scholarly journals Introducing Care 4.0: An Integrated Care Paradigm Built on Industry 4.0 Capabilities

2019 ◽  
Vol 16 (12) ◽  
pp. 2247 ◽  
Author(s):  
Chaloner Chute ◽  
Tara French
Keyword(s):  
Industry 4.0 ◽  
Industrial Revolution ◽  
Digital Health ◽  
Medical Model ◽  
Integrated Approach ◽  
New Paradigm ◽  
Healthcare Provision ◽  
Care Needs ◽  
Care Services ◽  
Health And Social Care

Western developed health and care policy is shifting from a patriarchal medical model to a co-managed and integrated approach. Meanwhile, the fourth industrial revolution (Industry 4.0) is transforming manufacturing in line with the digital consumer revolution. Digital health and care initiatives are beginning to use some of the same capabilities to optimize healthcare provision. However, this is usually limited to self-management as part of an organization-centric delivery model. True co-management and integration with other organizations and people is difficult because it requires formal care organizations to share control and extend trust. Through a co-design lens, this paper discusses a more person-centered application of Industry 4.0 capabilities for care. It introduces ‘Care 4.0’, a new paradigm that could change the way people develop digital health and care services, focusing on trusted, integrated networks of organizations, people and technologies. These networks and tools would help people co-manage and use their own assets, in the context of their own care circle and community. It would enable personalized services that are more responsive to care needs and aspirations, offering preventative approaches that ultimately create a more flexible and sustainable set of integrated health and social care services that support meaningful engagement and interactions.

Challenging times: building a health, housing and social care local workforce strategy

2018 ◽  
Vol 21 (3/4) ◽  
pp. 108-122
Author(s):  
Patricia Dearnaley ◽  
Joanne E. Smith
Keyword(s):  
Service Delivery ◽  
Older People ◽  
Health Care Services ◽  
Social Care ◽  
Workforce Planning ◽  
Care Needs ◽  
Fiscal Impact ◽  
Content Type ◽  
Care Services ◽  
Health And Social Care

Purpose The purpose of this paper is to stimulate a wider debate around the coordination of workforce planning in non-statutory services (in this case, specialist housing for older people or those with long-term health and social care needs, such as learning disabilities). The authors argue that current NHS reforms do not go far enough in that they fail to include specialist housing and its workforce in integration, and by doing so, will be unable to optimise the potential efficiencies and streamlining of service delivery to this group. Design/methodology/approach The paper used exploratory study using existing research and data, enhanced by documentary analysis from industry bodies, regulators and policy think tanks. Findings That to achieve the greatest operational and fiscal impact upon the health care services, priority must be given to improving the efficiency and coordination of services to older people and those requiring nursing homes or registered care across the public and third sectors through the integration of service delivery and workforce planning. Research limitations/implications Whilst generalisable and achievable, the model proposed within the paper cannot be fully tested theoretically and requires further testing the in real health and social care market to evidence its practicality, improved quality of care and financial benefits. Originality/value The paper highlights some potential limitations to the current NHS reforms: by integrating non-statutory services, planned efficiency savings may be optimised and service delivery improved.

scholarly journals Health and social care services for older male adults in prison: the identification of current service provision and piloting of an assessment and care planning model

2013 ◽  
Vol 1 (5) ◽  
pp. 1-138 ◽  
Author(s):  
J Senior ◽  
K Forsyth ◽  
E Walsh ◽  
K O'Hara ◽  
C Stevenson ◽  
...  
Keyword(s):  
Social Care ◽  
Qualitative Interviews ◽  
Research Programme ◽  
Older Men ◽  
Care Needs ◽  
Care Services ◽  
Older Prisoners ◽  
Care Assessment ◽  
Health And Social Care ◽  
The Impact

AbstractBackgroundOlder prisoners are the fastest growing subgroup in the English and Welsh prison estate. Existing research highlights that older prisoners have high health and social care needs and that, currently, these needs routinely remain unmet.Objectives(1) To explore the needs of men entering and leaving prison; (2) to describe current provision of services, including integration between health and social care services; and (3) to develop and pilot an intervention for identifying health and social care needs on reception into prison, ensuring that these are systematically addressed during custody.MethodsThe research programme was a mixed-methods study comprising four parts: (1) a study of all prisons in England and Wales housing older adult men, establishing current availability and degree of integration between health and social care services through a national survey and qualitative interviews; (2) establishing the health and social care needs of older men entering prison, including experiences of reception into custody, through structured (n = 100) and semistructured (n = 27) interviews; (3) the development and implementation of an intervention to identify and manage the health, social care and custodial needs of older men entering prison; and (4) exploration of the health and social care needs of older men released from prison into the community through qualitative interviews with older prisoners prior to and following discharge from prison. Descriptive statistics were produced for all quantitative data, and qualitative data were analysed using the constant comparison method.ResultsThe number of older prisoner leads has increased in recent years but they do not all appear always to be active in their roles, nor in receipt of specialist training. Nearly half (44%) of establishments do not have an older prisoner policy. There is a lack of integration between health and social care services because of ambiguity regarding responsibility for older prisoners' social care. The responsible social service may be located a considerable distance from where the prisoner is held; in such instances, local social services do not co-ordinate their care. The most frequent unmet need on prison entry was the provision of information about care and treatment. Release planning for older prisoners was frequently non-existent.LimitationsThe study used a cut-off age of 60 years as the lower limit for the definition of an older prisoner; evidence has emerged that supports a redefinition of that cut-off to 50 years. Our study examined the care provided for men and this should be considered if contemplating using the Older prisoner Health and Social Care Assessment and Plan (OHSCAP) with older women in prison.ConclusionThe OHSCAP, developed as part of this study, provided a feasible and acceptable means of identifying and systematically addressing older prisoners' health and social care needs. Future work will include the conduct of a randomised controlled trial to examine the impact of the OHSCAP in terms of improving a range of outcomes, including economic impact.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

