Name

ICT based answers for life events in older age

Future scenario’sfor Independent Living Servicesin the EU

2

TNO Information and Communication Technology

Customerobjectives

Scientific knowledge

Products & tools

Consultancy

TNO Information- and Communication Technology

Appliedknowledge

Testing

Prototyping

Funding: 30 % government / 70% contractTurnover: 40 million Euro Employees: 450 (TNO = 4500)

3

Background of research project

• TNO Information and Communication Technologypartners: VUB University Brussels

empirica GmbH

• client: IPTS (Institute for Prospective Technological Studies)part of JRC, European Commission DG Research

4

Research questions:

• What ILS-policies exist in the EU?

• What can we learn from ‘proven practices’ in this field?

• What scenario’s can be depicted to describe the future of ILS,

• What are the market opportunities and policy implications and recommendations for realising the ILS described in these scenario’s?

5

The ageing person as part of its networks

4 life spheres cover all levels of networks

policy society

ageing person

informal network

formal networks

Wor

k/ac

tiviti

es

Health/impairment

Household

Mobili

ty

6

Constituents of Independent Living

Physical mobility at home

Physical mobility outside home,

Familial support

Social support (core network)

Extended social network

Motor, sensory, tactile and cognitive capabilities

Basic ADL (personal hygiene, nutrition, etc.)

Medical treatment and health care Gainful employment

Voluntary work

Participatory and self-fulfillments needs

Psycho-social needsBasic and physical requirements

Learning

Partnership

Social recognitionHousekeeping / controlling the home

environment

Constituents ofIndependent

living

control,empowerment,

participation,independence,

autonomy,self-

determination,self-respect,self-reliance

Ability to quickly react to emergencies

Sense of security

Community / Societal, cultural and political participation

Level of needs

7

Motor, sensory, tactile and cognitive capabilities

Physical mobility outside home

Sense of security

Physical mobility at home

Housekeeping / controlling the homeenvironment

Ability to quickly react to emergencies

Basic ADL (personal hygiene, nutrition, etc.)

Medical treatment and health care

Social support (core network)

Familial support

Partnership Gainful employment

Learning

Voluntary work

Social recognition

Community / Societal, cultural and political participation

Participatory and self-fulfillments needs

Psycho-social needsBasic and physical requirements

Constituents ofIndependent

living

control,empowerment,

participation,independence,

autonomy,self-

determination,self-respect,self-reliance

Level of needs

Extended social network

e-health applications, bio-sonsors,health information, prevention

tele-care applications, AmI

tele-monitoring, bio-sonsors, AmI

domotics, AmI

robotics, AmI

tele-monitoring, emergency systems

mobility support, transport information, public transport

assistive technologies, assistive devices, robotics, AmI

e-communication

e-communication, peer-services, video services,networking services

information, fora, e-communication,networking services, local services

e-work, CSCW,e-learning, information,assistive technologies

e-health applications,bio-sonsors, healthinformation,prevention

general purpose,e-learning, LLL tools,communication

General purpose,communication

Motor, sensory, tactile and cognitive capabilities

Physical mobility outside home

Sense of security

Physical mobility at home

Housekeeping / controlling the homeenvironment

Ability to quickly react to emergencies

Basic ADL (personal hygiene, nutrition, etc.)

Medical treatment and health care

Social support (core network)

Familial support

Partnership Gainful employment

Learning

Voluntary work

Social recognition

Community / Societal, cultural and political participation

Participatory and self-fulfillments needs

Psycho-social needsBasic and physical requirements

Constituents ofIndependent

living

control,empowerment,

participation,independence,

autonomy,self-

determination,self-respect,self-reliance

Level of needs

Extended social network

Motor, sensory, tactile and cognitive capabilities

Physical mobility outside home

Sense of security

Physical mobility at home

Housekeeping / controlling the homeenvironment

Ability to quickly react to emergencies

Basic ADL (personal hygiene, nutrition, etc.)

Medical treatment and health care

Social support (core network)

Familial support

Partnership Gainful employment

Learning

Voluntary work

Social recognition

Community / Societal, cultural and political participation

Participatory and self-fulfillments needs

Psycho-social needsBasic and physical requirements

Constituents ofIndependent

living

control,empowerment,

participation,independence,

autonomy,self-

determination,self-respect,self-reliance

Level of needs

Extended social network

e-health applications, bio-sonsors,health information, prevention

tele-care applications, AmI

tele-monitoring, bio-sonsors, AmI

domotics, AmI

robotics, AmI

tele-monitoring, emergency systems

mobility support, transport information, public transport

assistive technologies, assistive devices, robotics, AmI

e-communication

e-communication, peer-services, video services,networking services

information, fora, e-communication,networking services, local services

e-work, CSCW,e-learning, information,assistive technologies

e-health applications,bio-sonsors, healthinformation,prevention

general purpose,e-learning, LLL tools,communication

General purpose,communication

ICT enabling Independent Living Services

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Policies influencing (ICT supported) ILS

Motor, sensory, tactile and cognitive capabilities

Physical mobility outside home

Sense of security

Physical mobility at home

Housekeeping / controlling the homeenvironment

Ability to quickly react to emergencies

Basic ADL (personal hygiene, nutrition, etc.)

