Ethics, e-Inclusion and Ageing

Mordini, Emilio; Wright, David; Hert, Paul De; Mantovani, Eugenio; Wadhwa, Kush; Thestrup, Jesper; Steendam, Guido Van

doi:10.2202/1941-6008.1093

Cited by 12 publications

(8 citation statements)

References 12 publications

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“…It is imperative that a delicate balance is struck between closing the digital divide and closing patients in a virtual prison. Thus, inclusion enhancing methods must be incorporated in the new care models at all levels [23]. …”

Section: Methodsmentioning

confidence: 99%

Diabetes Management Using Modern Information and Communication Technologies and New Care Models

Spanakis¹,

Chiarugi²,

Kouroubali³

et al. 2012

Interact J Med Res

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BackgroundDiabetes, a metabolic disorder, has reached epidemic proportions in developed countries. The disease has two main forms: type 1 and type 2. Disease management entails administration of insulin in combination with careful blood glucose monitoring (type 1) or involves the adjustment of diet and exercise level, the use of oral anti-diabetic drugs, and insulin administration to control blood sugar (type 2).ObjectiveState-of-the-art technologies have the potential to assist healthcare professionals, patients, and informal carers to better manage diabetes insulin therapy, help patients understand their disease, support self-management, and provide a safe environment by monitoring adverse and potentially life-threatening situations with appropriate crisis management.MethodsNew care models incorporating advanced information and communication technologies have the potential to provide service platforms able to improve health care, personalization, inclusion, and empowerment of the patient, and to support diverse user preferences and needs in different countries. The REACTION project proposes to create a service-oriented architectural platform based on numerous individual services and implementing novel care models that can be deployed in different settings to perform patient monitoring, distributed decision support, health care workflow management, and clinical feedback provision.ResultsThis paper presents the work performed in the context of the REACTION project focusing on the development of a health care service platform able to support diabetes management in different healthcare regimes, through clinical applications, such as monitoring of vital signs, feedback provision to the point of care, integrative risk assessment, and event and alarm handling. While moving towards the full implementation of the platform, three major areas of research and development have been identified and consequently approached: the first one is related to the glucose sensor technology and wearability, the second is related to the platform architecture, and the third to the implementation of the end-user services. The Glucose Management System, already developed within the REACTION project, is able to monitor a range of parameters from various sources including glucose levels, nutritional intakes, administered drugs, and patient’s insulin sensitivity, offering decision support for insulin dosing to professional caregivers on a mobile tablet platform that fulfills the need of the users and supports medical workflow procedures in compliance with the Medical Device Directive requirements.ConclusionsGood control of diabetes, as well as increased emphasis on control of lifestyle factors, may reduce the risk profile of most complications and contribute to health improvement. The REACTION project aims to respond to these challenges by providing integrated, professional, management, and therapy services to diabetic patients in different health care regimes across Europe in an interoperable communication platform.

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Section: Methodsmentioning

confidence: 99%

Diabetes Management Using Modern Information and Communication Technologies and New Care Models

Spanakis¹,

Chiarugi²,

Kouroubali³

et al. 2012

Interact J Med Res

Self Cite

View full text Add to dashboard Cite

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“…However, little attention has been paid to older migrants' Internet use (Heikkinen and Lumme-Sandt 2013;Khvorostianov et al 2012), probably because a much lower proportion of older people use the Internet compared to younger generations (Hilt and Lipschultz 2004). It is believed that older migrants are even less likely than native seniors to learn computer skills or access the Internet due to language barriers and lower socioeconomic status, which results in a higher risk of social exclusion (Mordini et al 2009).…”

Section: Introductionmentioning

confidence: 99%

Aging in cyberspace: Internet use and quality of life of older Chinese migrants

Zhang

2016

J. Chin. Sociol.

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In the transnational and digital era, the Internet plays an important role in the postmigration lives of many older migrants. This article explores how Internet use contributes to the quality of life of older Chinese migrants through the analysis of 19 qualitative interviews conducted in New Zealand. The results show that older migrants use the Internet to combat postmigration loneliness, to strengthen local and international social connectedness, and to cope with difficulties while settling in the host society. These findings suggest that older migrants use the Internet as a strategy not only to deal with issues related to aging but also to compensate for the losses and challenges caused by migration. In the migration context, independence fostered by the Internet is particularly highlighted as a key element in quality of life. By interrogating the roles the Internet plays in older Chinese migrants' day-today postmigration interactions, this article provides insights into their quality of life in a transnational context.

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“…This group may include a disproportionate number of older migrants in Europe, especially the less-skilled ones who formed the post-Second World War 'guestworker' cohort. Certainly, older immigrants are often ignored in the literature on ICT adoption, and -on the few occasions when this demographic cohort is considered -they are generally judged to experience difficulties accessing such technology (Mordini et al 2009). …”

Section: Older Migrants and Ict: The 'Digital Immigrants' Phone Homementioning

confidence: 99%

Empowering or impeding return migration? ICT, mobile phones, and older migrants’ communications with home

Hunter

2015

Global Networks

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Ethics, e-Inclusion and Ageing

Cited by 12 publications

References 12 publications

Diabetes Management Using Modern Information and Communication Technologies and New Care Models

Diabetes Management Using Modern Information and Communication Technologies and New Care Models

Aging in cyberspace: Internet use and quality of life of older Chinese migrants

Empowering or impeding return migration? ICT, mobile phones, and older migrants’ communications with home

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