Family Health Information Research Articles

Indrianeu

Stunting in Tasikmalaya City has increased, one of which is in Gununggede Village, Kawalu District, Tasikmalaya City, there are 75 children experiencing Stunting. Fish nuggets are an alternative food to improve children's nutrition. The aim of the activity is to increase nutritional knowledge and behavior among stunted children among PKK mothers in Gununggede Village as an effort to prevent stunting. Based on the results of the situation analysis in the Gununggede Subdistrict area, information was obtained that the community does not yet understand the dangers of stunting in children and understands that one of the efforts to reduce stunting is by processing high-nutrient foods that children like, one of which is making fish nuggets. Providing education to PKK mothers who act as mediators of family health information in the community is expected to be the first step in solving problems. This training in making fish nuggets was delivered using power point media and direct practice. The participants' positive response to this activity was seen from the participants' activeness during the discussion. Based on the results of pre-test and post-test data processing, which consisted of 10 multiple choice questions, the n-gain value obtained by PKK women in Gununggede Village was 6.3% and 7.1%. This shows that there is an increase in the understanding of PKK mothers before and after providing education. The method used is by providing information on Stunting Prevention material to children. To evaluate the increase in knowledge regarding healthy foods high in fiber, respondents will be given pre- and post-questionnaires during the activity. This service activity will be carried out by PKK mothers in Gunung Gede Village, Kawalu District, Tasikmalaya City.

Enhanced family history-based algorithms increase the identification of individuals meeting criteria for genetic testing of hereditary cancer syndromes but would not reduce disparities on their own

ObjectiveThis study aimed to 1) investigate algorithm enhancements for identifying patients eligible for genetic testing of hereditary cancer syndromes using family history data from electronic health records (EHRs); and 2) assess their impact on relative differences across sex, race, ethnicity, and language preference. Materials and MethodsThe study used EHR data from a tertiary academic medical center. A baseline rule-base algorithm, relying on structured family history data (structured data; SD), was enhanced using a natural language processing (NLP) component and a relaxed criteria algorithm (partial match [PM]). The identification rates and differences were analyzed considering sex, race, ethnicity, and language preference. ResultsAmong 120,007 patients aged 25–60, detection rate differences were found across all groups using the SD (all P < 0.001). Both enhancements increased identification rates; NLP led to a 1.9 % increase and the relaxed criteria algorithm (PM) led to an 18.5 % increase (both P < 0.001). Combining SD with NLP and PM yielded a 20.4 % increase (P < 0.001). Similar increases were observed within subgroups. Relative differences persisted across most categories for the enhanced algorithms, with disproportionately higher identification of patients who are White, Female, non-Hispanic, and whose preferred language is English. ConclusionAlgorithm enhancements increased identification rates for patients eligible for genetic testing of hereditary cancer syndromes, regardless of sex, race, ethnicity, and language preference. However, differences in identification rates persisted, emphasizing the need for additional strategies to reduce disparities such as addressing underlying biases in EHR family health information and selectively applying algorithm enhancements for disadvantaged populations. Systematic assessment of differences in algorithm performance across population subgroups should be incorporated into algorithm development processes.

Electronic Health Record System Using Blockchain Technology

Abstract: Patient’s Health Records (PHRs) are valuable assets to individuals because they enable them to integrate and manage their medical data. Due to the rapid growth of HealthCare management, it is crucialto maintain the Electronic Health Record of patients. Electronic Health Record systems face problems interms of security, integrity, and management since a large volume of patient’s sensitive data is shared between anonymous bodies. To overcome these issues, this project aims to explain how Blockchain technology can be a solution for Electronic Health Record systems. These records for not only useful for the consultation but also for creation of historic family health information tree that keeps track of genetichealth issues and diseases it can also be used for any health service with the authorization from both the patient and medical organization. Hence, proposed a system consists blockchain technology for ElectronicHealth Record and to provide secure storage of electronic records by defining granular access to the usersby interpreting an Electronic Health Record web application.

