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      Healthy ageing supported by technology – a cross-disciplinary research challenge

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          Abstract

          During the last decade, the challenges of an ageing society became focus for extensive scientific, public and political discussions. From discussions in scientific fora within each discipline, there is now a shift towards cross-disciplinary scientific approaches. The aim of this article is therefore, to collect and describe different scientific viewpoints in this regard and to point out research gaps to be addressed in the future. The article is based on a number of review articles and keynote lectures given by the author, and complemented with informal interviews of experts from different scientific fields engaged in the field of technology and ageing. Results show that research has emerged from being technology-focussed to scenario-based taking different scientific perspectives into account. However, the biggest challenge still is to accommodate the need for a holistic integrated service which means to provide personalised services and adapt technology and content to individual needs of different stakeholders. Further, cross-disciplinary research is needed that relates informatics and technology to different stages of the aging process and that evaluates the effects of proposed technical solutions.

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          Most cited references55

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          A research agenda for personal health records (PHRs).

          Patients, policymakers, providers, payers, employers, and others have increasing interest in using personal health records (PHRs) to improve healthcare costs, quality, and efficiency. While organizations now invest millions of dollars in PHRs, the best PHR architectures, value propositions, and descriptions are not universally agreed upon. Despite widespread interest and activity, little PHR research has been done to date, and targeted research investment in PHRs appears inadequate. The authors reviewed the existing PHR specific literature (100 articles) and divided the articles into seven categories, of which four in particular--evaluation of PHR functions, adoption and attitudes of healthcare providers and patients towards PHRs, PHR related privacy and security, and PHR architecture--present important research opportunities. We also briefly discuss other research related to PHRs, PHR research funding sources, and PHR business models. We believe that additional PHR research can increase the likelihood that future PHR system deployments will beneficially impact healthcare costs, quality, and efficiency.
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            When do older adults turn to the internet for health information? Findings from the Wisconsin Longitudinal Study.

            Understanding how and when patients use nonphysician sources of health information is important to facilitate shared decision making within provider outpatient visits. However, little is known about which older adults seek health information on the internet or when. To determine how patient characteristics are related to seeking health information online and to the timing of these searches in relation to doctor visits. Six thousand two hundred and seventy-nine respondents (aged 63 to 66 years) who completed the 2004 round of phone and mail surveys (70% response) as part of the Wisconsin Longitudinal Study Graduate Sample. Self-reported use of the internet to search for health information and timing of use. One-third of respondents had searched online for information about their own health or health care. Half of these searched for health information unrelated to their last doctor visit, while 1/3 searched after a visit, and 1/6 searched before. Among respondents with internet access at home or work, years of education (odds ratio [OR]=1.09, confidence interval [CI]=1.06 to 1.13) and openness-to-experience (OR=1.26, CI=1.16 to 1.36) were positively associated with searching online for health information irrespective of timing in relation to doctor visits. Compared with those who had never sought health information online, sicker individuals (especially those with cancer, OR=1.51, CI=1.14 to 1.99) were more likely to seek information online after a doctor visit. Attitudinal and personality factors were related to seeking health information online before or unrelated to a visit. There are important differences in the timing of online health information searches by psychological and health characteristics among older adults with internet access.
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              Early experiences with personal health records.

              Over the past year, several payers, employers, and commercial vendors have announced personal health record projects. Few of these are widely deployed and few are fully integrated into ambulatory or hospital-based electronic record systems. The earliest adopters of personal health records have many lessons learned that can inform these new initiatives. We present three case studies--MyChart at Palo Alto Medical Foundation, PatientSite at Beth Israel Deaconess Medical Center, and Indivo at Children's Hospital Boston. We describe our implementation challenges from 1999 to 2007 and postulate the evolving challenges we will face over the next five years.
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                Author and article information

                Journal
                Inform Health Soc Care
                Inform Health Soc Care
                MIF
                Informatics for Health & Social Care
                Informa Healthcare
                1753-8157
                1753-8165
                September 2010
                6 December 2010
                : 35
                : 3-4
                : 81-91
                Affiliations
                Health Informatics Centre, LIME, Karolinska Institutet , Stockholm, Sweden
                Author notes
                Correspondence: Sabine Koch, Health Informatics Centre , LIME, 171 77 Karolinska institutet, Sweden. Tel: +46-8-524-87149. Mobile: +46-73-629-7586. E-mail: sabine.koch@ 123456ki.se

                The motivation to write this manuscript was an introductory keynote given by the author at the Conference on ‘Ageing and Technology’ at the University of Vechta, Germany. This Conference took part during 23–25 March 2010, organised by the Lower Saxony Research Network ‘Design of Environments for Ageing’.

                Article
                10.3109/17538157.2010.528646
                3793263
                21133765
                378d9159-5722-47d8-8450-1a08dc46b978
                © 2010 Informa UK, Ltd.

                This is an open-access article distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the source is credited.

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                ageing,consumer health information,independent living,medical informatics,technology

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