Problems with health care delivery

2013 ◽  
Author(s):  
Blánaid Daly ◽  
Paul Batchelor ◽  
Elizabeth Treasure ◽  
Richard Watt
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Medical Model ◽  
Macro Level ◽  
Health Care Needs ◽  
Care Needs ◽  
Care Services ◽  
Quality Health ◽  
Health Need

Earlier chapters have highlighted the influence the medical model of health has had on both the philosophy of health care and the structures devised to deliver health care including dental care. The overriding influences of the medical model are the downstream focus on treatment of disease and the communication gap caused by differing concepts of health and need held by lay people and health professionals. Problems with health care delivery operate at a macro level (i.e. overall policy for and structure of health care) and at a micro level (how health care is delivered, one-to-one communication, and interaction with the patient and members of the dental team). Chapter 18 has described some of the specific problems with health care at the macro level. In this chapter we shall also look at some of the problems with how health care is delivered and problems with health services at the level of the user and the provider of health care. What should good health care look like? Maxwell (1984) defined six characteristics of a high-quality health care. Services should to be equitable (fair), accessible, relevant to health care needs, effective, efficient, and socially acceptable. There are recognized inequities in how health care is distributed; urban areas are often better provided for compared to rural areas, and hospital-based health care consumes more resources than community-based care. Not everyone has equal access to health care; for example, people living in deprived communities with greater health need have fewer doctors and dentists compared to richer areas with fewer health care needs. This phenomenon has been described as the inverse care law (Tudor Hart 1971). Uncomfortable choices and rationing have to take place in allocating health care resources. Ideally, these decisions should be based on the greatest health need (and the capacity to benefit) rather than who has the loudest voice. The focus on treatment inherent in the medical model of health means that resources are spent on high-technology medicine and hospitals, while programmes to prevent disease are poorly supported and resourced. There is an expectation that there will be a magic bullet for every health problem, yet most chronic diseases have no cure. People learn to adapt and cope with their chronic illness rather than recover.

scholarly journals Who approves/pays for additional monitoring?

2019 ◽  
Vol 21 (Supplement_M) ◽  
pp. M64-M67 ◽  
Author(s):  
Giuseppe M C Rosano ◽  
Ilaria Spoletini ◽  
Cristiana Vitale
Keyword(s):  
New Technologies ◽  
Imaging Techniques ◽  
Healthcare Spending ◽  
Mobile Technologies ◽  
Diagnostic Systems ◽  
Healthcare Provision ◽  
Care Needs ◽  
Health Authorities ◽  
Health And Social Care ◽  
Short Period

Abstract Major considerations in the provision of healthcare are availability, affordability, accessibility, and appropriateness, especially in the setting of heart failure where disease burden is growing, developments have been rapid and newer biomarkers, diagnostic and imaging techniques, monitoring systems, devices, procedures, and drugs have all been developed in a relatively short period of time. Many monitoring and diagnostic systems have been developed but the disproportionate cost of conducting trials of their effectiveness has limited their uptake. There are added complexities, in that the utilization of doctors for the supervision of the monitoring results may be optimal in one setting and not in another because of differences in the characteristics of organization of healthcare provision, making even interpretation of the trials we have had, still difficult to interpret. New technologies are continuously changing the approach to healthcare and will reshape the structure of the healthcare systems in the future. Mobile technologies can empower patients and carers by giving them more control over their health and social care needs and reducing their dependence on healthcare professionals for monitoring their health, but a significant problem is the integration of the multitude of monitored parameters with clinical data and the recognition of intervention thresholds. Digital technology can help, but we need to prove its cost/efficacy and how it will be paid for. Governments in many European countries and worldwide are trying to establish frameworks that promote the convergence of standards and regulations for telemedicine solutions and yet simultaneously health authorities are closely scrutinizing healthcare spending, with the objective of reducing and optimizing expenditure in the provision of health services. There are multiple factors to be considered for the reimbursement models associated with the implementation of physiological monitoring yet it remains a challenge in cash-strapped health systems.

scholarly journals Disabled older people's use of health and social care services and their unmet care needs in six European countries

