Active Ageing and Independent Living Services: The Role of Information and Communication Technology

Ageing populations influence services and traditional social support systems like social and health care in the European countries, as well as global patterns in labour and capital markets. It is widely accepted that Information and Communication Technology (ICT) applications can provide new ways of helping older citizens to live independently. ICT-based applications for independent living vary from general purpose and communication applications to applications specifically for e-learning, e-work and e-health. ICT-based services and understanding the needs of older people are key to supporting Active Ageing in upcoming ageing societies. However, there is still limited understanding of older people's technology-related needs. This report aims to support the research and policy development activities of DG Information Society and Media towards the European Research Area. It highlights the main policy areas related to ageing, where ICT-based applications could play a role, and suggests a number of research and policy challenges that need to be resolved in order to maximise the opportunities offered by ICT.JRC.J.4-Information Societ

Future challenges and recommendations

Rapid advances in information technology and telecommunications, and in particular mobile and wireless communications, converge towards the emergence of a new type of “infostructure” that has the potential of supporting a large spectrum of advanced services for healthcare and health. Currently the ICT community produces a great effort to drill down from the vision and the promises of wireless and mobile technologies and provide practical application solutions. Research and development include data gathering and omni-directional transfer of vital information, integration of human machine interface technology into handheld devices and personal applications, security and interoperability of date and integration with hospital legacy systems and electronic patient record. The ongoing evolution of wireless technology and mobile device capabilities is changing the way healthcare providers interact with information technologies. The growth and acceptance of mobile information technology at the point of care, coupled with the promise and convenience of data on demand, creates opportunities for enhanced patient care and safety. The developments presented in this section demonstrate clearly the innovation aspects and trends towards user oriented applications

Horizons and Perspectives eHealth

EHealth platform represents the combined use of IT technologies and electronic communications in the health field, using data (electronically transmitted, stored and accessed) with a clinical, educational and administrative purpose, both locally and distantly. eHealth has the significant capability to increase the movement in the direction of services centered towards citizens, improving the quality of the medical act, integrating the application of Medical Informatics (Medical IT), Telemedicine, Health Telematics, Telehealth, Biomedical engineering and Bioinformatics. Supporting the creation, development and recognition of a specific eHealth zone, the European Union policies develop through its programs FP6 and FP7, European-scale projects in the medical information technologies (the electronic health cards, online medical care, medical web portals, trans-European nets for medical information, biotechnology, generic instruments and medical technologies for health, ICT mobile systems for remote monitoring). The medical applications like electronic health cards ePrescription, eServices, medical eLearning, eSupervision, eAdministration are integral part of what is the new medical branch-eHealth, being in a continuous expansion due to the support from the global political, financial and medical organizations; the degree of implementation of the eHealth platform varying according to the development level of the communication infrastructure, allocated funds, intensive political priorities and governmental organizations opened to the new IT challenges.eHealth, telemedicine, telehealth, bioinformatics, telematics

The Role of Educational Technology in Caregiving

Huge demographic and socio-economic changes are part of the experience of present societies. One consequence is the aging of the population and increasingly more people without the capacity for self-care. The provision of intergenerational care, namely caring for the older individuals, is a focus of attention for health professionals, but is also part of the political and social agenda. There is a need to regulate, support, and facilitate the daily life of families who have a dependent aged member. In contemporary societies, the use of information and communication technologies (ICT) is an important driver of innovation, responsible for a large transformation of living standards and new social behaviors. Within the scope of the provision of informal care, ICT can provide a great support, representing a primordial tool for updating the organizations in order to improve their efficiency, incorporating and making available services, and anticipating needs. Thus, the development of equipment, electronic applications, and websites for the elderly or their family caregivers should be conceptualized and customized to the profile of these users. A major challenge faced by healthcare institutions is to focus their services by organizing them around citizens’ needs

