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Medical
Drugs, therapy, design and testing Prevention
Medicine is fundamentally Medications tested on old animals ADAPTATION
wasteful. Huge market is mostly Focus on
May be more rewarding than
useless. Create this request to pharmaceutical quality of life
prevention
industry for lifespan tests. or control
Harmful “Drugs” that
are sought and bought by the Old aged animals in research Try to prevent
people/patients. Create guidelines and a protocol for dementia
Finace some projects with old prevention & procrastination of major
Should be regulated as other animals/ lifespans disease burdens Vaccine against
drugs. dementia
Fast track process from animal
Create a European testing results to humans Recovery and rehabilitation are likely
center on medicals and more rewarding than prevention
products in aged individuals Certified validators of results in one/
incl. animals a few persons committees to choose
next trials From reactive healthcare
Fast track for clinical trials in to proactive healthcare (70% of chronic diseases are
active-adult communication preventable and 70% of expended costs go to chronic
Alllow pharmacy to propose clinical diseases)
e.g. treatments paid by trials to elderly
volunteers
Impose evidence
Derug development
base (the road to hell Large multi-centre
and testing for the
is paved with studies to create evidence
elderly
good intentions)
Regenerative medicine
Treatments for age-related damages
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Technology
New technology and product innovation
Users, product and service design
Nano-Lab ICT-based
Convenience food Diagnosis and nutritional support
More development of products + services
- Food industry monitoring inside
suitable for the elderly (travel, entertainment,
- Catreing the body in real time Cognitive support
insurances etc.)
- Big kitchens technologies
Create suitable service flats which give some support to elderly, by at Use new technologies (could be nano) Wellness
the same time allowing them to live alone or existing food processing technologies
technologies to create targeted food
Mature end/to/end technology support and Involve caregivers in delivery (e.g. vitamines, minerals) Support for
services needed technology physical & mental
development exercise
Promote exercise programmes which
Improve the way/speed technical are suitable for elderly exercise can Physical support
standardiasation is developed – for Standardized also be brain exercise systems
interoperability interfaces
Improved involvement of elderly in product Robust, easy-to-use
development) drugs, medical devices’ and affordable
products
Work on innovative packaging and systems Incentives for
(e.g. airborn spoilage, easy to open etc.) industries to produce
healthier products
Simple technologies, Focus on feasibility
Regulate the Research: How do technological responses to
+ usability (e.g. safety system for cooker)
provision of healthier promote “active and healthy ageing” [relate]
food + drink products to “grand challenges” of shortages in energy
Beyond technologies to support patients and material resources?
healthy nutrition
Provide innovative technologies to support the The Virtual Individual Age control
(informal) carers Improved building and as basis for the citizen breakthroughs
(a.g. Alzheimers) housing for elders as co-producer of
health
Simple technology to keep a (million) (cognitively) impaired elderly
active and at home
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Focus not only on basic + clinical science
but also on health services and outcomes research Scientific Understanding
Behavioural Resdearch on age-related diseases
Krepte an EU-supported project for
Explore personalised nutrition
Occupational research: early cancer detection via blood FSH Avoid cancer-
under which conditions could measurement causing products
How to do that? Now already possible?
elderly work longer?
In the future? What is necessary?
Experts (INSERN France)
Insurance Hospital Pilots Genetic research
Psychosocial Interventions
Behavioural change
-same effects like drugs, e.g.
Compliance and adherance Explore the science disciplines which
-in Alzheimer’s disease
can best contribute to prevent cognitive
decline explain progress in science
Personalised healthcare in a way that regulators, academics
and stakeholders can understand.
Test impact of metformin on health and death for
Research on Ageing as such
non-diabetic sub-populations
Only funding peer-reviewed E.g. 5-years study in “active adult” residencies
Research Have a ministry of “Ageing & (age - >55 yrs.)
Health Breakthroughs”
Technology very much ahead
of clinical science Have a person form the
European Commission travel
to different ageing-science labs
Research on centenarians Better understanding of drivers R&D on age-related diseases
and propose key initiatives
of cognitive decline and on preventing/curing them
Research: imact on various (impact of retirement)
Old animals for research
labour carrers on age-related Research:
diseases -Too much “Chatter”
Favour the development of Prolonged protection of
(Occupational Health) - “Pilotitis”
aged mice & mouse providers intellectual property (50 years)
Ageing defined as disease? (to give incentive to long-term R&D) - Need for large coordinated
Tanatology research lead by clinical
Ageing = increasing experience ravaged by the body’s inability to dispose of waste products & to researchers with “MARS” outcomes
repair DNA damage.Other diseases are superimposed on this background
Deciphering ageing
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Socio Economic
Users, product and service design Education and Awareness Advertising for elderly
teaching children
Improved building and Create incentives for
Mature end-to-end technology
housing for elders healthy life-styles (in schools and
support and services needed
pharmacies)
Improved involvement of Robust, easy-to-use and
affordable products Determinants of good health are:
elderly in product
development) drugs, medical More education
Simple technologies, 1) Education and promotion of
devices’ 2) Good job/income
Focus on feasibility + usability healthy life styles
(e.g. safety system for cooker) 3) Housing/possessions
Involve caregivers in
technology development
Simple technology to keep a
Good health at old
(million) (cognitively) impaired Responsibility for ones own life
Beyond technologies to age starts at young
elderly active and at home starts at early age education!
