Older Adults and Management of Medical Devices in the Home: Five Requirements for Appropriate Use

Sara C. Keller, Ayse P. Gurses, Nicole Werner, Dawn Hohl, Ashley Hughes, Bruce Leff, Alicia I. Arbaje

Research output: Contribution to journalArticlepeer-review

Abstract

Medical devices, or instruments or tools to manage disease, are increasingly used in the home, yet there have been limited evaluations of how older adults and caregivers safely use these devices. This study concerns a qualitative evaluation of (1) barriers and facilitators of appropriate use, and (2) outcomes of inappropriate use, among older adults at the transition from hospital to home with skilled home health care (SHHC). Guided by a human factors engineering work system model, the authors (1) conducted direct observations with contextual inquiry of the start-of-care or resumption-of-care SHHC provider visit, and (2) semi-structured interviews with 24 older adults and their informal caregivers, and 39 SHHC providers and administrators. Five requirements for the appropriate use of home medical devices were identified. A systems approach integrating the hospital with the SHHC agency is needed to make the use of home medical devices safer.

Original languageEnglish (US)
Pages (from-to)278-286
Number of pages9
JournalPopulation health management
Volume20
Issue number4
DOIs
StatePublished - Aug 2017

Keywords

  • Medical devices
  • elderly
  • geriatrics
  • home health
  • hospital discharge
  • human factors

ASJC Scopus subject areas

  • Leadership and Management
  • Health Policy
  • Public Health, Environmental and Occupational Health

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