Long-Term Care Challenges in an Ageing Society: The Role of ICT and Migrants Results from a Study on England, Germany, Italy and Spain

This report synthesizes and discusses the findings of a series of studies on the use of ICT to support caregivers providing Long-Term Care at home, with particular attention to migrant caregivers. The use of Information Communication Technologies (ICT) for health and social care is playing an increasingly important role in the context of the demographic changes. As, on the one hand, people are getting older and the need for care is increasing, and, on the other hand, the number of formal and informal caregivers is decreasing, technical devices are seen as a possible solution to this dilemma. At the same time, people in need of care and their relatives have a tendency to informally employ private care assistants, often from migrant backgrounds, to assist those in need of care in their homes with daily tasks, so as to avoid and postpone their transferral into institutional care. To better understand the current and prospective use of ICT to assist informal caregivers, and in particular those of migrant origin, JRC-IPTS conducted a series of exploratory studies, assessing the situation in Italy, Spain, Germany and the UK. This report gives an overview on the situation of domiciliary care in each of these countries; investigates the opportunities for ICT in home care and identifies drivers and barriers for the deployment of ICT by caregivers with a particular focus on migrant care assistants.JRC.DDG.J.4-Information Societ

The Potential of ICT in supporting Domiciliary Care in Germany

This report documents the findings of the study on the potential of ICT in supporting the provision of domiciliary care, with particular attention to the case of immigrant care workers and informal caregivers in Germany. This country study was launched by JRC-IPTS in 2008 in parallel with two complementary country studies, assessing the situation in Spain and the UK, with the same focus and objectives. All three studies were prompted by the findings of a previous exploratory study on the use of ICT by immigrant care workers in Italy. In Germany, the use of Information Communication Technologies (ICT) for health and social care is playing an increasingly important role in the context of the demographic changes. As, on the one hand, people are getting older and the need for care is increasing, and, on the other hand, the number of formal and informal caregivers is decreasing, technical devices are seen as a possible solution to this dilemma. At the same time, people in need of care and their relatives have a tendency to informally employ private care assistants, often from migrant backgrounds, to assist those in need of care in their homes with daily tasks, so as to avoid and postpone their transferral into institutional care. This report gives an overview on the situation of domiciliary care in Germany, outlining the current use of ICT in home care and by domiciliary caregivers. It investigates the opportunities for ICT in home care and identifies drivers and barriers for the deployment of ICT by caregivers with a particular focus on migrant care assistants. The research undertaken in this and the other national reports is exploratory in nature. The study employs a triangulation of methods, comprising desk-based analysis of existing reports and scientific publications; analysis of information and service web sites; and field work involving direct questioning of experts, service providers, and a sample of carers and care workers, including immigrants.JRC.DG.J.4-Information Societ

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

The impact of information and communication technology on family carers of older people and professionals in Sweden

Government policy in Sweden, as in other developed countries, pays increasing attention as to how best to support the family carers of older people. New and innovative means of support, such as information and communication technology, are emerging. This paper explores the perceived benefits of, and barriers to, information technology as a means of supporting family carers of older people. Following a brief overview of the care-giving literature, with particular reference to the Swedish context, interview and questionnaire data collected from 34 families who took part in the Swedish ACTION project are used to explore the role of user-friendly information and communication technology to inform and enable family carers of older people to exercise choice, to care more effectively and to work in partnership with professionals. Interview data from two groups of professionals that utilised ACTION are also examined to throw light on its potential benefits for both carers and professionals. Consideration is given to the barriers to using information technology, and to identifying those carers most likely to benefit. Areas for further development are the need for practitioners' education and a wider range of programmes to address carers' diverse needs. Clearly, lessons learned from the Swedish project have wider relevance, given that new forms of support are being developed in most technically advanced countries

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

Playful and creative ICT pedagogical framing : A nursery school case study

This article reports on the findings of a one-year qualitative study in which a nursery school used information and communication technology (ICT) and a digital media consultant as a catalyst for cultural change leading to teachers’ improved pedagogical framing and children’s enhanced learning dispositions. The pedagogic framing included the children making mini-movies and avatars which were uploaded onto the nursery website. It is argued that such innovative and creative ICT pedagogy was strongly motivational and afforded opportunities for coconstruction and sustained shared thinking (SST) as it engaged with children’s and families’ digital cultural habitus. The research reports on field notes, interviews and observations (n ¼ 15) of child peer interactions and teacher child interactions