Information and communications technology in health care

Information and communications technology has increased productivity in many sectors of the economy, and economic growth rests more and more on the contributions of ICT. However, even though the investments in ICT have been growing, the adoption information and communication technology has been relatively slow in health care industry. Health care systems are under constant discussion and there is pressure to improve productivity, as the already struggling industry will face serious challenges due to the ageing population. As the population is ageing, the demand for health services will increase and the labor force decrease. Thus, to be able to provide good quality health services to the citizens, the productivity needs to increase and it is widely believed that ICT will be playing a major role. This thesis discusses the role of ICT in improving productivity in the health care sector as well as the related problems and the reasons behind the slow adoption. The discussion is based on existing literature and research on the subject. Health ICT applications are constantly developing and new research comes up frequently, and one of the objectives is to get a picture of the current situation in Finland as well as in Europe and the US. Moreover, memory disorders will be posing a major challenge for future health care. Due to population ageing the prevalence of dementia is going to increase and there is discussion about the use of ICT to enhance productivity in home care. Especially smart living environment technology has received a lot of attention in this context, and also the last chapter of this thesis deals with a particular Oulu-based smart living environment project called “Value Creation in Smart Living Environments for Senior Citizens”. I try to assess the cost-effects of possible technology solutions, but since there is no concrete technology yet, I have been able to get only very rough and suggestive results of the cost reductions. The calculations are based on information attained by interviewing two home care nurses and the Service Chief of home care in the city of Oulu. The main conclusions are that despite its limits, it seems that eventually ICT will be effecting the productivity in health care greatly, and possibly change the process considerably. Furthermore, with the help of ICT, the focus is moving from acute type of care towards more prevention and self-care, which – in the long run – is obviously good for the economy as well as our health

MOSAIC roadmap for mobile collaborative work related to health and wellbeing.

The objective of the MOSAIC project is to accelerate innovation in Mobile Worker Support Environments. For that purpose MOSAIC develops visions and illustrative scenarios for future collaborative workspaces involving mobile and location-aware working. Analysis of the scenarios is input to the process of road mapping with the purpose of developing strategies for R&D leading to deployment of innovative mobile work technologies and applications across different domains. One of the application domains where MOSAIC is active is health and wellbeing. This paper builds on another paper submitted to this same conference, which presents and discusses health care and wellbeing specific scenarios. The aim is to present an early form of a roadmap for validation

Measuring Digital Opportunity for America's Children: Where We Stand and Where We Go From Here

Examines the connection between access to technology and the health, economic opportunity, community involvement, and educational achievement of youth. Makes recommendations for addressing the opportunity gap for low-income and ethnic-minority children

Reporting an Experience on Design and Implementation of e-Health Systems on Azure Cloud

Electronic Health (e-Health) technology has brought the world with significant transformation from traditional paper-based medical practice to Information and Communication Technologies (ICT)-based systems for automatic management (storage, processing, and archiving) of information. Traditionally e-Health systems have been designed to operate within stovepipes on dedicated networks, physical computers, and locally managed software platforms that make it susceptible to many serious limitations including: 1) lack of on-demand scalability during critical situations; 2) high administrative overheads and costs; and 3) in-efficient resource utilization and energy consumption due to lack of automation. In this paper, we present an approach to migrate the ICT systems in the e-Health sector from traditional in-house Client/Server (C/S) architecture to the virtualised cloud computing environment. To this end, we developed two cloud-based e-Health applications (Medical Practice Management System and Telemedicine Practice System) for demonstrating how cloud services can be leveraged for developing and deploying such applications. The Windows Azure cloud computing platform is selected as an example public cloud platform for our study. We conducted several performance evaluation experiments to understand the Quality Service (QoS) tradeoffs of our applications under variable workload on Azure.Comment: Submitted to third IEEE International Conference on Cloud and Green Computing (CGC 2013

Affective Medicine: a review of Affective Computing efforts in Medical Informatics

Background: Affective computing (AC) is concerned with emotional interactions performed with and through computers. It is defined as “computing that relates to, arises from, or deliberately influences emotions”. AC enables investigation and understanding of the relation between human emotions and health as well as application of assistive and useful technologies in the medical domain. Objectives: 1) To review the general state of the art in AC and its applications in medicine, and 2) to establish synergies between the research communities of AC and medical informatics. Methods: Aspects related to the human affective state as a determinant of the human health are discussed, coupled with an illustration of significant AC research and related literature output. Moreover, affective communication channels are described and their range of application fields is explored through illustrative examples. Results: The presented conferences, European research projects and research publications illustrate the recent increase of interest in the AC area by the medical community. Tele-home healthcare, AmI, ubiquitous monitoring, e-learning and virtual communities with emotionally expressive characters for elderly or impaired people are few areas where the potential of AC has been realized and applications have emerged. Conclusions: A number of gaps can potentially be overcome through the synergy of AC and medical informatics. The application of AC technologies parallels the advancement of the existing state of the art and the introduction of new methods. The amount of work and projects reviewed in this paper witness an ambitious and optimistic synergetic future of the affective medicine field