support patients, provide age Education!
innovative technologies to
support the (informal) careers Incentives for industries to
(a.g. Alzheimer’s) produce healthier products
Changes in social security
schemes and pensions Improvement of autonomy,
NOT
Babylisation
Have minister of ageing and
Health Service Delivery health breakthroughs Decisions at the end of
Improve evidence-base (cognitive) life
Cost-benefit analysis
on cost-effectiveness & Autonomy for establishing
of end-of-life costs
innovative interventions/ right for retirement Medicine will prolong life but
technologies will also prolong dying.
Insurance schemes Ethical issues: Social acceptance of death
for elderly workers Develop indicators of Increasing health- + freedom to choose are
improved quality of life span or healthy essential rationalisations
life-span discussion
Right to decide
People should be encouraged to
and choose
decide prospectively under what
circumstances to have euthanasia
(bit like organ-donor cards)
Healthy ageing
Most people choose death rather
at any age
than dementia
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Socio Economic
Work
Create expectations of Start early with work-life balance
Work with old age with
employment + work until aged to keep on working and living
decreasing wage, w/o wage
85 years?! until old age
Keeping retirement policies Occupational research: under
Social integration of elderly/
which conditions could elderly
older workers
work longer?
Change expectations
Retirement = end of life for many Strategic thinking + foresight
(high rate of deaths in months Seek business involvement
(incl. ethical discussion about
after retirement) (employer-employee)
ageing)
Work until you die Voluntary work
Trans-generational living
We should expect more from the (youth-elderly)
Link pensions to health elderly (that is true respect)
engagement? Society has right Industry and business taking
to expect people to more responsibility of healthy
contribute employees
Involving elderly in production Not first focus on old people
process = slowing that
process (willingly) to increase Active and healthy ageing means
job satisfaction active and healthy behaviour
along the whole life span
Overcome income differences
among the elderly Create work for elderly to keep
them as partner in the healthy
Promotiion of home-based jobs ageing debate keep elderly
involved
Promoting international
collaboration, knowledge transfer
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Other
Technology Transfer Governance of the Healthy Ageing Sector
Funding for: Other:
Effectiveness of
- RTD
New technologies How to make sure that a common vision on active
- Death Valley
e.g. AAL and healthy ageing is really a common vision?
-Market/Commerce
Dissemination and who to involve in the process of constructing the
Technology with good research
implementation vision?
will thrive with
(macro, meso, micro- how to operationalise the process
a) good integration
level) how to guarantee a public perspective and not a
b) funding
c) contained costs
d) adequate scale
Scaling-up across member Concerted efforts by
states for critical mass various sectors + players
economies of scale with the financing of care
Take profit of European diversity
Do not forget Japan,
USA, Canada… Regulatory participatory
Free Enterprise Regulated incentives
Study needed about the different legal frameworks in
EU countries for innovations to reach market to get the
base for improvement
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Cluster 1: Users, product and service design
Feasible?
High
Convenience food
More development of - Food industry
products + services - Catering
suitable for the elderly - Big kitchens
(travel, entertainment,
insurances etc.)
Create suitable service
flats which give some
support to elderly, by at
the same time allowing
them to live alone Desirable?
Desirable? High
Low
Feasible?
Low
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Cluster 1: Users, product and service design
Actions Enabling Hindering Challenges
(Policy Proposals)
Systemic perspective
Mature end/to/end technology Demand/Supply Gap
support and services needed Involve clients in technology for healthcare Deployment
development
Improved involvement of
elderly in product
Not enough funding for
development) drugs, medical Standardized innovation + technology Improve the way/
devices’ interfaces development speed technical
Involve caregivers in standardisation is = obligation
technology development developed – for
Not offered yet interoperability
Beyond technologies to Market deregulation
support patients, provide
innovative technologies to
support the (informal) careers
(e.g. Alzheimer’s) Personalised services
+ Technology Social responsibility to take care of elderly
Improved building and
housing for elders SOCIAL INNOVATION
Robust, easy-to-use and Exchange of good practice
affordable products
Simple technologies,
Focus on feasibility + usability
(e.g. safety system for cooker) Work on innovative packaging
Simple technology to keep a and systems (e.g. airborn
(million) (cognitively) impaired spoilage, easy to open etc.)
