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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

				
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