Medical treatment and health care

Social support (core network)

Familial support

Partnership Gainful employment

Learning

Voluntary work

Social recognition

Community / Societal, cultural and political participation

Participatory and self-fulfillments needs

Psycho-social needsBasic and physical requirements

Constituents ofIndependent

living

control,empowerment,

participation,independence,

autonomy,self-

determination,self-respect,self-reliance

Level of needs

Extended social network

Healthcare

policies

Disabilityand LongTerm Care

programmes

RTD and technologypolicies

Design for all policies

Disability policies andprogrammes

Labour marketregulation, active labour

market policies

e-learning policies

pro

-acc

ess

po

lic

ies

anti

-dis

crim

inat

ion

po

lic

ies

e-Inclusion policies

Design for all policies

Telecomms and ISpolicies

Motor, sensory, tactile and cognitive capabilities

Physical mobility outside home

Sense of security

Physical mobility at home

Housekeeping / controlling the homeenvironment

Ability to quickly react to emergencies

Basic ADL (personal hygiene, nutrition, etc.)

Medical treatment and health care

Social support (core network)

Familial support

Partnership Gainful employment

Learning

Voluntary work

Social recognition

Community / Societal, cultural and political participation

Participatory and self-fulfillments needs

Psycho-social needsBasic and physical requirements

Constituents ofIndependent

living

control,empowerment,

participation,independence,

autonomy,self-

determination,self-respect,self-reliance

Level of needs

Extended social network

Motor, sensory, tactile and cognitive capabilities

Physical mobility outside home

Sense of security

Physical mobility at home

Housekeeping / controlling the homeenvironment

Ability to quickly react to emergencies

Basic ADL (personal hygiene, nutrition, etc.)

Medical treatment and health care

Social support (core network)

Familial support

Partnership Gainful employment

Learning

Voluntary work

Social recognition

Community / Societal, cultural and political participation

Participatory and self-fulfillments needs

Psycho-social needsBasic and physical requirements

Constituents ofIndependent

living

control,empowerment,

participation,independence,

autonomy,self-

determination,self-respect,self-reliance

Level of needs

Extended social network

Healthcare

policies

Disabilityand LongTerm Care

programmes

RTD and technologypolicies

Design for all policies

Disability policies andprogrammes

Labour marketregulation, active labour

market policies

e-learning policies

pro

-acc

ess

po

lic

ies

anti

-dis

crim

inat

ion

po

lic

ies

e-Inclusion policies

Design for all policies

Telecomms and ISpolicies

Healthcare

policies

Disabilityand LongTerm Care

programmes

RTD and technologypolicies

Design for all policies

Disability policies andprogrammes

Labour marketregulation, active labour

market policies

e-learning policies

pro

-acc

ess

po

lic

ies

anti

-dis

crim

inat

ion

po

lic

ies

e-Inclusion policies

Design for all policies

Telecomms and ISpolicies

9

Examples: ILS-Policies in the EU

• Specific ICT policies directed towards empowering family / informal carers

• Belgium, UK

• Anti-discrimination legislation exists that promotes ICT • Denmark, UK

• Employment policies on role of ICT in old age• Netherland, Finland

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Scenario A:

Political-economicCentral role of market

Political-economicCentral role of government / public

sector

Socio-culturalIndividual among

individuals

Socio-culturalNew Collectivism

Scenario B:Scenario C:

Scenario D:

Foresight Scenarios

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Lessons: Adoption barriers for realizing the potential of ICT-based ILS

• Low ICT use and/or acceptance in the health care sector

• In particular, low ICT use by elderly (EU average)

• Miss-match between supply and demand• Usability, usefulness, functionality, affordability, privacy• Insufficient integrated approach of user needs

• Ethical issues• Control of decision, privacy rules, intrusiveness,

critical technologies: risks and responsibilities

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Issues

• ILS development need policies adressing user needs/contexts

• More holistic policy approach: too much fragmentation now

• informal carers are neglected

• too little awareness of ICT-ILS potential: awareness!

• too much market driven approach: innovation is never without risks

• myth of ICT-ILS as only costs/staff saver needs dismantling

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Next:

• context for debate

• shared understanding

• basis for policy and strategy building

• consensus building between DGs

15

16

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Thank you very muchfor your attention

josephine.dries@tno.nland

rukiye.ozcivelek@ec.europa.eu