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Impact of Age on Patients’ Communication and Technology Preferences in the Era of Meaningful Use: Mixed Methods Study (Journal of Medical Internet Research)

Publication Topics

California Health Interview Survey; 2015 California Health Interview Survey (CHIS 2015); 2016 California Health Interview Survey (CHIS 2016); Access to Health Care; Use of Health Services; Barriers to/Disparities in Health Care; Population Focus

Publication Type

CHIS Journal Article

Publication Date


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<a onclick="OpenPopUpPage('http:\u002f\\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1787\u0026RootFolder=*', RefreshPage); return false;" href=";ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1787&amp;RootFolder=*">Martina A. Clarke</a>

Author 2

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Summary: Identifying effective means of communication between patients and their health care providers has a positive impact on patients’ satisfaction, adherence, and health-related outcomes. This study aimed to identify the impact of patients’ age on their communication and technology preferences when managing their health. Authors hypothesize that a patient’s age affects their communication and technology preferences when interacting with clinicians and managing their health. A mixed methods study was conducted to identify the preferences of patients with cardiovascular diseases. Results were analyzed based on the patients’ age. Patients were recruited based on age, gender, ethnicity, and ZIP code.

Findings: A total of 104 patients were recruited: 34 young adults (19-39 years), 33 middle aged (40-64), and 37 senior citizens (>65). Young adults reported higher computer self-efficacy than middle-aged participants and senior citizens. Qualitative analysis identified the following three themes: (1) patient engagement (young adults favored mobile technologies and text messaging, middle-aged patients preferred phone calls, and senior citizens preferred direct interactions with the health care provider); (2) patient safety (young adults preferred electronic after-visit summaries [AVS] and medication reconciliation over the internet; middle-aged patients preferred paper-based or emailed AVS and medication reconciliation in person; senior citizens preferred paper-based summaries and in-person medication reconciliation); (3) technology (young adults preferred smartphones and middle-aged patients and senior citizens preferred tablets or PCs). Middle-aged patients were more concerned about computer security than any other group. A unique finding among senior citizens was the desire for caregivers to have access to their personal health record (PHR).

Patients of different ages have different communication and technology preferences and different preferences with respect to how they would like information presented to them and how they wish to interact with their provider. The PHR is one approach to improving patient engagement, but nontechnological options need to be sustained to support all patients.

This study cites 2015-2016 California Health Interview Survey (CHIS) data.


Article 1

Journal Article: Impact of Age on Patients’ Communication and Technology Preferences in the Era of Meaningful Use: Mixed Methods Study

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Press Release

Related Link 1

California Health Interview Survey (CHIS)

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Created at 10/28/2020 12:38 PM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 11/3/2020 8:22 PM by i:0#.f|uclachissqlmembershipprovider|venetia