Healthy Ageing
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eHEALTH eNOUGH? or pHEALTH? Dr Henk G. Sol Professor of Business and ICT and Founding Dean Faculty of Economics and Business Professor of Systems Engineering and Founding Dean Faculty of TPM Delft University of Technology eHEALTH eNOUGH? › › › › The Arena Observations Deeper Insights Towards pHealth Preconception Health “Obstetrics”” CHC QoL Wellbeing etc. Healthy Ageing Prevention Well-being perspective Intervention Ageing is on-going process “Ageing starts at fertilization” Age Birth Chronic disorder 1 Complication… Chronic disorder 2 Nursing home Community center Care technology Home care Informal care Caretaker Physician Living situation Housing association Mobility Welfare work Contacts Voluntary work Paid work Taxi Psychiatric hospital Health Aging citizen Public transport General hospital Needs and facilities for the aging citizens Volunteers Reintegration Source: NHL, Lw eHEALTH eNOUGH? The eHealth Arena › › › › › The development of Information And communication technologies In Health care eHEALTH eNOUGH? eDrivers in the Arena › › › › Push for Ambient Assisted Living, e Inclusion and e Integration To handle effectively Exploding needs for care and cure eHEALTH eNOUGH? › But, not all eHEALTH initiatives are positive › Many observations, also in the North of the Netherlands, a rural area with social cohesion and double ageing, › Do raise the question › Is eHEALTH eNOUGH? The Impact of eHealth on the Quality and Safety of Health Care: A Systematic Overview, A.D.Black et al, PLOS Medicine, January 2011 eHEALTH eNOUGH? › Observations in Multiple Case Studies › With Anecdotal Evidence › Through the Lens of Decision Enhancement Keen, P.G.W. and H.G.Sol, Decision Enhancement Services: Rehearsing the Future for Decisions that Matter, IOP Press, 2008 | | Decision Enhancement (DE) | Healthy Ageing is challenging … Care networks Effective interventions | Video phone Image watch Web portal EPD Dorpsverpleegkundige Serious Games Care vouchers Wegwiezers | Video phone failure Image watch – low effectivenes Dorpsverpleegkundige – marginal Care vouchers – little innovation Web portal - critical EPD resistance Serious Games marginal Wegwiezers difficult | Case Observation Reflection Image watch Talant low effectiveness new processes to be defined Videophone Talant low effectiveness technology and processes outdated Videophone Veldspaat failure technology not thought through Portal Gilde critical lack of patient centered development Dorpsverpleegkundige marginal processes not clear and not supported EPD WZG resistance technology push, processes unclear EPD Tjongerschans resistance technology push, processes unclear Care vouchers Plantijn little innovation capturing new services difficult Close to the citizen difficult to imagine guidance for patients needed Zorg op Afstand difficult integration institutional anchor needed | Case Observation Reflection Label care slow acceptance orchestration key Klanten alarmering delay technicalities Dementia participation slow functionality is crucial MedAlert limited effect branding important MedDossier low acceptance orchestration is key Portal Steunstee difficult technology push, no processes Care Arrangements difficult collaboration processes not individualized | Case Observation Reflection Prevention Counseling marginal lack of patient centered tasks WMO support non existent technology push and data neglect Telecare ACTIZ marginal processes and patient involvement unclear WMO Business Intelligence nearly non existent legacy of IS Wegwiezers Aa en Hunze difficult low sustainability of concept Cogknow Alzheimer marginal processes unclear eDentistry limited applicability process and patient centered Home care route planning limited applicability rethinking processes Health and real estate marginal processes and patient role unclear Health insurance and BI marginal no individual assessments Serious games for …. marginal technology push Healthy Ageing Referral Services Healthy Ageing Tele Medicine Sanitary Services EInclusion Water and Sewage Management Mother Milk Factory eHEALTH eNOUGH? Deeper insights No positive business cases › Processes neglected › People not central › Technology pushed eHEALTH eNOUGH? Deeper insights › Lack of vision › Lack of strategy › Lack of documentation eHEALTH eNOUGH? Deeper insights › eHEALTH seems eNOUGH › mHEALTH the new bandwagon? eHEALTH eNOUGH? Deeper insights › eHEALTH is eNOUGH › Transition management needed › Adoption and diffusion principles needed eHEALTH eNOUGH? Deeper insights › › › › Clarify business models Develop concept completely Anchor in institutions Take time for life testing eHEALTH eNOUGH? Deeper insights › pHEALTH needed • Patient centric • Personalized • Process driven • Participatively designed eHEALTH eNOUGH? From mHEALTH to pHEALTH! › › › › How to create effective individual interventions? eHEALTH eNOUGH? From mHealth to pHEALTH! Create services for personalized care and cure › with pCentered pApps › supported in the cloud › for effective interventions › in networked arrangements › tested in living labs | eHEALTH eNOUGH? pHEALTH the eChallenge!