Abstract P6-02-13: Expanding the reach of germline genetic testing: Use of web-based risk assessment to inform medical management amongst patients at breast and imaging centers

Abstract Background Developing an effective approach to the identification of individuals at increased cancer risk is key to preventing and/or providing early diagnosis of cancer. However, outside of targeted genetics clinics, under identification of individuals with hereditary cancer risk is well recognized, due in part to ever evolving complexity of germline genetic testing criteria and lack of systematic framework to perform robust risk assessment on all patients. In contrast, breast and imaging centers are ideally positioned to maximize the impact of positive genetic test results due to immediate availability of surveillance and diagnostic tools. Here we present data from breast and imaging centers using a patient-facing digital platform offered universally to all patients before their scheduled appointment designed to collect personal and family health information and assess cancer risk and genetic testing eligibility based on current guidelines. Methods We conducted a retrospective observational study of patients in breast and imaging centers who used a web-based risk stratification tool before standard ambulatory appointments to assess their lifetime risk for breast cancer based on the Tyrer-Cuzick (version 8.0) risk algorithm and eligibility for National Comprehensive Cancer Network (NCCN®) genetic testing criteria at the time of assessment. Testing criteria included hereditary breast, ovarian, pancreatic, and prostate cancers, Lynch syndrome, and familial adenomatous polyposis (FAP). Data was pulled for patients seen from June 2020 through May 2022 at participating breast and imaging centers throughout the United States. Outcome measures included percentage of individuals who completed the risk-assessment, met testing criteria, pursued germline genetic testing, received a positive germline result, and/or had a Tyrer-Cuzick breast cancer risk ≥20%. Results A total of 251,492 individuals completed assessments; 250,011 (99%) were females aged 18 years or older. Overall, at the time of assessment 80,814/251,492 (32.1%) met genetic testing criteria and 24.4% (19,694) of those meeting criteria opted to proceed with germline genetic testing. An additional 1,561 individuals who did not meet criteria pursued genetic testing. Of the 18,532 completed genetic tests, 1,507 (8.1%) had positive genetic test results. The majority of positive individuals (93%) met testing criteria. 40.7% (613/1,507) of positive results had an impact on breast cancer risk management options. In addition to individuals identified as high-risk through germline genetic testing evaluations, 13.1% (28,108/214,269) of individuals assessed using the Tyrer-Cuzick algorithm had ≥20% lifetime risk of breast cancer and met the threshold for modified medical management. Conclusion In this study, the web-based assessment tool provided a standardized workflow that enabled individuals interested in receiving cancer risk assessment and germline testing an opportunity to do so. When offered to all patients, this digital platform can offer a scalable opportunity for breast and imaging centers to identify individuals eligible for modified medical management for breast cancer risk and other inherited cancer syndromes, which may ultimately improve the prevention and early treatment of individuals with cancer predisposition. Citation Format: Heather Fecteau, Haley Keller, Carrie Horton, Carrie Milliard, Robert Pilarski, Lukas Lyon, Lily Hoang, Shannon Kieran. Expanding the reach of germline genetic testing: Use of web-based risk assessment to inform medical management amongst patients at breast and imaging centers [abstract]. In: Proceedings of the 2022 San Antonio Breast Cancer Symposium; 2022 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2023;83(5 Suppl):Abstract nr P6-02-13.

Understanding the Process of Family Cancer History Collection and Health Information Seeking.

To better understand the factors associated with family cancer history (FCH) information and cancer information seeking, we model the process an individual undergoes when assessing whether to gather FCH and seek cancer information and compare models by sociodemographics and family history of cancer. We used cross-sectional data from the Health Information National Trends Survey (HINTS 5, Cycle 2) and variables (e.g., emotion and self-efficacy) associated with the Theory of Motivated Information Management to assess the process of FCH gathering and information seeking. We completed path analysis to assess the process of FCH gathering and stratified path models. Those who felt they could lower their chances of getting cancer (emotion) were more confident in their ability to complete FCH on a medical form (self-efficacy; B = 0.11, p < .0001) and more likely to have discussed FCH with family members (B = 0.07, p < .0001). Those who were more confident in their ability to complete a summary of their family history on a medical form were more likely to have discussed FCH with family members (B = 0.34, p < .0001) and seek other health information (B = 0.24, p < .0001). Stratified models showed differences in this process by age, race/ethnicity, and family history of cancer. Tailoring outreach and education strategies to address differences in perceived ability to lower chances of getting cancer (emotion) and confidence in the ability to complete FCH (self-efficacy) could help encourage less engaged individuals to learn about their FCH and gather cancer information.

