1 ICADI - Preparatory Work Shop, London, 26 th /27 th June Independent living in an ageing society - some remarks on demand and supply of telecare solutions

ICADI - Preparatory Work Shop, London, 26th/27th June

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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


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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


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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


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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


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The European ‘care gap’


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)


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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


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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


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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



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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%



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Older European’s interest in eHealth applications


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


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Are European home care providers ready to utilise IST solutions ?


‘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


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Motivation for equipping field staff with IST


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


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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 ?


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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 ?


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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


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Thank you !

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Documents

1 ICADI - Preparatory Work Shop, London, 26 th /27 th June Independent living in an ageing society - some remarks on demand and supply of telecare solutions