 )
J. Med. Internet Res. - Impact of the presence of medical equipment in images on viewers' perceptions of the trustworthiness of an individual on-screen. ( 0,672142903769322 )
J Telemed Telecare - Paediatric health calls to Swedish telenurses: a descriptive study of content and outcome. ( 0,669334813544057 )
AMIA Annu Symp Proc - Integrating public data sets for analysis of maternal airborne environmental exposures and stillbirth. ( 0,668585664216845 )
J Clin Monit Comput - Effective hypertensive treatment using data mining in Saudi Arabia. ( 0,668134417640492 )
J. Med. Internet Res. - Patient ability and willingness to participate in a web-based intervention to improve hypertension control. ( 0,664416933995446 )
Int J Health Geogr - People living in hilly residential areas in metropolitan Perth have less diabetes: spurious association or important environmental determinant? ( 0,664188219190352 )
J. Med. Internet Res. - Who participates in Web-assisted tobacco interventions? The QUIT-PRIMO and National Dental Practice-Based Research Network Hi-Quit studies. ( 0,663481909782238 )
J Clin Monit Comput - Influence of age and gender on autonomic regulation of heart. ( 0,660492428998392 )
Med Decis Making - Numbers matter to informed patient choices: a randomized design across age and numeracy levels. ( 0,655414473266114 )
Comput. Biol. Med. - Neural network analysis of employment history as a risk factor for prostate cancer. ( 0,652828699197112 )
Telemed J E Health - Characteristics of patients who seek care via eVisits instead of office visits. ( 0,650769942446939 )
J. Med. Internet Res. - How an online intervention to prevent excessive gestational weight gain is used and by whom: a randomized controlled process evaluation. ( 0,643710931584708 )
Telemed J E Health - A retrospective study on patient characteristics and telehealth alerts indicative of key medical events for heart failure patients at a home health agency. ( 0,642011060683671 )
Med Decis Making - Rating the preferences for potential harms of treatments for cardiovascular disease: a survey of community-dwelling adults. ( 0,634968505202899 )
Int J Health Geogr - Neighborhood food environment and body mass index among Japanese older adults: results from the Aichi Gerontological Evaluation Study (AGES). ( 0,634326161334726 )
Int J Health Geogr - Ambulatory health services utilization in patients with dementia - Is there an urban-rural difference? ( 0,632729355321617 )
J. Med. Internet Res. - Online schools and children with special health and educational needs: comparison with performance in traditional schools. ( 0,632254960448647 )
J. Med. Internet Res. - Web-based recruiting for health research using a social networking site: an exploratory study. ( 0,631212608253644 )
BMC Med Inform Decis Mak - Combinational risk factors of metabolic syndrome identified by fuzzy neural network analysis of health-check data. ( 0,630648787162406 )
Telemed J E Health - Measuring adjusted quality of life in telemedicine. ( 0,628180528158044 )
J Am Med Inform Assoc - Patient-provider communication and trust in relation to use of an online patient portal among diabetes patients: The Diabetes and Aging Study. ( 0,628051733370185 )
Med Decis Making - Thinking about numbers is not my idea of fun: need for cognition mediates age differences in numeracy performance. ( 0,626503933195079 )
J. Med. Internet Res. - Determinants of follow-up participation in the Internet-based European influenza surveillance platform Influenzanet. ( 0,625468654821043 )
Spat Spatiotemporal Epidemiol - The association between the density of retail tobacco outlets, individual smoking status, neighbourhood socioeconomic status and school locations in New South Wales, Australia. ( 0,623133200603998 )
J. Med. Internet Res. - Online health information seeking behaviors of Hispanics in New York City: a community-based cross-sectional study. ( 0,622666161959244 )
Int J Health Geogr - A case-referent study: light at night and breast cancer risk in Georgia. ( 0,619041178585533 )
Int J Health Geogr - Characteristics of residential areas and transportational walking among frail and non-frail Dutch elderly: does the size of the area matter? ( 0,614305663468264 )
J. Med. Internet Res. - Trust in the internet as a health resource among older adults: analysis of data from a nationally representative survey. ( 0,613943961822272 )
BMC Med Inform Decis Mak - Increasing utilization of Internet-based resources following efforts to promote evidence-based medicine: a national study in Taiwan. ( 0,612888963462607 )
Int J Health Geogr - Spatial autocorrelation in uptake of antenatal care and relationship to individual, household and village-level factors: results from a community-based survey of pregnant women in six districts in western Kenya. ( 0,611378708151781 )
BMC Med Inform Decis Mak - Community-level determinants of obesity: harnessing the power of electronic health records for retrospective data analysis. ( 0,610616714141535 )
J Innov Health Inform - Characteristics of electronic patient-provider messaging system utilisation in an urban health care organisation. ( 0,609408857860502 )
Comput. Biol. Med. - A preliminary study on the differences in male and female muscle force distribution patterns during squatting and lunging maneuvers. ( 0,609235168076269 )
Methods Inf Med - Statistical process control for monitoring standardized mortality ratios of a classification tree model. ( 0,605948968376025 )
