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The importance of the private household as a health location will increase

Technical products and social services How does this fit togehter ? Michael Cirkel & Peter Enste Kyungnam University. The importance of the private household as a health location will increase.

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The importance of the private household as a health location will increase

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  1. Technical productsandsocialservicesHowdoesthis fit togehter?Michael Cirkel & Peter EnsteKyungnam University

  2. The importance of the private household as a health location will increase • Changes in values increase the interest in “Healthy-Lifestyle“ and self-help in terms of health • Elderly all over Europe have a strong interest in independently living at home as long as possible • Substantial increases in care can not be met without an increasing involvement of households • The hospital stays are shorter, so the need for successive support increases (Homecare) source: www.info-dialyse.de

  3. However: The socio-ecomomic change tends to undermine the health and help resources of families and households • Households are becoming smaller, less stable and more inefficient • Good care and high-performance medical therapies need pro-fessional Know-How and support • Alone living elderly often have a strong need for safety, commu-nication and services Consequences: Health Care is coming home – but there is a need for a new support architecture to enable households for the job! source: www.barrierefrei-leben.de

  4. In SearchofStrategiestostrengthenthehouseholdas a healthlocation • Care friendlyworkingplaces • Barrier-freeandsafeflats • New house- and flat-sharingcommunities • Age friendlyneighbourhoods • safeandbarrierefreeroads • neigbourhoodshopsandmeetingpoints • encouragingfor mutual self-help • Ehealth@home The Welfare Mix:

  5. eHealth: New ways to strengthen the household as health location • “Empowerment“ of the patient by providing health information online • Expansion of social alarm systems • Remote monitoring of vital signs (TeleHealthmonitoring) • Ambient Assisted Living (AAL) or: The health-promoting design of housing and living environment Source: www.aal-deutschland.de

  6. For medical, social and economic reasons the strengthening of the household as a health location by eHealth is necessary, but also slow in Europe • Few countries have high rates of connection with social alarm • TeleHealthmonitoring and AAL: much experimentation, little implementation • In USA and Japan eHealth@home is used more extensively. source: www.vnakc.com

  7. EHealth@homein Germany: A broad R&D-landscape is desparately waiting for succesful implementation of its results. Only approx. 60 of 235 initiatives are offerring sustainable services, the others are or were pilot projects. Source: http://www.iat.eu/ehealth/

  8. Work and Qualification – “Achilles heel” for the future of the healthcare industry! • Every 5th Nurse (Germany) thinks intensely about a career exit ! • Two thirds of medical students look for alternatives to work as doctors in German healthcare. • The Increasing numbers of cases, decline of stay and occupancy days in German hospitals have contributed to the intensi-fication and aggregation of work! • Significant relationship between rationing in the care and bad results of treatments and work (RICH- [CH] / IHOS-Studie, 2005)! • The worldwide competition for scarce labor in the field of health care has begun („War for Talents“)

  9. New careers and new division of labor: “Under Construction” Triggered by some acute, some potential staff shortages Through intelligent organization of work and working time work should become more humane. An upgrading of nursing skills can ease the shortage of doctors. New management and marketing skills provide an additional outlet New professions beyond medicine and care may develop new services and business potentials. In the long term, better payment is indispensable. source: www.tai-chi-qigong.org

  10. Conclusion: Health is in a paradigm shift from the economic burden to opportunity. HealthCare benefits the quality of life, employment and growth simultaneously. Innovations for health significantly benefit from regional networking. Key future construction sites can be identified and handled in a more promising way. However: There are plenty future risks, particularly public acceptance, speed of innovation and labor shortages.

  11. Facts about care in Germany • 2.34 Mio. People need care (care insurance) • 83% of them are 65 years and older • 35% of them are 85 years and older • 1999 – 2009: Increase of 16% • 69% of the people who need care are living at home

  12. “Driving forces” for AAL and E-Health in Germany • The groupofpeople, whoneedshelpbyacitivitiesofdailylife ist growing fast • The majorityofolderpeoplewantstostay in theirownhomesaslongaspossible • The motto „Outpatient beforeInpatient“ leadsto a high rate ofhomecare • The „youngerolderpeople“ gotoften in contactwithtechnicalproducts in theirbusinesslife, so thetechnicalacceptance ist growing • The numberof „One-Person-Households“ ist growing

  13. “Retardings” for AAL and E-Health in Germany • The deploymentfor ICT in Householdsforcareislowandslow • „Lack ofinformation“ on all sides: industry, socialservicesandoldpeople

  14. “Retardings” for AAL and E-Health in Germany The deploymentfor ICT in Householdsforcareislowandslow: • Social alarm call systems needed 25 years to 350.000 subscribers • Video-conferencing-based systems have not left the state of pilot installations since 15 yearson • Telehealthmonitoring is struggling for future prospects • Ambient assisted living, for the time being, is only a topic for insiders in the research anddevelopmentbusiness

  15. “Retardings” for AAL and E-Health in Germany The deploymentfor ICT in Householdsforcareislowandslow: • Social alarm call systems needed 25 years to 350.000 subscribers • Video-conferencing-based systems have not left the state of pilot installations since 15 yearson • Telehealthmonitoring is struggling for future prospects • Ambient assisted living, for the time being, is only a topic for insiders in the research anddevelopmentbusiness

  16. “Retardings” for AAL and E-Health in Germany Lack ofinformation Social Services: technicalsystemsareseenas inhuman technicalsupportwouldsufferthequalityofcare Industry: Little understandingofthefieldofsocialwork Problems withtheneedsoftheElderly Older People: Beafraidofloosingsocialcontact Technical acceptance not so high

  17. Conclusions and Solutions? • Many pilot projects can only be started with the aid of public funding. The public financiers expect "successful" developments. Under this constraint pilots are more promising than large scale applications which always involve risks particularly in the intersections where technology and "traditional" social services meet. • Though large numbers of pilot projects, working groups, professional circles and societies exist in the field, there is no systematic development of technical norms or coordination and communication about results and outcomes, so that many projects necessarily end up in the archives. Lack ofinformation

  18. “If you are buying a technical product, what would be important for you?” Source: IAT 2011

  19. Cluster analysis: Technical acceptance Source: IAT 2011

  20. Cluster analysis: Technical acceptance Source: IAT 2011

  21. 대단히 고맙습니다Vielen DankThankyou

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