Instituto de Engenharia Sistemas e Computadores do Porto, Porto, Portugal.
Int J Med Inform. 2013 Nov;82(11):e307-20. doi: 10.1016/j.ijmedinf.2011.03.003. Epub 2011 Apr 9.
This paper describes proposed health care services innovations, provided by a system called CAALYX (Complete Ambient Assisted Living eXperiment). CAALYX aimed to provide healthcare innovation by extending the state-of-the-art in tele-healthcare, by focusing on increasing the confidence of elderly people living autonomously, by building on the knowledge base of the most common disorders and respective characteristic vital sign changes for this age group.
A review of the state-of-the-art on health care services was carried out. Then, extensive research was conducted on the particular needs of the elderly in relation to home health services that, if offered to them, could improve their day life by giving them greater confidence and autonomy. To achieve this, we addressed issues associated with the gathering of clinical data and interpretation of these data, as well as possibilities of automatically triggering appropriate clinical measures. Considering this initial work we started the identification of initiatives, ongoing works and technologies that could be used for the development of the system. After that, the implementation of CAALYX was done.
The innovation in CAALYX system considers three main areas of contribution: (i) The Roaming Monitoring System that is used to collect information on the well-being of the elderly users; (ii) The Home Monitoring System that is aimed at helping the elders independently living at home being implemented by a device (a personal computer or a set top box) that supports the connection of sensors and video cameras that may be used for monitoring and for interaction with the elder; (iii) The Central Care Service and Monitoring System that is implemented by a Caretaker System where attention and care services are provided to elders, where actors as Caretakers, Doctors and Relatives are logically linked to elders. Innovations in each of these areas are presented here.
The ageing European society is placing an added burden on future generations, as the 'elderly-to-working-age-people' ratio is set to steadily increase in the future. Nowadays, quality of life and fitness allows for most older persons to have an active life well into their eighties. Furthermore, many older persons prefer to live in their own house and choose their own lifestyle. The CAALYX system can have a clear impact in increasing older persons' autonomy, by ensuring that they do not need to leave their preferred environment in order to be properly monitored and taken care of.
本文描述了一个名为 CAALYX（完整的环境辅助生活实验）的系统提供的医疗服务创新。CAALYX 的目的是通过扩展远程医疗的最新技术，专注于增强自主生活的老年人的信心，利用该年龄组最常见疾病及其各自特征生命体征变化的知识库，来提供医疗保健创新。
对医疗服务的最新技术进行了综述。然后，针对老年人对家庭健康服务的特殊需求进行了广泛研究，如果向他们提供这些服务，可以通过增强他们的信心和自主性来改善他们的日常生活。为此，我们解决了与收集临床数据和解释这些数据相关的问题，以及自动触发适当临床措施的可能性。考虑到这项初步工作，我们开始确定可用于开发系统的举措、正在进行的工作和技术。之后，CAALYX 的实施完成了。
CAALYX 系统的创新考虑了三个主要贡献领域：（i）漫游监测系统，用于收集老年人用户的健康信息；（ii）家庭监测系统，旨在帮助独立生活在家中的老年人通过设备（个人计算机或机顶盒）实施，该设备支持连接传感器和摄像机，可用于监测和与老年人互动；（iii）中央护理服务和监测系统，由护理员系统实施，护理员系统为老年人提供护理和关怀服务，护理员、医生和亲属等角色与老年人在逻辑上相关联。这里介绍了这些领域中的每一项创新。
欧洲老龄化社会给未来几代人带来了额外的负担，因为未来“老年人与劳动年龄人口的比例”将稳步增加。如今，生活质量和健康状况使大多数老年人能够在八十多岁时过上积极的生活。此外，许多老年人更喜欢住在自己的房子里，选择自己的生活方式。CAALYX 系统可以通过确保他们不必离开自己喜欢的环境就可以得到适当的监测和照顾，从而对增加老年人的自主权产生明显的影响。
