1 icadi - preparatory work shop, london, 26 th /27 th june independent living in an ageing society -...
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ICADI - Preparatory Work Shop, London, 26th/27th June
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ICADI - Preparatory Work Shop, London, 26th/27th June
Independent living in an ageing society - some remarks on demand and supply of telecare solutions in the European Unionby
Lutz Kubitschke; Tobias Hüsing; Veli N. Stroetmann; Karl A. Stroetmann
Gesellschaft für Kommunikations- und Technologieforschung mbH, Bonn / Germany
www.seniorwatch.dewww.empirica.com
ICADI - Preparatory Work Shop, London, 26th/27th June
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Research contextMarket-oriented study on the IST-related needs of older people (2000/02)
MART Market-oriented study on telecommunications-based assistive technology, (1994/95)
MarTelTechnology and care for Europe’s Older Citizens (1994/95)
AOP-ISThe Older Generation and the Information Society (1998/99)
Home-Care Management Systems (2000/02)
IST = Information Society Technologies
ICADI - Preparatory Work Shop, London, 26th/27th June
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Selected home care pilots involving older people across the EU
1989 2003
APPSN
Tele-Community
TeleReha TESS/TBS
CANS
IBCoBN
Attract
Ten-Care
@work4homes
IST@home
ICADI - Preparatory Work Shop, London, 26th/27th June
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The care challenge - Prevalence of chronic diseases among the EU 50+ population
Prevalence in % Age
Disease Total 50-59 60-69 70-79 80 +
High blood pressure 33.7 23.1 34.8 44.9 41.7
Heart disease 16.8 7.4 14.5 27.4 35.7
Chronic respiratory disease
8.5 5.4 8.8 11.5 11.4
Diabetes mellitus 9.2 6.8 9.4 12.2 10.1
Joint/bone/muscle diseases
25.6 18.9 27.0 30.3 35.2
Other long term condition
18.7 16.7 18.5 20.9 22.2
At least one chronic disease
62.0 49.0 64.2 73.4 74.0
Source: SeniorWatch, 2002
ICADI - Preparatory Work Shop, London, 26th/27th June
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The European ‘care gap’
Source: SeniorWatch, 2002
0
5
10
15
20
25
30
50 - 59 60 - 69 70 - 79 80+
…expressing a need for care
…actually receiving care
…thereof cared by professional service
Percentage of EU 50 population (2001)
ICADI - Preparatory Work Shop, London, 26th/27th June
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The growing importance of (tele)home care services in Europe• Rapidly growing number of frail older people in need of
care while the number of family carers diminishes
• Home care is the most prevalent form of care service delivery to older people in Europe (only about 5% live in institutional settings)
• All European Union Member States pursue a policy which explicitly prefers home care to institutional care
• Some countries have implemented a moratorium with regard to building new institutional homes
• IST products and services hold the promise to help meeting these economic and societal challenges
ICADI - Preparatory Work Shop, London, 26th/27th June
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Are older Europeans ready to utilise IST solutions for their purposes ?
The experienced frontrunners• Computer users • Advanced skills or frequently using computers ( > once a week)
The digitally challenged
• Non-users• Neither keen on learning nor wishing to improve computer skills
The technologically open-minded
• Non-users, but • Keen on learning or wishing to improve computer skills
The old age beginners• Computer users • less skills / using computers less often
13%
29%31%
27%A generic typology of IST involvementSource: SeniorWatch, 2002
ICADI - Preparatory Work Shop, London, 26th/27th June
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Functional restriction often hinder full scale IST uptake
43%
21%
Prevalence of functional restrictions as % of EU 50+ population, 2001
Vision27%
12%
Hearing
26%
5%
11%
Dexterity
10%
19%
some difficulty serious restrictions
Either
restrictions
Source: SeniorWatch, 2002
ICADI - Preparatory Work Shop, London, 26th/27th June
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Market potential for IST-based solutions re the chronically ill
43% 32 m
35% 26 m
Chronically ill citizens percent [%] absolute [million]
22% 17 mThe experiencedfrontrunnersOld age beginners + technologically open minded
The digitallychallenged 27%
All 50+ citizenspercent [%]
31%
42%
Source: SeniorWatch, 2002
ICADI - Preparatory Work Shop, London, 26th/27th June
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Older European’s interest in eHealth applications
Source: SeniorWatch, 2002
0
10
20
30
40
50
60
70 Theexperiencedfrontrunners
The old agebeginners +Thetechnologicallyopen mindedThe digitallychallenged
Internet health
information
Info about ongoing medical
treatment
Doctor`s advice
by e-mail
Doctor`s advice by video telephone
ICADI - Preparatory Work Shop, London, 26th/27th June
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Are European home care providers ready to utilise IST solutions ?
Source: SeniorWatch, 2002
‘non-users’
‘office-only users’
‘on-liners’
‘e-carers’
… do not at all use IST (apart from fixed telephony)
… utilise IST (e.g. PC) for administrative purposes
… maintain an Internet presence (not interactive)
… utilise IST for the purpose delivering care to the client (e.g. mobile staff support, monitoring)
Majority
ICADI - Preparatory Work Shop, London, 26th/27th June
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Motivation for equipping field staff with IST
Source: SeniorWatch, 2002
90,8 89
69,2
57,4
40,3
34,6
24,3
0
10
20
30
40
50
60
70
80
90
100
respondfaster to
emergencies
increasequality ofservice
betterservice
delivery torural,
underservedareas
increasingdemand by
staff
costreduction
offer newservices
gainadditional
clients
quality of service
Percentage base: Establishments that equip mobile workers with mobile phones, laptops or hand held computers, weighted according to European market share
ICADI - Preparatory Work Shop, London, 26th/27th June
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Challenge I: How can ICT solutions be brought into day-to-day home care practice ?
• On a pilot basis, user benefits have been proved many times. But were is the business case ?
• In many pilot projects, new ICT solutions have been developed in a specific context and on an ‘ad-hoc’ basis. But were to buy generic and scalable systems ?
• Considerable efforts have been made to develop reliable technology components. But were to buy plug-and-play solutions ?
ICADI - Preparatory Work Shop, London, 26th/27th June
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Challenge II: How can potential demand be turned into actual demand ?
• Like any other age group, the older population covers the same range of IST involvement and relevant skills. But were can the ‘digitally challenged’ and the functional restricted obtain IST solutions that are easy to use/understand ?
• In general, older people take a very pragmatic approach with respect to utilising IST for their purpose. But how can they gain a better picture about the benefits IST solutions may hold for them ?
ICADI - Preparatory Work Shop, London, 26th/27th June
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Challenge III: How to exploit converging technologies & services for the purpose of supporting independent living?
A c c e s s N e t w o r k
S w i t c hS w i t c h
H u bH u b
S e r v e r
R e s i d e n t i a l G a t e w a y
L A N
L A N
S e r v i c e s C e n t r e
I P N e t w o r k
P o w e r L i n e N e t w o r k
S w i t c hS w i t c h
S e r v e r
L A N
C o n t e n t s P r o v i d e r
I P
S P A D
E C G / E K C
R F
H A W N
H A S V i d e o B o x
I n - h o m e N e t w o r kI n - h o m e N e t w o r k
W o r n G a d g e t s +A l a r m b u t t o m
Source: IST@home, 2002