Some non-technology implications for wider application of robots to assist older people Priyesh Tiwari, Jim Warren, Karen Day, Bruce MacDonald University of Auckland

Challenges of silver care Emphasis on “ageing in place” leading to more elders living alone Declining physical & cognitive capabilities requiring more assistance Resolving shortage of caregivers

Emphasis on “ageing in place” leading to more elders living alone

Declining physical & cognitive capabilities requiring more assistance

Resolving shortage of caregivers

Innovating technology-based solutions Continuum of support Internet and mobile-based support Remote monitoring Ambient sensing & intelligent monitoring devices Healthcare robots Declining capabilities

Continuum of support

Internet and mobile-based support

Remote monitoring

Ambient sensing & intelligent monitoring devices

Healthcare robots

Value of robots as AT Robots introduce some exciting options: Mobility – engaging patients Mobility – navigational support Providing emergency alert Video surveillance Movement tracking Automated dialogue Wireless integration Reducing caregivers routine repetitive tasks

Robots introduce some exciting options:

Mobility – engaging patients

Mobility – navigational support

Providing emergency alert

Video surveillance

Movement tracking

Automated dialogue

Wireless integration

Reducing caregivers routine repetitive tasks

Silver care robots at University of Auckland

Silver care robots at University of Auckland Falls monitoring and prevention Vital signs monitoring Medication reminder Location monitoring

Falls monitoring and prevention

Considerations for design policy Socio-cultural Financial Regulatory Ethical

Ethical considerations Agenda Ensure Monitor Report Empowerment Autonomy Privacy Adherence/ Compliance Outcomes Costs

Social and cultural context Technology best plays role of a process enabler Technology is not yet validated as a possible substitute to human contact Family & physician acceptance Impact on day-to-day operations Organisational acceptance

Financial implications Need tight balance between features & utility to minimise costs Can delay institutionalisation Can reduce ADE, falls and hospitalisation Containment of manpower cost Robots are relatively expensive AT Public funding or personal contribution? Justify in relation to other available options

International environment Canada, UK & USA are proactive in tele-health & assistive technologies Australia, New Zealand & Japan are relatively lagging behind

Canada, UK & USA are proactive in tele-health & assistive technologies

Australia, New Zealand & Japan are relatively lagging behind

Conclusion Design process must address non-technological issues as well Paucity of direct evidence in relation to healthcare robots - specific studies are needed

Design process must address non-technological issues as well

Paucity of direct evidence in relation to healthcare robots - specific studies are needed

Thank you [email_address] Acknowledgements Joint UoA/ETRI laboratory for u-Healthcare Robotics (Joint NZ-Korean initiative) National Institute for Health Innovation This presentation can be viewed on hive

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