Human Augmentation Research Center, National Institute of Advanced Industrial Science and Technology, Kashiwa, Japan.
Human Care Research Team, Tokyo Metropolitan Institute of Geriatrics and Gerontology, Itabashi-ku, Japan.
Geriatr Gerontol Int. 2024 Mar;24 Suppl 1(Suppl 1):74-80. doi: 10.1111/ggi.14797. Epub 2024 Jan 14.
This study aims to provide an overview of the service system view (SSV), and the current status of its adoption for the development and implementation of assistive technology (AT). The role of ATs in the global aging scenario is anticipated; however, their diffusion is cumbersome. The SSV captures stakeholders, technologies, and their interactions as integrated systems. Based on this perspective, several approaches for designing long-term care services have been proposed that would be helpful for the successful implementation of ATs. However, the existing geriatrics and gerontology literature seldom addresses these topics. Based on a literature review, this study first illustrates the challenges of using ATs in the real world. The existing literature highlights the sociotechnical challenges of utilizing ATs, such as the changes required in care work and resistance to them. To overcome the challenges, three approaches associated with the SSV have been introduced: service design, service engineering and living labs. This paper also introduces recent national projects in Japan that have adopted these approaches. As the importance of the SSV is growing for the successful implementation of ATs, the ability to adopt the SSV and its approaches is anticipated. In relation to geriatrics and gerontology studies, the impact on older adults' quality of life, as well as the economic effect, needs to be analyzed in future research. Geriatr Gerontol Int 2024; 24: 74-80.
本研究旨在概述服务系统视角(SSV),以及其在辅助技术(AT)的开发和实施中的应用现状。预计 AT 在全球老龄化背景下发挥作用,但它们的推广却很繁琐。SSV 将利益相关者、技术及其交互作用视为集成系统。基于这一观点,已经提出了几种设计长期护理服务的方法,这将有助于 AT 的成功实施。然而,现有的老年医学和老年学文献很少涉及这些主题。基于文献回顾,本研究首先说明了在现实世界中使用 AT 的挑战。现有文献强调了利用 AT 所面临的社会技术挑战,例如护理工作所需的变化以及对这些变化的抵制。为了克服这些挑战,已经引入了与 SSV 相关的三种方法:服务设计、服务工程和生活实验室。本文还介绍了日本最近采用这些方法的国家项目。随着 SSV 在 AT 成功实施中的重要性不断增加,预计将能够采用 SSV 及其方法。就老年医学和老年学研究而言,未来的研究需要分析其对老年人生活质量的影响以及经济影响。老年医学与老年病学 2024; 24: 74-80.