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

8

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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? M.Ellis1@lse.ac.uk

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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

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CliniciansViewofresults–FixedorMobile

M.Ellis1@lse.ac.uk

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

M.Ellis1@lse.ac.uk

PosiAveConclusionsfromexamplesofusingeHealth

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Maybeyouhavebeberexamples?Howwillyouhelpdeveloptheexamples?EKTGisworkingtopromulgatemoreWeneedyourhelppleaseM.Ellis1@lse.ac.uk