Adopting technologies

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• Adopting technologies
• for home assistance and other
• new health services
• Goals
• Commonplaces and cultural barriers
• Overview on tools
• Critical factors
• Conclusions

Roberto Ongaro, TMR
ITALY 11/02/2010 INFORsalud
2010 Madrid
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Typical goals of this kind of projects
To support the community around the elderly

• KEYWORDS
• Coordinate all the stakeholders
• Vital signs monitoring(prevention, reduce access
  to hospital)
• Getting closer
• Reassure

PROFESSIONAL CARING
RELATIVES AND NON PROFESSIONALCAREGIVERS
AUTOMATIC MONITORING
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Commonplaces and cultural barriers

• COMMONPLACES
• Technologies are the solution

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Commonplaces and cultural barriers

• COMMONPLACES
• Technologies are the solution
• Technologies traditional services must have
  the same cost than the latter alone (even if they
  provide a better use of resources and a better
  quality of service to the users)

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Commonplaces and cultural barriers

• COMMONPLACES
• Technologies are the solution
• Technologies traditional services must have
  the same cost than the latter alone (even if they
  provide a better use of resources and a better
  quality of service to the users)
• Users cant be charged for (even if theyre
  going to receive a better service with less
  induced costs)

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Commonplaces and cultural barriers

• COMMONPLACES
• Technologies are the solution
• Technologies traditional services must have
  the same cost than the latter alone (even if they
  provide a better use of resources and a better
  quality of service to the users)
• Users cant be charged for (even if theyre
  going to receive a better service with less
  induced costs)
• TLC networks are reliable

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Commonplaces and cultural barriers

• COMMONPLACES
• Technologies are the solution
• Technologies traditional services must have
  the same cost than the latter alone (even if they
  provide a better use of resources and a better
  quality of service to the users)
• Users cant be charged for (even if theyre
  going to receive a better service with less
  induced costs)
• TLC networks are reliable
• Broadband connections are expensive

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Commonplaces and cultural barriers

• CULTURAL ATTITUDES
• Do doctors really like to change the way they
  work?

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Commonplaces and cultural barriers

• CULTURAL ATTITUDES
• Do doctors really like to change the way they
  work?
• Do local politicians really like to reduce
  hospitals?

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Commonplaces and cultural barriers

• CULTURAL ATTITUDES
• Do doctors really like to change the way they
  work?
• Do local politicians really like to reduce
  hospitals?
• The application of the technologies in health
  assistance processes means a reconfiguration of
  power.do everybody agree?

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An overview on tools
COMMUNICATION COMMUNICATION PROS CONS
Traditional telephone completely assimilated strongly limited not very empathetic cheap
Multimedia mobile phone (smartphone) ubiquitous all-in-one features should be switched not easy-to-use too many features in one object
PC based video-communication systems strongly empathetic allows video messages and videoconference display data usability is the challenge (TVbased UI recomended) needs broadband
Web Portals useful and evoluted ubiquitous for professional use data need to be re- formatted for elderly
CRM and call tracking application for call-centers powerful and efficient not always designed for integration with other systems
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An overview on tools
BIO MONITORING BIO MONITORING PROS CONS
Clinical biosensors integrated in the platform for self-dispensing measures sufficiently reliable checked large scale can substantially reduce the cost could be rejected by the users or simply ignored not so easy to use feedback to the users must be well managed
Motion analisis biosensors (personal trackers) high potential of growing in features provide a new kind of caring simple to use still sofisticated and weak must be switched high cost of ownership
Positioning, fencing sensors indicated for patients with mental deseases still sofisticated and weak must be switched high cost of ownership
Panic buttons very cheap basic request are not interpretable
Weareable / implantable sensors available soon great development potential prize? practices?
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An overview on tools
DOMOTIC DOMOTIC PROS CONS
Environmental sensors reliable cheap not always designed for integration with other systems should be considered the cost of owneship if well managed
Appliances control reliable high potential of growth often not easy to use not cheap not of primary importance
Access control reliable and powerful not easy to use not cheap
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Main critical factors

• Public sector budget are still restricted to
  trials

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Main critical factors

• Public sector budget are still restricted to
  trials
• Without large numbers are not achieved economies
  of scale

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Main critical factors

• Public sector budget are still restricted to
  trials
• Without large numbers are not achieved economies
  of scale
• Technology providers are not always in a
  position to invest in continuous improvements

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Main critical factors

• Public sector budget are still restricted to
  trials
• Without large numbers are not achieved economies
  of scale
• Technology providers are not always in a
  position to invest in continuous improvements
• Governments are not pushing Telcos to obtain
  discounted rates for elderly home connections

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Conclusions

• Istitutional customers must overcome the
  experimental phase of these types of services

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Conclusions

• Istitutional customers must overcome the
  experimental phase of these types of services
• These new service models, as technologies, are
  not perfect. To turn on virtuous cycles of
  continuous improvement, they need to be deploy
  in large scale and for long periods

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Conclusions

• Istitutional customers must overcome the
  experimental phase of these types of services
• These new service models, as technologies, are
  not perfect. To turn on virtuous cycles of
  continuous improvement, they need to be deploy
  in large scale and for long periods
• Private operators (and outsourcing) can
  represent a concrete and cost-effective
  solutions

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Conclusions

• Istitutional customers must overcome the
  experimental phase of these types of services
• These new service models, as technologies, are
  not perfect. To turn on virtuous cycles of
  continuous improvement, they need to be deploy
  in large scale and for long periods
• Private operators (and outsourcing) can
  represent a concrete and cost-effective
  solutions
• It requires vision, long-term partnerships and
  strong commitment by the customer

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thank you for the attention