Analysis of Compliance with Repairs of Hypertension Reviewed from Health Care Function and Implementation of Family Health Information Package

Treatment compliance with patients with hypertension is a very important concern to approach morbidity and mortality due to hypertension and to improve the quality of life of patients with hypertension. this condition is inseparable from the existence of families who provide support in the form of their functions and the role of health workers in providing adequate services. The purpose of this study was to analyze treatment adherence to hypertension recipients in terms of health care function and the implementation of family health information package in Bulu village, Balen Bojonegoro district. The design of this study is a quantitative cross sectional approach with a simple random sampling technique as many as 109 respondents with hypertension who received a guided program and data analysis techniques using ordinal regression statistical tests. The results of this study indicate that there are effects of health care function and implementation of family health information package on treatment compliance of hypertensive patients with p value of ordinal regression test of 0,000 which is less than α = 0.05, meaning that H0 is rejected and H1 is accepted. Health care function has an effect of 41.2% and the implementation of family health information package has an effect of 48.7%, and is influenced by other factors by 28.4%. The influence of the family in the form of health care functions and health workers in the form of implementing family health information package proves the value of good treatment compliance in patients with hypertension, because patients feel more attention from various parties both internal and external.

A semi-automated approach for analyzing collages to inform the design of a family health information management system for Hispanic dementia caregivers.

Culturally- and linguistically-tailored health communication is needed for vulnerable populations to manage their health and the health of their families. This presents a significant design challenge. The use of collages is an increasingly popular technique with the flexibility to capture the needs and experiences of individuals with various cultural and language preferences. Collage analysis has typically remained qualitative in nature. We introduce a novel, objective, semi-automated approach that enhances collage analysis to elucidate pattern differences that may not be detectable by natural perception. We present a case scenario of collage analysis based on the expressed experience and self-management needs of Hispanic dementia caregivers (n = 24). We demonstrate how our innovative approach may reveal cultural differences between language groups that could have otherwise been missed using traditional techniques.

Lifestyle and Environmental Factors Associated with Predictors of Childhood Obesity

This cross-sectional study examined the relationship between behaviors (physical activity and eating patterns) and socioeconomic and built factors that affect childhood obesity. A sample of 171 participants were selected from three elementary schools in Montclair, California. Family SES and health information about the students were gathered. The number of parks, fast food restaurants, and grocery stores within school district border lines were tallied, and data was analyzed using logistic regression. Lower income was associated with 2.11 times higher odds of consuming fast food, and 3.06 times higher odds of consuming soda. Feeling unsafe in the neighborhood was associated with 2.57 times higher odds of consuming fast food. Children whose parents had some college education were 3.23 times more likely to consume milk, 2.97 times more likely to consume vegetables, and 2.29 times more likely to engage in physical activity than parents with no more than high school education. Children engaging in physical activity were 69% less likely to be obese. Parent income, parent education, and concern for neighborhood safety affected the eating habits and physical activity level of children in Montclair. Increased fast food consumption and decreased physical activity were associated with higher BMI percentiles among this population.

Patient experience with family history tool: analysis of patients' experience sharing their family health history through patient-computer dialogue in a patient portal.

The collection and use of a family health history are important for assessing the patient's risk of disease, but history taking is often impeded by practical barriers in the office. Provision for patient-computer dialogue, linked with the electronic health record, may enable patients to contribute their history while bypassing these barriers. We sought to assess the patient experience using such a tool. We linked the family history module of a computer-based medical history to the patient portal of a large academic health system. The interview consisted of 39 primary questions with a predetermined high test-retest reliability. Patients' results were structured and summarized, and available within their electronic health record. Patients optionally completed a survey about their experience. We inductively analyzed free-text responses collected between 2014 and 2016. Among 97 781 patient portal users, 9562 patients accessed and 4223 patients completed the family medical history interview. Of these patients, 1451 completed our survey. Main themes that were identified included (1) patient empowerment, (2) anticipated value, (3) validity concerns, (4) privacy concerns, and (5) reflections on patient-computer dialogue. Patients also provided suggestions for the improvement of future family history tools. Patients providing their family health information is an example of collaborative electronic work with clinicians and was seen as valuable by those who participated. Concerns related to contextual information and uncertainty need to be addressed. Patient-computer dialogue to collect family medical history empowered patients and added perceived value and efficiency to the patient experience of care.

