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Technology to Assist Better Living –
Time to Create Awareness for both Professionals and Citizens Alike
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MaggieEllisEKTGLeadershipGroupCo-ordinatorandLeadAcademic,Enterprises,LSE
SomebackgroundtoEKTGEuropeanKnowledgeTreeGroupforeHealth(EKTG)hasbeenbasedatLSEforsixyears.Itcomprisesawidelydrawngroupincludingusers,policymakers,designersandimplementers,aswellasacademics,thirdsector,centralandlocalgovernment,healthprofessionalsandleadersoflargeandsmallbusinesses.ThegroupsharesadesireforfundamentalchangeinthewayageingisperceivedandeHealthisdelivered.AmongstothersweworkwithKTN,INNOVATEUKandEUDGCONNECT.
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EKTGDefiniAonofeHealth
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Thisincludes:SupportedLivingmHealthAmbientAssistedLiving…......
ShouldwebeconcernedifsocietydoesnotunderstandeHealth?
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MaggieEllisEKTGLeadershipGroupCo-ordinatorandEnterprises,LSE
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)PopulaRonpyramids,EU-28,2001and2015(1)(%ofthetotalpopulaRon)Source:Eurostat(demo_pjangroup
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Issues: Wideengagement HealthinequaliRes
OpportuniAes: Workforce
Datasharing
Challenges: Universality
Cost
Long-term care expenditure by sources of financing, OECD 2007
Note: Data on out-of-pocket spending for some of the countries are underestimated. For example, in the Netherlands, cost sharing on long-term care services is estimated to account for 8% of the total LTC expenditure. The share of out-of-pocket spending for Switzerland is overestimated as cash benefits granted for care in care facilities are not considered.
Source: OECD Health System Accounts, 2010.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
government revenue social security private insurance out-of-pocket other
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More resources needed to pay for LTC in the future: Public spending on LTC as % of GDP, 2010-2060
Base case scenario
0
1
2
3
45
6
7
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BE BG CZ DK DE EE IE EL ES FR IT CY LV LT LU HU MT NL AT PL PT RO SI SK FI SE UK NO
2010
2060 basecase
Source: The 2012 Ageing Report: Economic and budgetary projections for the EU27 Member States (2010-2060). European Commission.
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Number of people projected to live to 100 in United Kingdom
Males Females
Age in 2010
Population in 2010 (000s)
Number to reach age 100
(000s)
Proportion reaching 100 (%)
Population in 2010 (000s)
Number to reach age 100
(000s)
Proportion reaching 100 (%)
Total aged under 100 30,607 4,441 14.5% 31,604 6,315 20.0%
0-15 5,926 1,359 22.9% 5,649 1,720 30.4%
16-50 15,025 2,272 15.1% 14,884 3,197 21.5%
51-65 5,444 512 9.4% 5,654 818 14.5%
66-99 4,211 299 7.1% 5,416 579 10.7%
Table 1, Department for Work and Pensions, Ed Price Number of Future Centenarians, December 2010
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The Users, who are they? In the UK 20% of the population are over 50 They own 80% of the nations wealth They are the biggest spenders HOWEVER: Only 10 % of advertising addresses this group Only 4% of advertising staff are over 50
Maybe that explains the image problem? [email protected]
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Valuing the socio-economic contribution of older people in the UK (2011)
• In 2010 positive net contribution to UK economy £40 billion rising to £77 billion by 2030.
• Costs: takes account of pension, welfare, health costs.
• Benefits: Tax revenues, Consumer Spending, Provision of Care, Volunteering
http://www.goldagepensioners.com/Uploads/PDF/main-report.pdf
Repeated Barriers to adoption of assistive technology
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• LackofknowledgeofapplicaRons,costofimplemenRon&exactbenefit• PoorlyresearchedpublicaAonsoneHealth• SomemajorreportsemphasisenegaAvefeaturesofopenaccessrecords• OverburdenedhealthcaresystemsmeaninvesRnginnewwaysofworking&thisisnotthecenterofabenRon
• InteroperabilityinvolvestheintegraRonofmulRplecomplexITsystemsandinfrastructure
• Lackoflegal,ethicalandindustrystandards• Lackofarobustfundingorreimbursementmodel• CultureshicsarerequiredfrombothpaRentsandHCPsbeforeefficientadopRonofassisRvetechnologies–&bebereducaRonandunderstanding
• LegalchallengessurroundinginformaRongovernanceandprivacyareconsideredaprimarydeterrent.
Management of health and care data access and control is crucial
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Fundamentalprinciple:Healthdatabelongstothedatasubject
! Accesstomydata
! Controlofmydata
! DelegaRonofmyaccessandcontrolrights
! Openaccessshouldnotmeanopentoeverybody
LegalframeworkfuncRonsincombinaRonwithappropriatetechnologyandgovernance
Howdoweachieveabroaderunderstandingabouttheissues,thechallengesandtheopportuniAesofferedbyehealthtechnologyforahealthyageingpopulaAon?
Issues: HealthinequaliResIssues: Wideengagement HealthinequaliRes
OpportuniAes:Workforce DataSharing
Challenges: Universality Cost
OpportuniAes: Workforce
Datasharing
Challenges: Universality
Cost
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hbp://www.fundacionvodafoneconlosmayores.com
EKTGOutcomes:OneSpanishiniAaAveregarding digital literacy for senior people :
EducaRonalvideomaterialwithlessonsabouthowtousetheSmartphoneandconcreterecommendaRonsforseniorstomakethemostofthem
EKTGAALForumOutcomes: OneexamplefromaUKCompanyImportance&Power–SocialMedia
• Ecommerceforhealthtech• Morethan1Mvisitorsperannum
• 42+productpartners• Consumerandtradesales• MulRplereferrers
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Oct2015Today
CaneHealthTechnologiesreallychangepracAce
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*ImpactofRghteningbudgetsandincreasingdemand,reduceuseofhospitalsandsupportpeopletoselfmanagecondiRonsprovidingopportuniRestoscaleupuseofassisRvetechnologies
*TechnologyandinnovaRonaretwoofthemaindriversofproducRvitybutnotininteracRonwithserviceusers.*Notjustatechnologicalissue–itisaboutservicere-designanddifferentworking
*Technologyisadvancingatapace,mostpeopleusetelephones,video,mobileandwebtechnologyeverydayforknowledge&informaRon
*Manytechnologicallyassistedapproachtoselfmanagementused,withorwithouttheinvolvementofhealthandsocialcareproviders
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ConclusionsfrommanyposiLveexamplesofusingeHealthCostEffecLveCostsavingPaLentsfeelmoreresponsiblefortheirhealthAvoidsadmissiontohospitalAvoidsambulancejourniesAvoidsinfecLonAvoidsleavinghome,lovedonesandpetsSavesLme,energyandmoney
PosiAveConclusionsfromexamplesofusingeHealth
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Maybeyouhavebeberexamples?Howwillyouhelpdeveloptheexamples?EKTGisworkingtopromulgatemoreWeneedyourhelppleaseM.Ellis1@lse.ac.uk