The populations of all European countries are ageing at an increasing age, especially in rural areas, where the process overlaps with emigration to urban areas, which additionally depletes the elderly residents of social support while the ability to perform everyday activities becomes progressively limited with age. A literature review was been carried out in order to identify the characteristics of modern technology-based tools for providing care and healthcare to community-dwelling people sixty years old and older. Home-based care is preferred over institutional care, including in nursing homes, by about 90% of the elderly. Home-based care, diagnostics, and monitoring limit the financial and organizational pressure on the healthcare system. care and rehabilitation procedures are carried out under the direct supervision of specialized medical staff at respective offices or centers while they can be evaluated and supervised remotely, without the need for scarce medical staff to be constantly present with the patient, and without the requirement for the patient to be transported back and forth. The problem of providing care and healthcare to the increasing number of disabled elderly within the constraints of the available budget and with scarce qualified staff can be resolved only through the broad application of solutions based on information technology (IT), which benefit from the dynamic growth of the Internet-of-Things, including the Internet-of-Medical-Things (IoMT) and Artificial Intelligence (AI). This will allow longer home-based care, which is not only preferred by the elderly to institutionalized care or hospitalization, but is also the cheapest of available solutions.
Each day, primary care physicians see many lonely elderly people with multiple complaints, who sometimes can be labelled "over-demanding" or even "abusing health services"; in fact, this phenomenon results from general deficiencies and insufficiency in social support. A literature review has been carried out in order to identify the characteristics of loneliness in people aged sixty years and older, and its health-related consequences. Loneliness causes sensory deprivation and emotional starvation, which translate into a subjective feeling of discomfort and distress, as well as into objective behavioral changes. Loneliness is a prognostic factor for worsened health and cognitive status in the elderly. The limited ability of elderly people to take care of themselves as a result of deterioration in health does not itself lead to loneliness and abandonment if the social support system is not deficient. Paradoxically, policies intended to protect the elderly often result in negative phenomena, such as actual discrimination justified on the basis of paternalistic and generalizing assumptions. Loneliness among elderly people is becoming a serious public health problem in modern atomized, ageing societies. This thus demands urgent action from the Polish state, aimed at providing the elderly with organized social support in order to adequately protect their health and well-being. currently, different levels of the health system, including primary care physicians, are forced to deal with the increasing fallout of loneliness, which presents in the form of physical and mental illnesses, as well as psychosomatic ailments.
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