Electronic Health Record System using Blockchain

This paper deals with the Electronic Health Records for storing information of the patient which consist of the medical reports. Electronic Health Records (EHRs) are entirely controlled by Hospitals instead of patients, which complicates seeking medical advices from different hospitals. In the existing system of storing details of the patients are very dependent on the servers of the organization. In the proposed all the information of the patient are stored in the blockchain by using the Metamask and these details are stored in the block chain as a blocks of data. Each block consists of the data which is encrypted data. Electronic Health Record (EHR) systems record health-related information on an individual so that it can be consulted by clinicians or staff for patient care. The data is encrypted by the algorithm known as SHA-256 which is used to encrypt all the data of the patients into a single line 256 bit encrypted text which will be stored in the block at etherscan. These records for not only useful for the consultation but also for creation of historic family health information tree that keeps track of genetic health issues and diseases it can also be used for any health service with the authorization from both the patient and medical organization.

Information sharing across generations and environments (InfoSAGE): study design and methodology protocol

BackgroundLongevity creates increasing care needs for healthcare providers and family caregivers. Increasingly, the burden of care falls to one primary caregiver, increasing stress and reducing health outcomes. Additionally, little has been published on adults’, over the age of 75, preferences in the development of health information sharing with family members using online platforms. This study aims to assess a novel, Internet based, family-centric communication and collaboration platform created to address the information needs of elders and their informal caregivers in a community setting.MethodsThis study is an internet-based, open prospective cohort study, enrolling dyad pairs of one adult over the age of 75 with one informal caregiver. Dyads will be offered to use the InfoSAGE online platform without prospective assignment. Participants will consent using an online process that enables participation from any location and shares important study and privacy details. The platform will enable the capture of search queries and tracking of functions such as tasks and discussions. Surveys every six months assess health status, health and social needs, and caregiver burden using validated instruments over a two-year period. We will use a mixed methods approach, utilizing qualitative survey data along with website usage analytic data.DiscussionAnalysis of the longitudinal usage and survey data will help to examine the patterns of family communication and health information seeking as the central older adult ages. We will use the study data to inform design recommendations relevant to a complex mixture of users, with special consideration to the needs of older adult users and potential physical limitations.

New Approaches to Collecting Family Health History – A Preliminary Study Investigating the Efficacy of Conversational Systems to Collect Family Health History

Knowing and compiling your family health information is an important, cost-effective and efficient way to help your doctor screen and monitor for risks of genomic diseases such as cancer. There are several ways to collect family health history, including the use of digital records. Digital records can be helpful for sharing and updating information among family members. However, minimal research has been conducted to compare the different data collection interfaces. This study focuses on evaluating the user’s performance and preference between a conversational interface that we developed and a traditional interface for compiling family health history. Using a within-subjects design, twenty participants were asked to perform several tasks using both platforms. Although the conversational interface required more clicks, participants reported lower workload, higher performance and greater ease-of-use with this platform, and preferred the guidance of the virtual assistant.

Factors associated with Alcohol consumption among University Learners

The aim of the present empirical study investigates factors associated with alcohol consumption among Botho University learners. A questionnaire on factors associated with alcohol consumption was administered to collect data from learners across various disciplines. A simple random sampling method was used to select a sample of 236 students. To analyse alcohol consumption patterns and reasons for consumption among learners, percentages were used. The results indicated that most learners who belong to the category of male, aged between 17-20 years, living with parents showing light, moderate and heavy alcohol consumption patterns. Learners who belong to the category of parents with less education, low family income, studying accounts and health information management, and female learners’ show non- alcohol consumption patterns. The inferential statistics, Chi- square shows that there is association between alcohol consumption and gender, subject specialization, year of study, family income and awareness on health risks. The Fisher’s Exact test shows there is association between living status and parental educational qualification. The suggestions made to include health topics that enhance in depth understanding on risks associated with alcohol and recommendations for further research is made based on findings.

A Tale of Two (Adopted) Sisters.

