Abstract:
OBJECTIVES:Given many countries' ageing populations, policymakers must consider how to mitigate or reduce health problems associated with old age, within budgetary constraints. Evidence of use of digital technology in delaying the onset of illness and reducing healthcare service use is mixed, with no clear consensus as yet. Our aim was to investigate the relationship between frequent internet use and patterns of health or social care resource use in primary care attendees who took part in a study seeking to improve the health of older adults. METHODS:Participants recruited from primary care, aged >65 and living in semirural or urban areas in the south of England, were followed up at 3 and 6 months after completing a comprehensive questionnaire with personalised feedback on their health and well-being. We performed logistic regression analyses to investigate relationships between frequent internet use and patterns of service use, controlling for confounding factors, and clustering by general practitioner practice. Four categories of service use data were gathered: use of primary National Health Service (NHS) care; secondary NHS care; other community health and social care services; and assistance with washing, shopping and meals. RESULTS:Our results show, in this relatively healthy population, a positive relationship (OR 1.72, 95% CI 1.33 to 2.23) between frequent internet use and use of any other community-based health services (physiotherapist, osteopath/chiropractor, dentist, optician/optometrist, counselling service, smoking cessation service, chiropodist/podiatrist, emergency services, other non-specific health services) and no relationship with the other types of care. No causal relationship can be postulated due to the study's design. CONCLUSIONS:No observed relationship between frequent internet use and primary or secondary care use was found, suggesting that older adults without internet access are not disadvantaged regarding healthcare use. Further research should explore how older people use the internet to access healthcare and the impact on health.
journal_name
BMJ Openjournal_title
BMJ openauthors
Clarke CS,Round J,Morris S,Kharicha K,Ford J,Manthorpe J,Iliffe S,Goodman C,Walters Kdoi
10.1136/bmjopen-2017-015839subject
Has Abstractpub_date
2017-07-21 00:00:00pages
e015839issue
7issn
2044-6055pii
bmjopen-2017-015839journal_volume
7pub_type
杂志文章相关文献
BMJ Open文献大全abstract:BACKGROUND:Achilles tendon injuries give rise to substantial long-lasting morbidity and pose considerable challenges for clinicians and patients during the lengthy healing period. Current treatment strategies struggle to curb the burden of this injury on health systems and society due to lengthy rehabilitation, work ab...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-018135
更新日期:2017-11-16 00:00:00
abstract:OBJECTIVES:To compare the risk profile of women giving birth in private and public hospitals and the rate of obstetric intervention during birth compared with previous published rates from a decade ago. DESIGN:Population-based descriptive study. SETTING:New South Wales, Australia. PARTICIPANTS:691 738 women giving b...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001723
更新日期:2012-09-10 00:00:00
abstract:INTRODUCTION:The acceptability and efficacy of existing ready-to-use supplementary and therapeutic foods has been low in Cambodia, thus limiting success in preventing and treating malnutrition among Cambodian children. In that context, UNICEF and IRD have developed a locally produced, multiple micronutrient fortified l...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-015958
更新日期:2017-09-06 00:00:00
abstract:OBJECTIVE:To evaluate the effects of intravenous fluid bolus compared to maintenance intravenous fluids alone as part of immediate emergency care in children with severe febrile illness and signs of impaired circulation in low-income settings. DESIGN:Systematic review of randomised controlled trials (RCTs), and observ...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2014-004934
更新日期:2014-04-30 00:00:00
abstract:OBJECTIVES:Domestic violence screening is advocated in some healthcare settings. Evidence that it increases referral to support agencies or improves health outcomes is limited. This study aimed to (1) investigate the proportion of hospital patients reporting domestic violence, (2) describe characteristics and previous ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2015-009069
更新日期:2016-01-04 00:00:00
abstract:INTRODUCTION:Dizziness is a common symptom in general practice with a high prevalence among older adults. The most common cause of dizziness in general practice is peripheral vestibular disease. Vestibular rehabilitation (VR) is a safe and effective treatment for peripheral vestibular disease that entails specific exer...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-015479
更新日期:2017-01-20 00:00:00
