Int J Med Inform - Supporting medical communication for older patients with a shared touch-screen computer.

Tópicos

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Resumo

JECTIVE: Increasingly health care facilities are adopting electronic medical record systems and installing computer workstations in patient exam rooms. The introduction of computer workstations into the medical interview process makes it important to consider the impact of such technology on older patients as well as new types of interfaces that may better suit the needs of older adults. While many older adults are comfortable with a traditional computer workstation with a keyboard and mouse, this article explores how a large horizontal touch-screen (i.e., a surface computer) may suit the needs of older patients and facilitates the doctor-patient interview process.METHOD: Twenty older adults (age 60 to 88) used a prototype multiuser, multitouch system in our research laboratory to examine seven health care scenarios. Behavioral observations as well as results from questionnaires and a structured interview were analyzed.RESULTS: The older adults quickly adapted to the prototype system and reported that it was easy to use. Participants also suggested that having a shared view of one's medical records, especially charts and images, would enhance communication with their doctor and aid understanding.CONCLUSION: While this study is exploratory and some areas of interaction with a surface computer need to be refined, the technology is promising for sharing electronic patient information during medical interviews involving older adults. Future work must examine doctors' and nurses' interaction with the technology as well as logistical issues of installing such a system in a real world medical setting.

Resumo Limpo

jectiv increas health care facil adopt electron medic record system instal comput workstat patient exam room introduct comput workstat medic interview process make import consid impact technolog older patient well new type interfac may better suit need older adult mani older adult comfort tradit comput workstat keyboard mous articl explor larg horizont touchscreen ie surfac comput may suit need older patient facilit doctorpati interview processmethod twenti older adult age use prototyp multius multitouch system research laboratori examin seven health care scenario behavior observ well result questionnair structur interview analyzedresult older adult quick adapt prototyp system report easi use particip also suggest share view one medic record especi chart imag enhanc communic doctor aid understandingconclus studi exploratori area interact surfac comput need refin technolog promis share electron patient inform medic interview involv older adult futur work must examin doctor nurs interact technolog well logist issu instal system real world medic set

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