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

Current Oncology Reports volume 20, Article number: 30 (2018) Cite this article

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.

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Funding

This project has been funded in whole or in part with federal funds from the National Cancer Institute, part of the National Institutes of Health.

Author information

Affiliations

  1. Public Health Sciences The Pennsylvania State University College of Medicine, 500 University Drive, T3424, Hershey, PA, 17033, USA

    Shirley M. Bluethmann & Bradford W. Hesse

  2. Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA

    Shirley M. Bluethmann

  3. Department of Public Health Sciences, College of Medicine, The Pennsylvania State University, Hershey, PA, USA

    Shirley M. Bluethmann

  4. ICF International, Rockville, MD, USA

    Kisha I. Coa

  5. Survivorship, American Cancer Society, Inc., Washington, DC, USA

    Catherine M. Alfano

Authors
  1. Shirley M. Bluethmann
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  2. Kisha I. Coa
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  4. Bradford W. Hesse
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Corresponding author

Correspondence to Shirley M. Bluethmann.

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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.

Additional information

Dr. Bluethmann was a Cancer Prevention Postdoctoral Fellow in the Division of Cancer Control and Population Sciences at the National Cancer Institute at the time this report was prepared

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Bluethmann, S.M., Coa, K.I., Alfano, C.M. et al. Electronic Health Information Exchange Opportunities for Self-management of Care: Responses from Older Adults With and Without Cancer History in the United States. Curr Oncol Rep 20, 30 (2018). https://doi.org/10.1007/s11912-018-0674-1

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  • DOI: https://doi.org/10.1007/s11912-018-0674-1

Keywords

  • Cancer informatics
  • Self-management
  • Health information technology
  • Healthy aging