abstract:OBJECTIVES:To describe public understanding and use of antibiotics. DESIGN:Ipsos MORI Capibus survey of randomly-selected households. SETTING:England, January-April 2017. PARTICIPANTS:2283 adults (≥15 years) including 777 parents of children <5 years old. DATA COLLECTION AND ANALYSIS:The main survey was undertaken ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030845
更新日期:2019-10-28 00:00:00
abstract:OBJECTIVES:To estimate hepatitis B vaccination (HBVc) coverage, and knowledge and sociodemographic determinants of full dose uptake in Federal Road Safety Corps (FRSC) members, Kaduna State, Nigeria, to inform relevant targeted vaccination policies. DESIGN:A cross sectional survey of FRSC members, Kaduna Sector Comman...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-015845
更新日期:2017-06-02 00:00:00
abstract:OBJECTIVE:In the field of palliative care (PC) as it is integrated into heart failure (HF) treatment, it is essential to explore the patient experience and build on this knowledge for the further development of PC practice and policy. Based on an intervention study, this paper explores what patients with HF find signif...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-043955
更新日期:2020-12-31 00:00:00
abstract:OBJECTIVES:To investigate the epidemiology of influenza-like illness (ILI) by general practice and patient characteristics, and explore whether sociodemographic variables or comorbidities affect antiviral or antibiotic prescribing. DESIGN:Open cohort study. SETTING:A representative sample of 550 Australian general pr...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-026396
更新日期:2019-05-01 00:00:00
abstract:RATIONALE:Sleep-disordered breathing (SDB) is strongly linked to adverse cardiovascular outcomes (cardiovascular diseases (CVD)). Whether heart rate changes measured by nocturnal R-R interval (RRI) dips (RRI dip index (RRDI)) adversely affect the CVD outcomes is unknown. OBJECTIVES:To test whether nocturnal RRDI predi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030559
更新日期:2019-07-17 00:00:00
abstract:OBJECTIVE:The aim of the present study was to investigate the prevalence of abnormal cholesterol levels and to explore awareness of cholesterol values in an unselected sample of community-living adults. DESIGN:Cross-sectional survey. SETTING:Exhibitions, malls and health promotion campaigns across Italy. PARTICIPANT...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-021627
更新日期:2018-06-30 00:00:00
abstract:OBJECTIVES:(1) To examine the psychometric properties of the Basic Empathy Scale (BES) with Spanish adolescents, comparing a two and a three-dimensional structure;(2) To analyse the relationship between the three-dimensional empathy and social and normative adjustment in school. DESIGN:Transversal and ex post facto re...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015347
更新日期:2017-09-25 00:00:00
abstract:OBJECTIVES:Limited data exist assessing the relationship between ambulance versus self-presentation and outcomes in patients with acute heart failure (AHF). SETTING:Clinical trial sites in North America. PARTICIPANTS:1068 patients enrolled in the Acute Studies of Nesiritide in Decompensated Heart Failure (ASCEND-HF) ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010201
更新日期:2016-03-17 00:00:00
abstract:OBJECTIVES:Our objective in this study is to evaluate the impact the Great Recession (2008-2014) had on self-perceived health in Spain. DESIGN:We use a longitudinal database (four waves of the Bank of Spain's Survey of Household Finances (2005, 2008, 2011 and 2014)) with repeated observations of the same individuals b...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023258
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:As healthcare organisations endeavour to improve the quality and safety of their services, there is increasing recognition of the importance of building a culture of safety to promote patient safety and improve the outcomes of patient care. Surveys of safety culture/climate have not knowingly been conducted i...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-028666
更新日期:2019-05-30 00:00:00
abstract:OBJECTIVES:Rugby has a high injury incidence and therefore BokSmart introduced the Safe Six injury prevention programme in 2014 in an attempt to decrease this incidence. In 2015, BokSmart used a 'targeted marketing approach' to increase the awareness and knowledge of the Safe Six. Therefore, the aim of this study was t...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018575
更新日期:2017-11-03 00:00:00
abstract:OBJECTIVE:To investigate feasibility of multiple sclerosis (MS) exercise guidelines for inactive people with MS (PwMS) and to examine preliminary efficacy for walking. To investigate effect of augmenting that intervention with education based on social cognitive theory (SCT). DESIGN:Pilot multicentre, double-blind, ra...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-016336
更新日期:2017-10-12 00:00:00