A Tale of Two (Adopted) Sisters Dana Gold This is a tale of two sisters, both adopted at birth and 40-something now. We are both actively concerned about our health, and wish we had a family health history to help guide our choices in life and healthcare. We’ve had very different experiences with the healthcare system. My sister, “Jada” has had four surgeries, severe allergies, chronic pain, and problems with her joints and ovaries since she was a teenager. Other than having my wisdom teeth removed, and as of yet, I haven’t had any surgeries, long-term debilitating pains or allergies. Therefore, she has had many more interactions with the medical system than I have. We have differing opinions on how much knowing our family health history would substantially and positively affect our medical care. My sister thinks that knowing her family health history “would make all the difference in the world.” While I think that knowing one’s family health history would be useful, I am not so sure it would affect my healthcare to such a large extent. Our disparate levels of distress by a lack of family health history evoke a fundamental existential question for anyone adopted at a young age: how do you reconcile the fact that you do not know your family health history? Do you assume that you might have every disease and malady, and want to be tested for as many as possible, just in case? Or do you not worry about what you don’t know, and take a “what you don’t know can’t hurt you” approach to your health care? Or do you aim to reconcile your thoughts somewhere in the middle of these two positions? My sister and I seem to have, unintentionally, chosen dichotomous positions to this existential question. Jada worries she might have every disease of which she hears, has no fears of over-testing, and wants as many tests as possible. She “wishes there were more tests that they would give her to check things out.” I want as little medical treatment and intervention in my life as possible. I have definitely experienced what I consider over-testing because of a lack of family history. I feel I have been pressured into tests by physicians that wanted the tests taken “just in case”, with an attitude of “why not?” Cynically, I have sometimes thought they wanted me to take a test mostly for the additional money they would receive. I have experienced one false positive, which was upsetting, and made me lose sleep and worry unnecessarily. I feel I wasted money and wasted time on these tests, as I “felt healthy” and never thought or felt that what I was being tested for was a potential problem. [End Page 111] While I feel I have been over-tested to my detriment because of my lack of family health information, my sister’s opinion and her experience has been the opposite. She wants as many tests as possible, and is not at all bothered by any extra time or money spent on the medical tests she has received. She was not overly distressed by the false positive result she received once on a mammogram. In fact, believing she was “being proactive,” Jada wanted to have a colonoscopy at 46. She has a female friend whose father had colon cancer at a young age, and her friend was able to simply call her physician and get a colonoscopy test at age 45. Jada was dismayed to find that her insurance would not cover this procedure, as she had no severe distress symptoms and no family history to back up a colonoscopy being recommended and covered for someone so young. Jada felt she was “denied” that test, and it is unjust that the insurance company would not cover it. She believes that their policy discriminates against her as an adoptee: “Biggest thing, I would like to get tested and get it covered.” She is still upset that she has to wait a few more years, until she is 50, for insurance to cover the procedure. Jada wanted the colonoscopy at 46 because she “wanted to...

Claiming What Is Rightfully Mine.

Although adopted persons did not choose to be adopted, their life-long task is to come to terms with its meaning, which includes absence of important information about their family health history. Problematic encounters with health care professionals inspired contributors' narratives recognizing compelling need for accurate information about themselves as well as access to empathic and resourceful medical professionals. A key issue pervading the narratives was loss: loss of birth name and identity, loss of birth relatives and history, and often loss of birth culture. In response to this deeply felt sense of loss, many authors expressed the need to claim what they believe to be rightfully theirs, namely, information about their own history. Policy and practice recommendations regarding training of health care professionals as well as access to original birth records and ongoing family health information are discussed.

Improving Utilization of the Family History in the Electronic Health Record.

The purpose of this article is to provide an overview of Family History in the Electronic Health Record and to identify opportunities to advance the contributions of nurses in obtaining, updating and assessing family history in order to improve the health of all individuals and populations. The article presents an overview of the obstacles to charting Family History within the Electronic Health Record and recommendations for using specific Family History tools and core Family History data sets. Opportunities to advance nursing contributions in obtaining, updating, and assessing family history in order to improve the health of all individuals were identified. These opportunities are focused within the area of promoting the importance of communication within families and between healthcare providers to obtain, document, and update family histories. Nurses can increase awareness of existing resources that can guide collection of a comprehensive and accurate family history and facilitate family discussions. In this paper, opportunities to advance nursing contributions in obtaining, updating, and assessing family history in order to improve the health of all individuals were identified. Aligned with the clinical preparation of nurses, family health should be used routinely by nurses for risk assessment and to help inform patient and family members on screening, health promotion, and disease prevention. The quality of family health information is critical in order to leverage the use of genomic healthcare information and derive new knowledge about disease biology, treatment efficacy, and drug safety. These actionable steps need to be performed in the context of promoting evidence-based applications of family history that will be essential for implementing personalized genomic healthcare approaches and disease prevention efforts. Family health history is one of the most important tools for identifying the risk of developing rare and chronic conditions, including cardiovascular disease, cancer, and diabetes, and represents an integration of disease risk from genetic, environmental, and behavioral/lifestyle factors. In fact, family history has long been recognized as a strong independent risk factor for disease and is the current best practice used in clinical practice to guide risk assessment.