J. Med. Internet Res. - Motives for participating in a web-based nutrition cohort according to sociodemographic, lifestyle, and health characteristics: the NutriNet-Sant? cohort study. ( 0,605172657349987 )
Med Biol Eng Comput - Quantitative differences in intervertebral disc-matrix composition with age-related degeneration. ( 0,604890858014506 )
Comput. Biol. Med. - The diagnostics of diabetes mellitus based on ensemble modeling and hair/urine element level analysis. ( 0,603894188519236 )
Comput. Biol. Med. - Results on mining NHANES data: a case study in evidence-based medicine. ( 0,602070547718427 )
J Am Med Inform Assoc - Care transitions as opportunities for clinicians to use data exchange services: how often do they occur? ( 0,597977552447947 )
J. Med. Internet Res. - Making sense of mobile- and web-based wellness information technology: cross-generational study. ( 0,597780239341096 )
Comput. Biol. Med. - Prediction of metabolic syndrome using artificial neural network system based on clinical data including insulin resistance index and serum adiponectin. ( 0,597769326710688 )
J. Med. Internet Res. - Web-based counseling for problem gambling: exploring motivations and recommendations. ( 0,595210753869252 )
J. Med. Internet Res. - Correlates of health-related social media use among adults. ( 0,594287736489087 )
Int J Health Geogr - Spatial epidemiology of hospital-diagnosed brucellosis in Kampala, Uganda. ( 0,593807460202957 )
Int J Health Geogr - A spatial epidemiological analysis of self-rated mental health in the slums of Dhaka. ( 0,591760215423941 )
J. Med. Internet Res. - Characterizing the followers and tweets of a marijuana-focused Twitter handle. ( 0,59108119365072 )
Telemed J E Health - Reactions to a remote-controlled video-communication robot in seniors' homes: a pilot study of feasibility and acceptance. ( 0,589203538388591 )
Telemed J E Health - Improving older adults' experience with interactive voice response systems. ( 0,588446787006889 )
Artif Intell Med - Prediction of body mass index status from voice signals based on machine learning for automated medical applications. ( 0,588219184994183 )
Int J Med Inform - Perspectives on wellness self-monitoring tools for older adults. ( 0,586888726044992 )
Methods Inf Med - Assessing older adults' perceptions of sensor data and designing visual displays for ambient environments. An exploratory study. ( 0,586646814852004 )
J. Med. Internet Res. - Baby boomers' adoption of consumer health technologies: survey on readiness and barriers. ( 0,584288630510008 )
BMC Med Inform Decis Mak - Detecting referral and selection bias by the anonymous linkage of practice, hospital and clinic data using Secure and Private Record Linkage (SAPREL): case study from the evaluation of the Improved Access to Psychological Therapy (IAPT) service. ( 0,583018544466471 )
J. Med. Internet Res. - Consumers' perceptions about and use of the internet for personal health records and health information exchange: analysis of the 2007 Health Information National Trends Survey. ( 0,582701043081659 )
Telemed J E Health - Older people's attitudes toward interactive voice response systems. ( 0,579196240590328 )
J. Med. Internet Res. - Who uses physician-rating websites? Differences in sociodemographic variables, psychographic variables, and health status of users and nonusers of physician-rating websites. ( 0,576660453054835 )
Inform Health Soc Care - Pregnant women's use of the internet in relation to their pregnancy in Izmir, Turkey. ( 0,57573848917247 )
J Med Syst - An acoustical evaluation of knee sound for non-invasive screening and early detection of articular pathology. ( 0,574285734268352 )
J. Med. Internet Res. - Internet and mobile technology use among urban African American parents: survey study of a clinical population. ( 0,574101659651577 )
J Am Med Inform Assoc - Clinician characteristics and use of novel electronic health record functionality in primary care. ( 0,572395849337695 )
J Am Med Inform Assoc - Use of the internet and an online personal health record system by US veterans: comparison of Veterans Affairs mental health service users and other veterans nationally. ( 0,571375340906543 )
Int J Health Geogr - The proportion of youths' physical inactivity attributable to neighbourhood built environment features. ( 0,571302102300436 )
J. Med. Internet Res. - Using the Internet to help with diet, weight, and physical activity: results from the Health Information National Trends Survey (HINTS). ( 0,570703504102305 )
Med Biol Eng Comput - Age estimation using cortical surface pattern combining thickness with curvatures. ( 0,570477118798804 )
J Telemed Telecare - Use of a homecare electronic health record to find associations between patient characteristics and re-hospitalizations in patients with heart failure using telehealth. ( 0,56749345185948 )
Inform Health Soc Care - Requirements of older adults for a daily use of an internet-based cognitive training platform. ( 0,567023417545606 )
Telemed J E Health - Making the invisible visible: near-infrared spectroscopy and phlebotomy in children. ( 0,563787589842456 )
IEEE J Biomed Health Inform - Identification of the Best Anthropometric Predictors of Serum High- and Low-Density Lipoproteins Using Machine Learning. ( 0,563519233657176 )
J Am Med Inform Assoc - Patient characteristics associated with venous thromboembolic events: a cohort study using pooled electronic health record data. ( 0,562665073557398 )
Int J Med Inform - Who is NOT likely to access the Internet for health information? Findings from first-time mothers in southwest Sydney, Australia. ( 0,560965640080781 )