abstract:OBJECTIVES:Many of the approximately 8000 New Zealand retailers selling tobacco are small stores that tobacco companies have represented as victims of policy measures designed to reduce smoking. Despite this depiction, many retailers experience considerable ambivalence in selling tobacco, a product they know harms thei...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009521
更新日期:2015-11-09 00:00:00
abstract:PURPOSE:The ChicagO Multiethnic Prevention and Surveillance Study or 'COMPASS' is a population-based cohort study with a goal to examine the risk and determinants of cancer and chronic disease. COMPASS aims to address factors causing and/or exacerbating health disparities using a precision health approach by recruiting...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038481
更新日期:2020-09-16 00:00:00
abstract:OBJECTIVES:Our aim was to determine clusters of non-communicable diseases (NCDs) in a very large, population-based sample of middle-aged and older adults from low- and middle-income (LMICs) and high-income (HICs) regions. Additionally, we explored the associations with several covariates. DESIGN:The total sample was 7...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034441
更新日期:2020-07-19 00:00:00
abstract:OBJECTIVE:To identify differences in psychosocial, behavioural and clinical outcomes between patients with heart failure (HF) with and without stroke. DESIGN AND PARTICIPANTS:A secondary analysis of 1023 patients with heart failure enrolled in the Coordinating study evaluating Outcomes of Advising and Counselling in H...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025525
更新日期:2019-08-27 00:00:00
abstract:OBJECTIVES:The aim of the study was to understand the experiences of living with multiple chronic conditions (MCC) from the perspective of community-living older adults with MCC. DESIGN:A qualitative study using an interpretive description approach. SETTING:Participants were recruited from southern Ontario, Canada. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023345
更新日期:2019-03-20 00:00:00
abstract:INTRODUCTION:Telemedical lifestyle programmes for people with type 2 diabetes mellitus (T2DM) provide an opportunity to develop a healthier lifestyle and consequently to improve health outcomes. When implementing new programmes into standard care, considering patients' preferences may increase the success of the partic...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-036995
更新日期:2020-09-09 00:00:00
abstract:INTRODUCTION:WHO recommends the introduction of at least one single dose of inactivated polio vaccine (IPV) in routine immunisation schedules. Thus, there has been an increased demand and concurrent supply shortages of IPV worldwide. One of the strategies to improve access is the use of fractional instead of full doses...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023308
更新日期:2019-03-09 00:00:00
abstract:OBJECTIVES:The COVID-19 pandemic has required drastic safety measures to control virus spread, including an extended self-isolation period. Stressful situations increase alcohol craving and consumption in alcohol use disorder (AUD) and non-AUD drinkers. Thus, we assessed how COVID-19 related stress may have affected dr...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2020-044276
更新日期:2020-11-26 00:00:00
abstract:OBJECTIVES:Patient-centred care is related to better health outcomes, greater patient satisfaction and reduced healthcare costs. One of the core components of patient-centred care, defined in the patient-centred clinical method, is enhancing the patient-doctor relationship. In this study, we aim to measure the therapeu...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033710
更新日期:2020-02-05 00:00:00
abstract:INTRODUCTION:Research using the UK Biobank data has shown ethnic inequalities in hearing health; however, the hearing test used may exhibit a disadvantage for non-native language speakers. OBJECTIVES:To validate the results of the UK Biobank hearing test (Digit Triplet Test, DTT) against self-reported measures of hear...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-042571
更新日期:2020-12-08 00:00:00
abstract:INTRODUCTION:Complex population health interventions that are effective in one context may not be effective elsewhere, and may even be harmful. As such, an intervention may require adaptation to ensure it fits with a new context. To date, there is no overarching guidance to help researchers to adapt and evaluate interv...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038965
更新日期:2020-07-20 00:00:00
abstract:INTRODUCTION:Sexual problems are common with cardiovascular disease, and can negatively impact quality of life. To address sexual problems, guidelines have identified the importance of sexual counselling during cardiac rehabilitation, yet this is rarely provided. The Cardiac Health and Relationship Management and Sexua...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-011219
更新日期:2016-06-24 00:00:00