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      Perspectives on User Experience for a Nation-wide Senior Telehealth Program

      , , , ,

      Proceedings of the 30th International BCS Human Computer Interaction Conference (HCI)


      11 - 15 July 2016

      Telehealth, User experience design, Qualitative study, Seniors, Integrated personal health records

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          Prior evidence shows that senior people accept technology and enjoy self-monitoring. Home telehealth support increases their confidence and sense of security. The use of communication technologies plays an important role avoiding isolation and loneliness. This paper presents a qualitative study of 7 seniors, 4 nurses, 2 physicians and the program manager of a nation-wide senior telehealth program. The program targets the follow-up of senior people aged over 70 years old with about 24.000 participants. In order to minimize social isolation and promote healthy behaviours, nurses contact seniors through periodical phone-calls, applying a comprehensive geriatric assessment to evaluate their physical, mental and social wellbeing. Our findings show and compare the perspectives from the several program stakeholders, evaluating their interest in the adoption of a complementary web channel with an integrated personal health record. We present user experience concerns and directions that derive from the interviews’ outcomes of our study to design senior telehealth multi-channel platforms.

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          Most cited references 33

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          Potential of electronic personal health records.

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            Integrated Personal Health Records: Transformative Tools for Consumer-Centric Care

            Background Integrated personal health records (PHRs) offer significant potential to stimulate transformational changes in health care delivery and self-care by patients. In 2006, an invitational roundtable sponsored by Kaiser Permanente Institute, the American Medical Informatics Association, and the Agency for Healthcare Research and Quality was held to identify the transformative potential of PHRs, as well as barriers to realizing this potential and a framework for action to move them closer to the health care mainstream. This paper highlights and builds on the insights shared during the roundtable. Discussion While there is a spectrum of dominant PHR models, (standalone, tethered, integrated), the authors state that only the integrated model has true transformative potential to strengthen consumers' ability to manage their own health care. Integrated PHRs improve the quality, completeness, depth, and accessibility of health information provided by patients; enable facile communication between patients and providers; provide access to health knowledge for patients; ensure portability of medical records and other personal health information; and incorporate auto-population of content. Numerous factors impede widespread adoption of integrated PHRs: obstacles in the health care system/culture; issues of consumer confidence and trust; lack of technical standards for interoperability; lack of HIT infrastructure; the digital divide; uncertain value realization/ROI; and uncertain market demand. Recent efforts have led to progress on standards for integrated PHRs, and government agencies and private companies are offering different models to consumers, but substantial obstacles remain to be addressed. Immediate steps to advance integrated PHRs should include sharing existing knowledge and expanding knowledge about them, building on existing efforts, and continuing dialogue among public and private sector stakeholders. Summary Integrated PHRs promote active, ongoing patient collaboration in care delivery and decision making. With some exceptions, however, the integrated PHR model is still a theoretical framework for consumer-centric health care. The authors pose questions that need to be answered so that the field can move forward to realize the potential of integrated PHRs. How can integrated PHRs be moved from concept to practical application? Would a coordinating body expedite this progress? How can existing initiatives and policy levers serve as catalysts to advance integrated PHRs?
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              Investigating the effectiveness of technologies applied to assist seniors: A systematic literature review.

              Recently, a number of Information and Communication Technologies have emerged with the aim to provide innovative and efficient ways to help seniors in their daily life and to reduce the cost of healthcare. Studies have been conducted to introduce an assistive technology to support seniors and to investigate the acceptance of these assistive technologies; however, research illustrating the effectiveness of assistive technologies is scant.

                Author and article information

                July 2016
                July 2016
                : 1-12
                NOVA LINCS, DI

                Faculdade de Ciências e Tecnologia

                Universidade Nova de Lisboa

                2829-516 Caparica, Portugal
                LaSIGE, DI

                Faculdade de Ciências

                Universidade de Lisboa

                1749-016 Lisboa, Portugal
                Nova Medical School

                Universidade Nova de Lisboa

                1600-079 Lisboa, Portugal
                Hospital Professor

                Dr. Fernando Fonseca

                2720-276 Amadora, Portugal
                © Rodolfo et al. Published by BCS Learning and Development Ltd. Proceedings of British HCI 2016 Conference Fusion, Bournemouth, UK

                This work is licensed under a Creative Commons Attribution 4.0 Unported License. To view a copy of this license, visit

                Proceedings of the 30th International BCS Human Computer Interaction Conference
                Bournemouth University, Poole, UK
                11 - 15 July 2016
                Electronic Workshops in Computing (eWiC)
                Product Information: 1477-9358BCS Learning & Development
                Self URI (journal page):
                Electronic Workshops in Computing


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