Home Care

Home care technology use needs to be understood now.  Today there are a plethora of surveys in health and aging services topics – ranging from consumer preferences about housing (MetLife), technology product use (Pew and Nielsen), and family caregiver concerns and health technology adoption (National Alliance for Caregiving and AARP). But there are no recent surveys about the use of technology among skilled home health providers, geriatric care management and non-skilled/companion care. 

Not to be a spoilsport…but 'age-friendly cities' aren’t. US News Money ran an article this week about ‘aging in place’ – what a great idea, but…  Adding the 'but' is a correct assessment -- senior-friendly communities don’t really resonate as two words in the same sentence, although I suppose that is depending on whether you are imagining a young-aged (in either age or demeanor) senior. The AARP-sponsored state-by-state study cited underpins the issues, particularly with transportation. But what really struck me: "Of Americans over age 65, 21 percent do not drive," the report said. "This reduced mobility has a direct and often debilitating effect on older Americans' independence. More than 50 percent of non-drivers over age 65 normally do not leave home most days, partly because of a lack of transportation options." So let’s count that up, shall we? With 40 million aged 65+, 8.4 million of them are non-drivers, 4.2 million not leaving the home most days because of a lack of transportation. What are these people doing in their homes? Who sees them? How age-friendly is that?

The basic technologies that have changed the user experience for everyone are well-known in the consumer electronics world. They are GPS/cellular tracking, touch screens, voice activation, battery technology, cameras, accelerometers, and sensors. But these are migrating slowly if at all into the market of offerings to enable older adults to live well for longer, aging at home if they wish. This could be because of a soft economy, a risk-averse senior housing community, a tech-averse home care industry, or other factors. But it is a truism of vendor-hood that switching to new technologies involves a cannibalization of existing markets – one must pick the right time. Looking through the aging-in-place technology lens into 2012, there many points of light that will shape the year:

Sharpening the end of life discussion. Jane Gross published a New Old Age blog this week in the NY Times called Mad as Hell. The gist of it was about how retired Boston Globe columnist Ellen Goodman is starting up the "Conversation Project, one of many nascent efforts to make the rigors of caregiving and advanced old age into a kitchen-table issue — not just a topic for policy wonks and health care professionals." Ellen and Jane are talking about 'family caregiving'. Something is not quite right, though, about this article and other 'conversations' that depend on first stating the facts about seniors and where they live, what they live on, and who takes care of them.