Personalized Home Healthcare Options for Smart Service Delivery and Patient-Centered Monitoring

Abstract

Adapting the patients' monitoring in a familiar and age-friendly habitat has lately become a blustering necessity in the context of the global ageing of the population (due to the increasing longevity and the average decreased birth rates), associated with co-morbidities and degenerative dysfunctionalities. As the number of elderly mounts, the number of available or appropriate caretakers diminishes, the healthcare and social systems need increased financial and human resources. In the same time, the people are more and more accustomed with the use of digital technology and eager to use it in order to be better informed and empowered regarding the management of their own health, to have broader access to customized health services and, last but not least, to integrate it in their everyday life for preserving as much as possible a healthy, independent and active life apart from an institutionalized environment. Smart technology and devices are extending the performances of the continuously emerging health informatics that are directly involved in providing personalized monitoring and healthcare services that target a specific patient and are adapted to his home, needs and specificities. This paper aims to demonstrate how an existing health informatics system-the PROlonging ACTIVE life for an independent and healthy AGEING (ProActive Ageing) integrated platform for online services-can be improved and developed into an intelligent decision support system with real-time locating facilities in order to provide a better support to elderly to live at home and to have real-time access to smart monitoring and service delivery.

Perceived factors informing the pre-acceptability of digital health innovation by aging respiratory patients: a case study from the Republic of Ireland

“…This Quintuple Helix Hub framework may potentially also operationally meet clinical programs and electronic medical records for the effective commensurate implementation of appropriate technologies into clinical workflow and allow feedback to measure the impact including key performance indicators on clinical outcomes ( 37 ). This hub framework can also address the nexus to personalized home healthcare options for smart service delivery and patient-centered monitoring ( 51 ), such as respiratory care management. Alexandru and Ianculescu ( 51 ), noted that as the number of older adult patients increases with a broad spectrum of needs and specificities, the number of available or caretakers diminishes; thus, the healthcare and social system needs to evolve to meet these trends including informing appropriate and efficient decision making such as financial and human resources.…”

“…This hub framework can also address the nexus to personalized home healthcare options for smart service delivery and patient-centered monitoring ( 51 ), such as respiratory care management. Alexandru and Ianculescu ( 51 ), noted that as the number of older adult patients increases with a broad spectrum of needs and specificities, the number of available or caretakers diminishes; thus, the healthcare and social system needs to evolve to meet these trends including informing appropriate and efficient decision making such as financial and human resources.…”

“…Living labs will also be supported and accelerated by digital twin (DT) activities that refer to the "virtual copy or model of any physical entity (physical twin) both of which are interconnected via the exchange of data in real-time. Applications of DT include real-time monitoring, designing/planning, optimization, maintenance, remote access, and so forth" (50). Operating an effective living laboratory that exploits digital technologies including digital twin applications for healthcare can increase productivity and efficiency.…”