An effectiveness and cost-estimation model for deploying assistive technology solutions in elderly careFootnote

Abbreviations: ADL, Activities of Daily Living; HSR, The Human Support Robot; IADL, Instrumental Activities of Daily Living; ISEE, The Independent School Entrance Exam; QoL, Quality of Life; SD, System Dynamics

References

• Eurostat. Population od 1st January by age, sex and type of projection; 2021. Available from: https://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=proj_19np&lang=en.
   Google Scholar
• Fotteler, M.L., Muhlbauer, V., Brefka, S., Mayer, S., Kohn, B., Holl, F., Swoboda, W., Gaugisch, P., Risch, B., Denkinger, M., & Dallmeier, D. (2022). The effectiveness of assistive technologies for older adults and the influence of frailty: systematic literature review of randomized controlled trials. JMR Aging, 5(2): e31916. doi:10.2196/31916
   PubMedGoogle Scholar
• Meiland F, Innes A, Mountain D, et al. Technologies to support community-dwelling persons with dementia: A position paper on issues regarding development, usability, effectiveness and cost-effectiveness, deployment, and ethics. JMIR Rehabil Assist Technol. 2017;4(1):e1. doi:10.2196/rehab.6376.
   PubMedGoogle Scholar
• Blauwet C, Casey C, Clarke H, et al. (2020). The Case for Investing in Assistive Technology: The dramatic economic, health, and social benefits of assisting a billion people to live fulfilling and dignified live (p. 80). ATScale Global Partnership for Assitive Technology. https://static1.squarespace.com/static/5b3f6ff1710699a7ebb64495/t/5fbf5c44eaf37e3b64932e6c/160637653.
   Google Scholar
• Vollmer Dahlke D, Ory MG. Emerging issues of intelligent assistive technology use among people With dementia and their caregivers: A U. S. Perspective. Frontiers in Public Health. 2020;8:191. doi:10.3389/fpubh.2020.00191.
   PubMed Web of Science ®Google Scholar
• World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF). Global report on assistive technology; 2022. CC- By-NC-SA 3.0 IGO.
   Google Scholar
• Tun SYY, Madanian S, Mirza F. Internet of things (IoT) applications for elderly care: a reflective review. Aging Clin Exp Res. 2021;33:855–867. doi:10.1007/s40520-020-01545-9.
   PubMed Web of Science ®Google Scholar
• Howard R, Gathercole R, Bradley R, et al. The effectiveness and cost-effectiveness of assistive technology and telecare for independent living in dementia: A randomised controlled trial. Age Ageing. 2021;50(3):882–890. doi:10.1093/ageing/afaa284.
   PubMed Web of Science ®Google Scholar
• Brent RJ. A cost–benefit analysis of hearing aids, including the benefits of reducing the symptoms of dementia. Appl Econ. 2019;51(28):3091–3103. doi:10.1080/00036846.2018.1564123.
   PubMed Web of Science ®Google Scholar
• Howard R, Gathercole R, Bradley R, et al. The effectiveness and cost-effectiveness of assistive technology and telecare for independent living in dementia: a randomised controlled trial. Age Ageing. 2021;50(3):882–890. doi:10.1093/ageing/afaa284.
   PubMed Web of Science ®Google Scholar
• Ghani Z, et al. Short term economic evaluation of the digital platform “support, monitoring and reminder technology for mild dementia” (SMART4MD) for people with mild cognitive impairment and their informal caregivers. J Alzheimer's Dis. 2022;86(4):1629–1641.
   PubMed Web of Science ®Google Scholar
• Healy A, Farmer S, Pandyan A, et al. A systematic review of randomised controlled trials assessing effectiveness of prosthetic and orthotic interventions. PLOS ONE. 2018;13(3):e0192094. doi:10.1371/journal.pone.0192094.
   PubMed Web of Science ®Google Scholar
• Renfrew L(Miller), Paul L, McFadyen A, et al. The clinical- and cost-effectiveness of functional electrical stimulation and ankle-foot orthoses for foot drop in multiple sclerosis: a multicentre randomized trial. Clin Rehabil. 33(7):1150–1162. 2019;026921551984225; doi:10.1177/0269215519842254.
   PubMed Web of Science ®Google Scholar
• Hutchinson C, et al. Using social return on investment analysis to calculate the social impact of modified vehicles for people with disability. Aust Occup Ther J. 2020;67(3):250–259. doi:10.1111/1440-1630.12648
   PubMed Web of Science ®Google Scholar
• Rahman A, Akbar D, Rolfe J, et al. Developing a population wide cost estimating framework and methods for technological intervention enabling ageing in place: An Australian case. PLOS ONE. 2019;14(6):e0218448. doi:10.1371/journal.pone.0218448.
   PubMed Web of Science ®Google Scholar
• Schneider JE, Cooper J, Scheibling C, et al. Economic evaluation of passive monitoring technology for seniors. Aging Clin Exp Res. 2020;32:1375–1382. doi:10.1007/s40520-019-01323-2.
   PubMed Web of Science ®Google Scholar
• de Batlle J, Massip M, Vargiu E, et al. Implementing mobile health-enabled integrated care for complex chronic patients: intervention effectiveness and cost-effectiveness study. JMIR Mhealth Uhealth. 2021;9(1):e22135. doi:10.2196/22135.