elderly active and at home “less salt, sugar
EDUCATION
Advertising, Culture, fat in baby food”
Incentives for industries to
Tax incentives
produce healthier products image building Information, Obligation, Product declaration
Regulate the provision of healthier
food + drink products healthy nutrition
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Cluster 1: Users, product and service design
Actions Policy Requirements Time Line Level Reflection
(Policy Proposals)
Encourage participation European Information Society in
in product and service Regulatory framework Short term healthcare to overcome
development supply-demand gap
+ implementation Funding for European Tech. Base Short term
+ advertising
+ use of Pilot Project Short term
• Individuals (young & old)
• Industry Change Choice Architecture Short-mid term
• Healthcare providers
• Insurance companies
• Regulators
Adapt curricula towards more Educational authorities Mid term National Responsible Society
healthy and active living
• Social responsibility to take
care of elderly
age-related solidarity
Encourage open innovation Procurement rules Mid term EU
to develop + offer integrated Certification
products and services Quality control
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Cluster 2: Research on Ageing as such
Feasible? Have a person form the
High European Commission travel
Only funding peer-reviewed to different ageing-science labs
Research and propose key initiatives
Research: impact on various
labour careers on age-related Have a ministry of “Ageing &
diseases Health Breakthroughs”
Technology very much ahead Research:
of clinical science (Occupational Health)
-Too much “Chatter”
- “Pilotitis”
Tanatology - Need for large coordinated
research lead by clinical
researchers with “MARS” outcomes
Research on centenarians Old animals for research
Favour the development of Desirable?
Desirable? aged mice & mouse providers
High
Low
Better understanding of drivers Ageing = increasing experience
of cogitive decline ravaged by the body’s inability
(impact of retirement) to dispose of waste products & to
repair DNA damage.
Decyphering ageing
Other diseases are superimposed
R&D on age-related diseases on this background
and on preventing/curing them
Ageing defined as disease? Prolonged protection of
intellectual property (50 years)
(to give incentive to long-term R&D)
Research into compression of morbidity?
Feasible?
Low
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Cluster 2: Research on Ageing as such
Actions Enabling Hindering Challenges
(Policy Proposals)
Patent-Life extension (50 yrs.) Social perception of patents
Prolonged protection of
intellectual property to 1) Governmental debate Reliance on surrogate
50 years (in line with artists) 2) Legislation outcomes
3) Industry
4) Scientific necessity
Ageing research
understanding:
Ageing research
(understanding) • too much associated Challenge:
with “ageing as a
- applied dialogue disease” Prolonging life with morbidity
Foster research on
ageing • Age and disease are will be a by-product of
inextricable in practice prolonging healthy life
Ageing research Less acceptance, more
(applied) skepticism (applied ageing
research)
- understanding dialogue
Ageing research: novel, but
accepted in scientific
community
New approaches to Restrictions imposed by peer
research funding review process, too many
Innovation in research (consensual dialogue & small, repetitive projects
practice and procedures peer review)
- peer review research
Better evaluation of research only…
on ageing & coordination - too much distance
- between technology and
- clinical trials
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Cluster 2: Research on Ageing as such
Actions Policy Requirements Time Line Level Reflection
(Policy Proposals)
Government approval 2012 EU ++++
Have a ministry of “Ageing &
Health Breakthroughs”
Prolonged protection of EU and international law 2020 International +
intellectual property to
50 years (in line with artists)
e.g. FET Flagship initiation on 2011 EU & National +
Specific funding for clinical
ageing-related topics
trials on ageing in animals
and humans
Large-scale clinical trials 2011 EU & National +
Long-term cohort studies
in animals and humans
Consensual (in addition to Hire people who convert ideas EU & National ++
2012
competitive) peer-reviewed into projects
grant funding for centrally
directed research Less bureaucracy
2013 EU & National +
Media & education
Public understanding of
research into ageing
e.g. FET Flagships 2013 EU & National ++
Innovative strategies for
engaging the population in
applied research
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Cluster 3: Work
Trans-generational living
(youth-elderly)
Feasible?
High Create expectations of Seek business involvement
employment + work until aged (employer-employee)
85 years?!
Keeping retirement policies Industry and business taking
more responsibility of healthy
Occupational research: under employees
which conditions could elderly Not first focus on old people
work longer? Active and healthy ageing means
Work with old age with active and healthy behaviour
decreasing wage, w/o wage along the whole life span
Strategic thinking + foresight Start early with work-life balance
(incl. ethical discussion about to keep on working and living
ageing) until old age Desirable?
