eHealth Conference 2007, 17th -19th April, Berlin Gesellschaft für Kommunikations- und Technologieforschung mbH Oxfordstr. 2, D - 53111 Bonn / Germany An Introduction eHealth and Assisted Living for Europe's Ageing Society Lutz Kubitschke
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eHealth Conference 2007, 17th -19th April, Berlin
Gesellschaft für Kommunikations- und Technologieforschung mbHOxfordstr. 2, D - 53111 Bonn / Germany
An Introduction
eHealth and Assisted Living for Europe's Ageing Society
Lutz Kubitschke
eHealth Conference 2007, 17th -19th April, Berlin
Contents
• Demographic trends
• Needs of older people & their carers
• Options for ICT enabled support
• Challenges for wider deployment
eHealth Conference 2007, 17th -19th April, Berlin
Research background
• Studies on ICT & ageing(e.g. SeniorWatch, “Walter” study, IPTS study
on the future of Independent Living Services)
• Pilot implementations(e.g. TeleCommunity, TEN-Care, TEN-HMS,
MobilAlarm, SOPRANO)
eHealth Conference 2007, 17th -19th April, Berlin
Demographic trends: “Triple ageing”
„Elder ageing“
Ageing workforce
More older citizens
eHealth Conference 2007, 17th -19th April, Berlin
Economic pressure on social/health systems
Year at which overall population
starts to decline
Year at which working population
starts to decline
2000
2015
2050
eHealth Conference 2007, 17th -19th April, Berlin
Chronic conditions (EU15)
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 respiratorydisease
8.5 5.4 8.8 11.5 11.4
Diabetes mellitus 9.2 6.8 9.4 12.2 10.1
Joint/bone/musclediseases
25.6 18.9 27.0 30.3 35.2
Other long term
condition18.7 16.7 18.5 20.9 22.2
At least onechronic condition 62.0 49.0 64.2 73.4 74.0
Source: SeniorWatch, 2001
eHealth Conference 2007, 17th -19th April, Berlin
Activities of daily living (EU15)
Source:SeniorWatch, 2001
Difficulty going shopping
0%
5%
10%
15%
20%
25%
30%
35%
40%
50 – 59
years
60 – 69
years
70 – 79
years
80+
years
Severe mobility restrictions
Difficulty taking bath/shower
Difficulty dressing
Fallen during last 12 month
eHealth Conference 2007, 17th -19th April, Berlin
Proportion of 50+ receiving care (EU15)
Difficulties dressing / shower
Receiving care
Thereof: by professional
carer0%
5%
10%
15%
20%
25%
30%
50 – 59
years
60 – 69
years
70 – 79
years
80+
years
Looming care gap !
Source:SeniorWatch, 2001
eHealth Conference 2007, 17th -19th April, Berlin
MedicalPsycho Social
Activities of Daily Living
acute & chronic diseases …
psychiatric conditions … demotivation &
loneliness …
functional restrictions …
multiplerisks …
isolation …
basic (personal) self-care and practical everyday activities …
Multiple threats to independent living in old age
eHealth Conference 2007, 17th -19th April, Berlin
… not to forget informal caregivers
• “Burnout” indicators (Doty, 1993):
– frequent sleep interruptions
– inability to leave the care recipient alone
– physical demands when helping with ADL
• Mean number of chronic health problems of
informal caregivers (Health Canada, 1998):
– 2.6 for caregivers of persons with dementia
– 1.9 for caregivers of persons without dementia
eHealth Conference 2007, 17th -19th April, Berlin
Options for ICT enabled support
Informal carer
Home environment
Medical
care
Personal
communication
Social
care &
security
AT & home
automation
Medical services
• remote health monitoring
• remote consultation
• …
Social services
• active / passive social alarms
• remote emotional support
• …
• shared client records
• collaborative working tools
• …
Out & about
eHealth Conference 2007, 17th -19th April, Berlin
Can we make it happen ?
• Technologically: e.g. interoperability of existing
systems, emerging technologies such as AmI
• Economically: e.g. sustainable business
models, value chains
• Organisationally: e.g. integration of health &
social services, intra-organisational change
• Ethically: e.g. dehumanisation of care, equality
of access to good quality services
eHealth Conference 2007, 17th -19th April, Berlin
Thank you for your attention !
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