   PubMed Web of Science ®Google Scholar
• Shaw CA, Williams KN, Lee RH, et al. Cost-effectiveness of a telehealth intervention for in-home dementia care support: findings from the FamTechCare clinical trial. Res Nurs Health. 2021;44(1):60–70. doi:10.1002/nur.22076.
   PubMed Web of Science ®Google Scholar
• Huter K, Krick T, Rothgang H. Health economic evaluation of digital nursing technologies: a review of methodological recommendations. Health Econ Rev. 2022;12:35. doi:10.1186/s13561-022-00378-8.
   PubMed Web of Science ®Google Scholar
• Albala SA, Kasteng F, Eide AH, et al. Scoping review of economic evaluations of assistive technology globally. Assist Technol. 2021;33(1):50–67. doi:10.1080/10400435.2021.1960449.
   PubMedGoogle Scholar
• Sanders GD, Maciejewski ML, Basu A. Overview of cost-effectiveness analysis. JAMA. 2019;321(14):1400–1401. doi:10.1001/jama.2019.1265.
   PubMed Web of Science ®Google Scholar
• Quartey-Papafio TK, Shajedul I, Dehaghani AR. Evaluating suppliers for healthcare centre using ordinal priority approach. Manag Sci Bus Decis. 2021;1(1):5–11. doi:10.52812/msbd.12.
   Google Scholar
• Hoedemakers M, Tsiachristas A, Rutten-van Mölken M. Moving beyond quality adjusted life-years in elderly care: How Can multicriteria decision analysis complement cost-effectiveness analysis in local-level decision making. Value Health. 2022;25(10):1717–1725. doi:10.1016/j.jval.2022.04.1728
   PubMed Web of Science ®Google Scholar
• Krick T, Huter K, Domhoff D, et al. Digital technology and nursing care: a scoping review on acceptance, effectiveness and efficiency studies of informal and formal care technologies. BMC Health Serv Res. 2019;19:1. doi:10.1186/s12913-019-4238-3.
   PubMed Web of Science ®Google Scholar
• Baraković S, Baraković Husić J, Maraj D, et al. Quality of life, quality of experience, and security perception in Web of things: An overview of research opportunities. Electronics (Basel). 2020;9:700. doi:10.3390/electronics9040700.
   Web of Science ®Google Scholar
• Pal D, Funilkul S, Charoenkitkarn N, et al. Internet-of-Things and smart homes for elderly healthcare: An End user perspective. IEEE Access. 2018;6:10483–10496. doi:10.1109/ACCESS.2018.2808472.
   Web of Science ®Google Scholar
• Renzi E, Baccolini V, Migliara G, et al. The impact of eHealth interventions on the improvement of self-care in chronic patients: An overview of systematic reviews. Life. 2022;2022(12):1253. doi:10.3390/life12081253.
   Google Scholar
• Baraković S, Baraković Husić J, van Hoof J, et al. Quality of life framework for personalised ageing: A systematic review of ICT solutions. Int J Environ Res Public Health. 2020;17(8):2940. doi:10.3390/ijerph17082940.
   PubMed Web of Science ®Google Scholar
• Song I-Y, Song M, Timakum T, et al. The landscape of smart aging: topics, applications, and agenda. Data Knowl Eng. 2018;115:68–79. doi:10.1016/j.datak.2018.02.003.
   Web of Science ®Google Scholar
• Vichitvanichphong S, Talaei-Khoei A, Kerr D, et al. Assistive technologies for aged care: comparative literature survey on the effectiveness of theories for supportive and empowering technologies. Inf Technol People. 2018;31(2):405–427. doi:10.1108/ITP-03-2017-0090
   Web of Science ®Google Scholar
• Barakovic Husic J, Melero FJ, Barakovic S, et al. Aging at work: A review of recent trends and future directions. Int J Environ Res Public Health. 2020;17(20):E7659. doi:10.3390/ijerph17207659.
   PubMed Web of Science ®Google Scholar
• Zhang Q, Li M, Wu Y. Smart home for elderly care: development and challenges in China. BMC Geriatr. 2020;20:318. doi:10.1186/s12877-020-01737-y
   PubMed Web of Science ®Google Scholar
• MPSV. 2020-129422. Statistiky příspěvek na péči. [cited 2020 April 4].
   Google Scholar
• Beaudoin M, Lettre J, Routhier F, et al. Long-term use of the JACO robotic arm: A case series. Disabil Rehabil Assist Technol. 2019;14(3):267–275. doi:10.1080/17483107.2018.1428692.
   PubMed Web of Science ®Google Scholar
• RobotIEEE. Human Support Robot; 2017. Available from: https://robots.ieee.org/robots/hsr/.
   Google Scholar
• Yamamoto T, Nishino T, Kajima H, et al. Human support robot (HSR). Assoc. Comput. Mach. 2018;11(3): 1–2. doi:10.1145/3214907.3233972.
   Google Scholar
• Nierling L, Maia M. Assistive technologies: social barriers and socio-technical pathways. Societies. 2020;10(2):41. doi:10.3390/soc10020041.
   Web of Science ®Google Scholar
• Maresova P, Hruska J, Klimova B, et al. Activities of daily living and associated costs in the most widespread neurodegenerative diseases: A systematic review. Clin Interv Aging. 2020;15:1841–1862. doi:10.2147/CIA.S264688.
   PubMed Web of Science ®Google Scholar
• Maresova P, Prochazka M, Barakovic S, et al. A shortage in the number of nurses—A case study from a selected region in the Czech Republic and international context. Healthcare. 2020;8(2):152. doi:10.3390/healthcare8020152.
   Web of Science ®Google Scholar