This document discusses technology to assist better living and the need to raise awareness of eHealth among professionals and citizens. It provides background on the European Knowledge Tree Group (EKTG) and defines eHealth. The document addresses whether society should be concerned if it does not understand eHealth. It discusses challenges like health inequalities, opportunities like data sharing, and how to achieve broader understanding of eHealth issues, challenges, and opportunities for healthy aging. Examples of eHealth initiatives and their positive outcomes in cost savings and patient responsibility are also provided.

1. Technology to Assist Better Living –
Time to Create Awareness for
both Professionals and Citizens Alike
1
Maggie Ellis
EKTG Leadership Group Co-ordinator
and Lead Academic, Enterprises, LSE

2. Some background to EKTG
European Knowledge Tree Group for eHealth (EKTG) has
been based at LSE for six years.
It comprises a widely drawn group including users, policy
makers, designers and implementers, as well as
academics, third sector, central and local government,
health professionals and leaders of large and small
businesses.
The group shares a desire for fundamental change in the
way ageing is perceived and eHealth is delivered.
Amongst others we work with KTN, INNOVATE UK and EU
DG CONNECT.

3. !
!
EKTG DefiniAon of eHealth
3
This includes:
Supported Living
mHealth
Ambient Assisted Living…......

4. Should we be concerned if society
does not understand eHealth?
4
Maggie Ellis
EKTG Leadership Group Co-ordinator
and Enterprises, LSE

5. 5
) PopulaRon pyramids, EU-28, 2001 and 2015 (1)
(% of the total populaRon)
Source: Eurostat (demo_pjangroup

6. 6
Issues: Wide engagement
Health inequaliRes
OpportuniAes: Workforce
Data sharing
Challenges: Universality
Cost
Long-term care expenditure by sources of
financing, OECD 2007
Note: Data on out-of-pocket spending for some of the countries are underestimated. For example, in the Netherlands, cost sharing on long-term care services is estimated to account for 8% of
the total LTC expenditure. The share of out-of-pocket spending for Switzerland is overestimated as cash benefits granted for care in care facilities are not considered.
Source: OECD Health System Accounts, 2010.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
government revenue social security private insurance out-of-pocket other

7. 7
More resources needed to pay for LTC in the future: Public
spending on LTC as % of GDP, 2010-2060
Base case scenario
0
1
2
3
4
5
6
7
8
9
BE BGCZ DK DE EE IE EL ES FR IT CY LV LT LU HUMTNL AT PL PT RO SI SK FI SE UKNO
2010
2060 base
case
Source: The 2012 Ageing Report: Economic
and budgetary projections for the EU27
Member States (2010-2060). European
Commission.

8. 8
Number of people projected to live to 100 in
United Kingdom
Males Females
Age in
2010
Population
in 2010
(000s)
Number
to reach
age 100
(000s)
Proportion
reaching
100 (%)
Population
in 2010
(000s)
Number
to reach
age 100
(000s)
Proportion
reaching
100 (%)
Total aged
under 100 30,607 4,441 14.5% 31,604 6,315 20.0%
0-15 5,926 1,359 22.9% 5,649 1,720 30.4%
16-50 15,025 2,272 15.1% 14,884 3,197 21.5%
51-65 5,444 512 9.4% 5,654 818 14.5%
66-99 4,211 299 7.1% 5,416 579 10.7%
Table 1, Department for Work and Pensions, Ed Price
Number of Future Centenarians, December 2010

9. 9
The Users, who are they?
In the UK 20% of the population are over 50
They own 80% of the nations wealth
They are the biggest spenders
HOWEVER:
Only 10 % of advertising addresses this group
Only 4% of advertising staff are over 50
Maybe that explains the image problem?
M.Ellis1@lse.ac.uk

10. 10
Valuing the socio-economic contribution of older people in
the UK (2011)
• In 2010 positive net
contribution to UK
economy £40 billion
rising to £77 billion
by 2030.
• Costs: takes account
of pension, welfare,
health costs.
• Benefits: Tax
revenues, Consumer
Spending, Provision
of Care, Volunteering
http://www.goldagepensioners.com/Uploads/PDF/main-report.pdf

11. Repeated Barriers to adoption of assistive technology
11
• Lack of knowledge of applicaRons, cost of implemenRon & exact benefit
• Poorly researched publicaAons on eHealth
• Some major reports emphasise negaAve features of open access records
• Overburdened healthcare systems mean invesRng in new ways of working
& this is not the center of abenRon
• Interoperability involves the integraRon of mulRple complex IT systems and
infrastructure
• Lack of legal, ethical and industry standards
• Lack of a robust funding or reimbursement model
• Culture shics are required from both paRents and HCPs before efficient
adopRon of assisRve technologies – & beber educaRon and understanding
• Legal challenges surrounding informaRon governance and privacy are
considered a primary deterrent.

12. Management of health and care data access
and control is crucial
12
Fundamental principle:
Health data belongs to the data subject
! Access to my data
! Control of my data
! DelegaRon of my access and control rights
! Open access should not mean open to everybody
Legal framework funcRons in combinaRon
with appropriate technology and governance

13. How do we achieve a broader understanding about the issues,
the challenges and the opportuniAes offered by ehealth technology
for a healthy ageing populaAon?
Issues: Health inequaliRes
Issues: Wide engagement
Health inequaliRes
OpportuniAes: Workforce
Data Sharing
Challenges: Universality
Cost
OpportuniAes: Workforce
Data sharing
Challenges: Universality
Cost

14. 14
hbp://www.fundacionvodafoneconlosmayores.com
EKTG Outcomes: One Spanish iniAaAve regarding
digital literacy for senior people :
EducaRonal video material with
lessons about how to use the
Smartphone and concrete
recommendaRons for seniors to
make the most of them

15. 15
Clinicians View of results – Fixed or Mobile
M.Ellis1@lse.ac.uk

16. EKTG AAL Forum Outcomes:
One example from a UK Company
Importance & Power – Social Media
• Ecommerce for healthtech
• More than1M visitors per
annum
• 42+ product partners
• Consumer and trade sales
• MulRple referrers
16
Oct 2015
Today

17. Can eHealth Technologies really change pracAce
17
* Impact of Rghtening budgets and increasing demand, reduce use of hospitals and
support people to self manage condiRons providing opportuniRes to scale up use of
assisRve technologies
* Technology and innovaRon are two of the main drivers of producRvity but not
in interacRon with service users.
* Not just a technological issue – it is about service re-design and different working
* Technology is advancing at a pace, most people use telephones, video, mobile and web
technology everyday for knowledge & informaRon
* Many technologically assisted approach to self management used, with or without the
involvement of health and social care providers

18. 18
Conclusions from many posiLve
examples of using eHealth
Cost EffecLve
Cost saving
PaLents feel more responsible for their health
Avoids admission to hospital
Avoids ambulance journies
Avoids infecLon
Avoids leaving home, loved ones and pets
Saves Lme, energy and money
M.Ellis1@lse.ac.uk

19. PosiAve Conclusions from examples
of using eHealth
19
Maybe you have beber examples?
How will you help develop the examples?
EKTG is working to promulgate more
We need your help please
M.Ellis1@lse.ac.uk