Summary / Résumé (in English, 400 to 700 words, 1 page A4 at maximum) TITLE in English: Towards a general framework to assess and promote Technologies and Services for Ageing, Health and Autonomy TITRE en français: Vers un modèle générique d’évaluation des technologies et services
pour la santé et l’autonomie Key Words / Mots Clés : Technologies and Services for Ageing, Health and Autonomy ; E-health ; Assessment;
Ergonomics; Medical Service Rendered; Social Service Rendered; Economics Auteurs : Vincent RIALLE, Juliette SABLIER, Yannick FOUQUET, Pascale DAYNES, Nicolas VUILLERME Summary : In spite of a considerable amount of reported efforts of assessment of specific Technologies and Services for Ageing, Health and Autonomy (TSAHA), there is still a lack of standard universal framework for their accurate and reliable evaluation. Previous attempts also have concluded that the global service rendered by these TSAHA could be assessed only by means of a complex evaluation process involving numerous items. Meanwhile, special care should be done on such assessments since they do represent a key factor to determine innovation value and help start a new market. Along these lines, we designed the TEMSED (‘Technology, Ergonomics, Medicine, Society, Economics, Deontology’) general framework to assess and promote TSAHA. This model comprises 6 specific and complementary dimensions: 1. the Technological dimension concerns the evaluation of performance, robustness and reliability, particularly in terms of indicators referenced (e.g., in respect of automated detection systems: sensitivity, specificity, predictive values…); 2. the Ergonomic dimension concerns the evaluation of the user / technical device ratio (usability, accessibility, affordance,…); 3. the Medical dimension concerns the evaluation of the Medical Service Rendered which aim is to promote the use of the most effective and innovative treatments to reduce national health expenditure; 4. the Social dimension concerns the evaluation of Social Service Rendered which objective is to promote and improve of home support user support technologies and services; 5. the Economic dimension concerns the evaluation in terms of effective costs and gains indicators in all dimensions of economic and social life: global balance sheet including all dimensions; 6. the Deontologic dimension concerns the technology assessment in terms of rights and duties of stakeholders, of clarity and reliability of contracts, of appeals…; The TEMSED model is currently being tested with the assessment of home automation and assistive devices specifically designed to address five public health problems associated with ageing, important in terms of prevalence, dramatic negative impact on their quality of life and public health costs: (1) early detection of neurodegenerative disorders, (2) fall detection and activity monitoring for elderly, (3) detection of swallowing in the elderly, (4) pressure sore prevention in older adults, persons with spinal cord injury and wheelchair users, (5) foot pressure ulcer prevention in diabetic persons, (6) wandering prevention in Alzheimer’s disease and dementia. This model also is intended to be used for the assessment of technologies and services in the cadre of the recently created French National Reference Center for Home Care and Autonomy (CNR SDA), one mission of which is to help market players to develop innovative and efficient organizations by the identification and the promotion of new technology and services uses.
