Electronic Health Information Exchange Opportunities for Self-management of Care: Responses from Older Adults With and Without Cancer History in the United States

  • Shirley M. Bluethmann
  • Kisha I. Coa
  • Catherine M. Alfano
  • Bradford W. Hesse
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Abstract

Purpose of Study

Of 15.5 million US cancer survivors, 80% are ≥ 55 years. Supporting older patients in care self-management through electronic health information (EHI) exchange may enhance recovery. We assessed: (1) perceived importance of EHI access to adults ≥ 55 years (incl survivors) and (2) age-related preferences for EHI exchange.

Recent Findings

Older adults are one of the fastest-growing user groups for internet/technologies. Most older adults 55–64 years are active internet users, and use among adults ≥ 65 years is growing quickly as baby boomers mature. Understanding EHI patient-provider exchange preferences may provide opportunities for older patients but also begin to address the future needs of other patient populations, including cancer survivors.

Summary

We observed a “digital divide” for perceived importance of EHI access and EHI exchange interests. Engaging older adults (i.e., ≥ 75 years) to improve comfort/experience with technologies may support EHI use in self-management. Survivors may have distinct EHI needs/preferences than older adults without cancer history.

Keywords

Cancer informatics Self-management Health information technology Healthy aging 

Notes

Compliance with Ethical Standards

Conflict of Interest

Shirley M. Bluethmann, Kisha I. Coa, Catherine M. Alfano, and Bradford W. Hesse declare they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

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Copyright information

© This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2018

Authors and Affiliations

  • Shirley M. Bluethmann
    • 1
    • 2
    • 3
  • Kisha I. Coa
    • 4
  • Catherine M. Alfano
    • 5
  • Bradford W. Hesse
    • 1
  1. 1.Public Health Sciences The Pennsylvania State University College of MedicineHersheyUSA
  2. 2.Division of Cancer Control and Population SciencesNational Cancer InstituteBethesdaUSA
  3. 3.Department of Public Health Sciences, College of MedicineThe Pennsylvania State UniversityHersheyUSA
  4. 4.ICF InternationalRockvilleUSA
  5. 5.SurvivorshipAmerican Cancer Society, Inc.WashingtonUSA

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