Desirable? Change expectations High
Low Retirement = end of life for many Social integration of elderly/
Voluntary work older workers
(high rate of deaths in months
after retirement) We should expect more from the
elderly (that is true respect) Promoting international
collaboration, knowledge transfer
Create work for elderly to keep
Work until you die them as partner in the healthy
ageing debate keep elderly
Involving elderly in production involved
process = slowing that
process (willingly) to increase
job satisfaction
Promotion of home-based jobs
Link pensions to health
engagement? Society has right
to expect people to
contribute Overcome income differences
among the elderly
Feasible?
Low
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Cluster 3: Work
Actions Enabling Hindering Challenges
(Policy Proposals)
Seek business investment
Tax reductions incentives Discussions with trade unions
(employer-employee relation)
health conditions of employees
Rigidity of deliverables/based
Start early with work-life balance Examples of good practice Traditional career system
systems
policies
Shortage of labour and work
Social welfare system Cost of life
demans
“Voluntary work” after retirement Integrating retired people at
“all” levels Negative impact on
Public acceptance
Recognition of elderly people’s employment of youth
experience and knowledge
Promote strategic thinking & Growing unemployment in Who should participate in the
foresight (work for older people) Teleworking some European countries discussions
+ creation of jobs
Need for social interactions
Promoting home-based jobs Accounting issues / monitoring
(fear’ of isolation)
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Cluster 3: Work
Actions Policy Requirements Time Line Level Reflection
(Policy Proposals)
Tax reductions incentives
Seek business involvement National Relieve Health + Pension
(regulation) also on income 2015 - 2020
revenue for employees Insurance System
Competition among socially
responsible firms 2015 - 2020 EU
Eligibility criterion for EU funding
Promotion of professional health
2015 - 2020 EU EMAS
+ safety + environment
inspection
Start early with work-life EU European Foundation for
balance Working-time regulations Working and Living
(daily, annual) Conditions + Industrial
Relations (Dublin)
Social reward beyond the
professional activity ( Elderly)
Funding for social work
infrastructure
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
New technologies will
Cluster 4: Health Care Delivery make care more
Educate health-care
professionals to better work effcicient but also more
Support evidence- expensive
Feasible? with those who are already
based technology
High elderly keep them active
Migration for foreign for care-workers Major challenge:
nursing personnel Collaborative Fragmented
Work with communities to care models care service
keep elderly active and “QUARTER”
involved teach them new = social framework in small
technologies such as internet, areas (e.g. of cities or towns)
this keeps them active
Breaking boundaries Active-adult
between hospital communities
and home (>55)
(also money-flow) Care Competent caring starts
Training and facilitating communities at the bottom = nursing
aides
family-members as care- Improvement Desirable?
Desirable? takers of nursing facilities High
Low
Give more incentives to
families to live together with
ageing members of the
families
Feasible?
Low
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Cluster 4: Health Care Delivery
Actions Enabling Hindering Challenges
(Policy Proposals)
Integrative care, incl. homes • Social care-broker Finance of health care New (financial and quality)
• People feel that things need to service incentives to organise integrative
change healthcare
Interoperability of systems
• Upgrading of nurse professions Harmonisation on EU-level
• Rising healthcare costs Lack of user-oriented
product design Common acceptance of evidence on
• Lot of technologies developed healthcare practices
to support this, e.g. telecare,
remote patient management
Patient-oriented financing instead of
vertical pillars
Status-quo/lack of
+ incentives to change
Lack of business-models People are afraid of change,
little room for experiment
• ICT
Integrative social care • Internet broadband More people + money
• Virtual social networks needed to organise social
care broker
Evidence should be generated in real
life situations
Lack of evidence in
• Retirees as volunteers or as cost-effectiveness
workers caretakers need professional support
Underfinanced communities
to develop services
• Private professional services
for elders
Responsible minister of
ageing?
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
Cluster 4: Health Care Delivery
Actions Policy Requirements Time Line Level Reflection
(Policy Proposals)
• More funding for operations / outcomes
Health services research targeted at elderly perspective Strategic research EU (triggering,
agenda for ageing benchmarking)
• Technology assessment
Social Innovation Research +deployment agenda
Not only funding, but also methodological issues National/local
+ reimbursement
Pilots: business models
• Create room for experimentation in real life situations Patient orientation
with business models + practices to create evidence-base
Learning,
Personal
benchmarking,
• Financial incentives with underlying quality incentives
harmonisation?
quality indicators EU wide
Long-term?
• Social-care broker / retirees as volunteers/working patient National/EU Individual should be
community training of professionals benchmarking
training of non-professionals, create new in the centre
inspiring
skills requirements, reskilling, new skills sets
Individual EU actors
Broadband connection / access, affordable ICT applications Short-term?
(relevant, innovative, usable) EU mandate
Universal service
EFP Workshop on Active and Healthy Ageing – A Long-term Perspective (poster/workshop results) 31.01.2011
