In the coming years, the Basque society, like the rest of Spain and Europe, faces several challenges related to geriatric care provided to the elderly, because the current model geriatric care is both an economically and socially unsustainable residential model:
The ageing population poses an inescapable challenge. This major multidimensional challenge affecting the economy, pensions, health care system, social services, housing policy, family, cities, towns, services that must be provided, political and institutional architecture, I+D, etc., is an unprecedented challenge in the history of humanity and assumes, as will be discussed later, an opportunity.
This challenge raises the need to explore new models of care for older people that respond to those needs and/or delete existing gaps today. This change of perspective in both the concept of the elderly and how to serve them, has led to the rise of so-called Person-Centred Care Models. In this model, the elderly person is placed at the centre of the care delivery system and she is the one who decides the type and intensity of services she wants in terms of the objectives laid out in her personal life plan.
Matia Fundazioa, aware of the challenges described above and the need to innovate in care for the elderly, has developed an ambitious, high-impact project called Etxean-Ondo. This project, carried out thanks to the collaboration agreement with the Department of Employment and Social Affairs of the Basque Government, has been an important landmark of innovation in the way in which people want to care for the elderly.
In this sense, E-BIZI aims to be a project that complements the approach and content of this project, responding to previously identified challenges by providing innovative new services in the home and by creating an ICT platform that supports and makes the process of case management and service provision viable, so as to facilitate the coordination of all services and thus a coordinated, personalised, integrated care model is had that is capable of obtaining high levels of coverage, that satisfies the tastes and expectations of the elderly who live and wish to continue living at home.
- Defining a model of integrated geriatric care, based on person-centred gerontological care that is economically sustainable and responsive to the needs and expectations of life of the elderly.
- Identifying the services needed to keep the elderly person at home for as long as possible while preserving the maximum quality of life.
- Increasing the service coverage ratio of the elderly through a private management model and provision of these at home.
- Providing personalised and comprehensive care for the elderly, through effective coordination of home services that meet their needs and desires.
- Strengthening autonomy and dignity of the elderly by optimising their degree of functional independence and social participation.
- Strengthening the differential value and growth potential of companies in the Basque Country involved in the project, positioning the Basque Country in a privileged position to respond to the opportunity presented worldwide in relation to the increase in population and needs derived therefrom.
- Creating a personalised and flexible Integrated Service Delivery System, which meets the needs and desires of the person receiving them.
- Design of a scalable, adaptable and customisable framework platform for the provision of geriatric services at home
- Creating a user knowledge platform that allows transferring from current services with partial and dispersed information, to reach a unified semantic knowledge base that allows for the self-discovery of non-obvious relationships within this knowledge.
- Deploying a full transparent communications infrastructure for the home of the future, with configuration and maintenance that are transparent to the user
- Design and implementation of monitoring modules for applications and services deployed in the home gateway.
- Design and implementation of a tool for editing and compositing user interface on TV
Next, the services have been tested in the last experimental phase, and then the results are described for each user profile in the system.
Older people have tried the following services:
- Comprehensive case management
- Care and life plan
- Comprehensive assessment and life history
- Cardiac telerehabilitation at home
- Advanced telephone assistance at home
- Diagnostic support at the beginning of the cognitive impairment process:
Readjustment of the home:
In the case of Psychological Support, although this service was ready to be tested throughout the third phase, it has not been tested since there has been no test user who has requested it. Therefore, it had to be decided whether to test the Model proposed in ebizi care, the person-centred care model, or to try the service by "forcing" someone to use it. Since the service has not responded to any real need for testing people and following the philosophy of the project and the focus on the person, it has been decided not to try the service for lack of demand. Also, the Nutritional counselling service and the provision of diets at home has not been tested, since this service was for Fagor and Ausolan and tests were carried out by Fagor, so Ausolan had not planned to administer the tests in the project, and since testing on the web where one can consult menus, etc. has already been tested in the previous two phases of testing in the Ebizi project. According to the ethical aspects, it has not been retested with the elderly.
- IBERMÁTICA S.A.
- AUZO LAGUN, S.Coop.
- EUSKALTEL, S.A.
- FUNDACIÓN JOSE MATIA CALVO
- GAIA, Asociación de Industrias de las Tecnologías [Association of Technology Industries]
- IGURCO RESIDENCIAS SOCIOSANITARIAS, S.L.
- Angel Iglesias, S.A. U. / IKUSI S.L.U.
- POLICLINICA GIPUZKOA, S.A.
- Saludnova Solutions S.L..
- Fundación Instituto Gerontológico Matia [Matia Fundación Gerontological Institute]
- Tecnalia Research & Innovation Foundation
- IKERLAN, S.Coop.Ltda
- Instituto Ibermática de Innovación [Ibermática Innovation Instutute], S.L. (i3B)
- Mondragon Goi Eskola Politeknokoa, Jose Mª Arizmendiarrieta, S.Coop.