Smoking and Secondhand Smoke Exposure at Home Were Associated with Poor Perceived Family Well-Being: Findings of FAMILY Project.

IntroductionTo investigate the associations of cigarette smoking and secondhand (SHS) exposure at home with family well-being among Chinese adults in Hong Kong.MethodsTelephone surveys were conducted among 3043 randomly selected adults (response rate 70%) in 2010 and 2012 to monitor family health information and tobacco use in Hong Kong. Family well-being was measured using three questions of perceived family harmony, happiness and health (3Hs) with responses ranging from 0–10 and a higher score indicating better family well-being. Smoking status, nicotine dependence, quitting behaviours and SHS exposure at home were recorded. Multiple linear regressions were used to calculate β-coefficients for individual family 3Hs component and an overall composite score representing family well-being.ResultsCompared with never smokers, current smokers reported lower levels of family harmony (adjusted β = -0.15, 95% CI: -0.35 to -0.10), happiness (adjusted β = -0.12, 95% CI: -0.28 to -0.02), health (adjusted β = -0.15, 95% CI: -0.30 to -0.03) and overall family well-being (adjusted β = -0.17, 95% CI: -0.32 to -0.06). Quit attempt and intention to quit were not associated with family well-being. SHS exposure at home was associated with lower levels of family harmony (adjusted β = -0.17, 95% CI: -0.30 to -0.07), happiness (adjusted β = -0.19, 95% CI: -0.32 to -0.08), health (adjusted β = -0.13, 95% CI: -0.26 to -0.03) and family well-being (adjusted β = -0.19, 95% CI: -0.32 to -0.09).ConclusionsSmoking and SHS exposure at home were associated with the lower levels of perceived family well-being. Prospective studies are needed to confirm the results.

Patterns of Family Health History Communication Among Older African American Adults

This qualitative study examined patterns of communication regarding family health history among older African American adults. The authors conducted 5 focus groups and 6 semi-structured interviews with African Americans aged 60 years and older (N = 28). The authors identified 4 distinct patterns of family health history communication: noncommunication, open communication, selective communication (communication restricted to certain people or topics), and one-way communication (communication not reciprocated by younger family members). In general, participants favored open family health history communication, often resulting from desires to change patterns of noncommunication in previous generations regarding personal and family health history. Some participants indicated that they were selective about what and with whom they shared health information in order to protect their privacy and not worry others. Others described family health history communication as one-way or unreciprocated by younger family members who appeared uninterested or unwilling to share personal and family health information. The communication patterns that the authors identified are consistent with communication privacy management theory and with findings from studies focused on genetic testing results for hereditary conditions, suggesting that individuals are consistent in their communication of health and genetic risk information. Findings may guide the development of health message strategies for African Americans to increase family health history communication.

Family health information sharing among older adults: reaching more family members.

Although family health history (FHH) information has tremendous potential in the prevention of common complex diseases such as heart disease and cancer, lack of knowledge about one's own FHH among the public hinders its utility. Older individuals often desire to contribute to the well-being of younger generations and also play critical roles in disseminating this information. This study evaluated psychosocial factors associated with the extent of FHH communication within families. Older adults (N = 110) were interviewed at three senior centers in an urban community. Multivariate Poisson regression analysis showed that respondents who received FHH from a parent reported 41% more family members with whom they shared FHH (b = 0.34, p < 0.001) controlling for the family network size. Furthermore, one unit increase in the number of family members with whom respondents exchange reciprocal emotional support (b = 0.04, p < 0.01), perceived familiarity with own FHH (b = 0.14, p = 0.01), and self-efficacy to share FHH (b = 0.18, p = 0.02) were associated with 4, 15, and 20% increases in the number of family members with whom respondents shared FHH, respectively. Future efforts may inform older adults about their important role in modeling FHH communication behavior to encourage information sharing in future generations while providing information about how to collect and disseminate FHH to increase their familiarity and ability to share FHH within the family.

A Proposed Scheme for City Family Health Information System

This paper presents a proposed scheme of City Family Health Information System (CFHIS). According to investigation, we have found out lots of drawbacks in the existing Electronic Healthcare Records. Here puts forward a scheme of CFHIS to give a solution to the problems like information isolation, dead data and fluent population management with technologies as follows: system hierarchical model, SOA-based Web Service platform, heterogeneous data integration, data exchange platform, multi-level data center, data warehouse, dynamic data updating, knowledge service model, portal service, etc.