Meeting their potential: the role of education and technology in overcoming disadvantage and disaffection in young people

This report is a review of literature, policy and reported practice, exploring the potential of technology to mitigate disaffection and disadvantage in education and raise attainment of those young people who are under-achieving in school or other educational settings

The women in IT (WINIT) final report

The Women in IT (WINIT) project was funded by the European Social Fund (ESF) from March 2004 until April 2006 under HE ESF Objective 3: Research into equal opportunities in the labour market. Specifically the project came under Policy Field 2, Measure 2: Gender discrimination in employment. The project was run in the Information Systems Institute of the University of Salford. One of the Research Associates has an information systems (IS) background, the other has a background in sociology. We begin this report with an overview of the current situation with regards women in the UK IT sector. Whilst gender is only recently being recognised as an issue within the mainstream IS academic community, thirty years of female under-representation in the ICT field in more general terms has received more attention from academics, industry and government agencies alike. Numerous research projects and centres (such as the UK Resource Centre for Women in Science, Engineering and Technology) exist to tackle the under-representation of women in SET careers, although the figures for women’s participation in the ICT sector remain disheartening, with current estimates standing at around 15% (EOC 2004). Various innovative initiatives, such as e-Skills’ Computer Clubs for Girls, appear to have had little impact on these low female participation rates. Additionally, these and other initiatives have been interpreted as a means to fill the skills gap and ‘make up the numbers’ to boost the UK economy (French and Richardson 2005), resulting in ‘add more women and stir’ solutions to the ‘problem’ of gender in relation to inclusion in IS and ICT (Henwood 1996). Given that there have been decades of equal opportunity and related policies as well as many government initiatives designed to address the gender imbalance in IT employment patterns, sex segregation in IT occupations and pay and progression disparity in the IT sector (including the latest initiative- a one million pound DTI funded gender and SET project), we could be forgiven for assuming that these initiatives have had a beneficial effect on the position and number of women in the IT workforce, and that even if we have not yet achieved gender equity, we can surely argue that there are positive moves in the right direction. Although we do not wish to make definitive claims about the success or failure of specific initiatives, our research, backed up by recent major surveys, paints a picture that remains far from rosy. Indeed a recent comparative survey of the IT workforce in Germany, Holland and the UK indicates that women are haemorrhaging out of the UK IT workforce (Platman and Taylor 2004). From a high point of 100,892 women in the UK IT workforce in 1999, Platman and Taylor (ibid., 8) report a drop to 53,759 by 2003. As the IT industry was moving into recession anyway, the number of men in the industry has also declined, but by nothing like as much, so the figures for women are stark. When it comes to number crunching who is employed in the UK IT sector and when trying to make historical comparisons, the first obstacle is defining the sector itself. Studies vary quite substantially in the number of IT workers quoted suggesting there is quite a bit of variation in what is taken to be an IT job. The IT industry has experienced considerable expansion over the past twenty years. In spring 2003 in Britain, it was estimated that almost 900,000 people worked in ICT firms, and there were over 1 million ICT workers, filling ICT roles in any sector (e-Skills UK, 2003). This growth has resulted in talk of a ‘skills shortage’ requiring the ‘maximization’ of the workforce to its full potential: ‘You don’t just need pale, male, stale guys in the boardroom but a diversity of views’ (Stone 2004). In spring 2003 the Equal Opportunities Commission estimated there to be 151,000 women working in ICT occupations compared with 834,000 men (clearly using a different, much wider job definition from that of Platman and Taylor (2004)) , whilst in the childcare sector, there were less than 10,000 men working in these occupations, compared with 297,000 women (EOC 2004). It is estimated that the overall proportion of women working in ICT occupations is 15% (EOC 2004). In the UK, Office of National Statistics (ONS) statistics indicate that women accounted for 30% of IT operations technicians, but a mere 15% of ICT Managers and only 11% of IT strategy and planning professionals (EOC 2004). Although women are making inroads into technical and senior professions there remains a ‘feminisation’ of lower level jobs, with a female majority in operator and clerical roles and a female minority in technical and managerial roles (APC 2004).

A review of the evidence on the use of ICT in the Early Years Foundation Stage

This report reviewed existing evidence on the potential of technology to support the development of educational policy and practice in the context of the Early Years Foundation Stage. Reference is made to the use of ICT by young children from aged birth to five years and its potential impacts, positive and negative on their cognitive, social, emotional educational, visual and physical development