Laure Amar Ecole Polytechnique Nathalie Raulet-Croset IAE de Paris, Ecole Polytechnique, CNRS

1. 1. Remote care services for elderly people Ecole Polytechnique – CNRS 7176Management Research Center of the Ecole Polytechnique Laure Amar Ecole Polytechnique Nathalie Raulet-Croset IAE de Paris, Ecole Polytechnique, CNRS

2. 2. Remote care service for elderly people • I. Remote care service for elderly people • II. Data emerging from remote care service activity • III. How the data recorded by the services are taken into account to establish a relationship of shared responsibility between the departmental services • Discussion

3. 3. Technology for "healthy aging" • Entertainment and communication • Prevention of risks, reassure one’s own entourage • Prevention and reporting of falls • To move, to be mobile, to exercise • Adapting arrangements of surroundings • To take care of one’s own health • Exercise memory • Manage home care services • Accompany sick people with Alzheimer's disease

4. 4. Remote care service introduced in France 30 years ago • A means of communication now common • Which produces personal information on the elderly • Data collected and analyzed • Data that allow to identify new needs

5. 5. Who are the 400 000 Subscribers? • Now subscribe to this service about: • 3, 3 % are persons over 60 years • 10 % are persons of 85 years and more, living alone at home • Especially after 80 years it’s that one subscribes: • 11 % between 80 and 84 years • 13 % from 85 to 89 years • 18 % of people 90 years and over

6. 6. How does the remote care service work? • The Subscriber • The listening station • The solidarity network (or nearby) • The doctor • The emergency services

7. 7. How does the remote care service work?

8. 8. Who are the actors of remote care service? • Public to financing • An elderly person and family • The operator(provider) : • Public • Private • Associations

9. 9. Operators dedicated to different sectors: • Sector of communications technology security • Different Insurance systems • Association for the personal services (medico-social sector) • Local emergency services (fire, emergency medical services) • Operators can belong to statutes of different systems • Public, private for-profit, voluntary (nonprofit) Three Companies have divided up 90% of the public needs

10. 10. Dynamic information generated by the device for remote support • The information comes from two sources: • The record of the customer that includes information • On health status (example, cardiovascular disease, diabetes, etc.). • On his possible infirmities (deafness, problems with vision, ambulation) • On the phone numbers of persons to be contacted • Traceability of calls received by the listener: • Reason for the call • Intervention report

11. 11. Grounds for appeal • 2% Medical call 4% Request help or assistance on daily living5% Call of control5% Fall 5% Need to communicate, psychological distress24% Call for technical help55% Call classified as involuntary

12. 12. “Qualitative” representation of the population • Establish a relationship of shared responsibility between the departmental services, social services and the operators • Offer new services • Enhance the effectiveness of the intervention of professionals