2013 ◽  
Vol 23 (6) ◽  
pp. 1032-1038 ◽  
Author(s):  
B. Bien ◽  
K. J. McKee ◽  
H. Dohner ◽  
J. Triantafillou ◽  
G. Lamura ◽  
...  
Keyword(s):  
Social Care ◽  
European Countries ◽  
Care Needs ◽  
Care Services ◽  
Health And Social Care

scholarly journals MONODISCIPLINARITY IN SCIENCE VERSUS TRANSDISCIPLINARITY IN STEM EDUCATION

2019 ◽  
Vol 18 (3) ◽  
pp. 435-449 ◽  
Author(s):  
Mitja Slavinec ◽  
Boris Aberšek ◽  
Dino Gačević ◽  
Andrej Flogie
Keyword(s):  
Industry 4.0 ◽  
Industrial Revolution ◽  
Real Life ◽  
Approaches To Learning ◽  
Integrated Approach ◽  
Stem Learning ◽  
Solar Chimney ◽  
Transdisciplinary Approach ◽  
Learning And Teaching ◽  
Life Problems

Contemporary society of the fourth industrial revolution (Industry 4.0) increasingly requires the education system (i.e., the school) to train competent, creative and proactive professionals who will be able to solve real life problems. If society is to achieve this, some key paradigm changes must occur in education. The school must first prepare a competence-based curriculum and, secondly, school practice should move away from subject-based teaching, towards an interdisciplinary STEM teaching approach. Obviously, to support this, modern learning environments and ICT solutions and tools have to be used. However, since the interdisciplinary STEM approach has already been implemented and integrated, it can be said that a new, integrated science discipline (STEM) has already emerged, together with a transdisciplinary approach to STEM learning and teaching. In the present research, a concrete case of designing, developing and producing a solar chimney was used to demonstrate an integrated approach to learning and teaching, while emphasizing especially the advantages of such an interdisciplinary (transdisciplinary) approach to teaching Science, Technology, Engineering and Mathematic content. The empirical research shows that such an approach produces incomparably better results, especially on higher cognitive levels, in comparison to traditional approaches to learning and teaching. Keywords: industry 4.0, interdisciplinarity, solar chimney, STEM, transdisciplinarity.

An Initial Framework for Implementation of Industry 4.0 in the High Technological Manufacturing Sector in Southern California

2019 ◽  
Author(s):  
Sagil James ◽  
Anupam Shetty
Keyword(s):  
Industry 4.0 ◽  
Southern California ◽  
Industrial Revolution ◽  
Manufacturing Sector ◽  
Smart Manufacturing ◽  
New Paradigm ◽  
Manufacturing Sectors ◽  
Southern California Region ◽  
The Internet Of Things ◽  
Initial Framework

Abstract The fourth industrial revolution, also known as Industry 4.0 is a new paradigm that is significantly influencing several manufacturing industries across the globe. Industry 4.0 synchronizes concepts such as Smart Manufacturing, Smart Factory, and the Internet of Things with existing factory automation technologies in order to improve value in manufacturing by monitoring key performance indicators and creates value in all manufacturing related aspects. Currently, several industries have started early initiatives of implementing these technologies. As the industries are evaluating their readiness for implementing the Industry 4.0 concepts, there are several challenges which need to be addressed including high initial investment, lack of standardization, data security and lack of skilled labor. A strategic roadmap towards implementing the Industry 4.0 paradigms is still unclear in the industry as well as in academia. This research develops an initial framework for the effective implementation of Industry 4.0 in the high technology manufacturing sectors in the Southern California region. The results of this study are expected to provide a platform to expand the opportunities of Industry 4.0 further and facilitate worldwide adoption.

scholarly journals OperaBLE: An IoT-Based Wearable to Improve Efficiency and Smart Worker Care Services in Industry 4.0

2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Luis Roda-Sanchez ◽  
Celia Garrido-Hidalgo ◽  
Diego Hortelano ◽  
Teresa Olivares ◽  
M. Carmen Ruiz
Keyword(s):  
Working Conditions ◽  
Industry 4.0 ◽  
Closed Loop ◽  
Industrial Revolution ◽  
Production Systems ◽  
Low Frequency ◽  
Care Services ◽  
Power Awareness ◽  
Smart Factories ◽  
The Internet Of Things

Industry 4.0 is leading the Fourth Industrial Revolution transforming traditional factories into smart factories governed by the Internet of Things (IoT). In order to assist smart factory employees, this paper introduces OperaBLE, a Bluetooth Low Energy (BLE) wearable proposal which is aimed at enhancing working conditions and efficiency in Industry 4.0 scenarios. We have developed two innovative algorithms for OperaBLE focused on power awareness as the key-enabling attribute towards success: Low-Frequency Movement Characterisation Algorithm (LoMoCA) and Adaptive Heart Rate Algorithm (AHRA). Novel experiments have been carried out using OperaBLE to determine its operability, reliability, and lifespan. Results obtained during experimentation demonstrate how OperaBLE empowers human-machine collaboration embedding workers in closed-loop performance and ensuring nonharmful working conditions by means of power-aware algorithms. OperaBLE is due to bring digitalisation into smart factories, playing an essential role in the emerging wearable revolution to arise in the following years towards smart production systems.

scholarly journals MOOCs as open online learning tools for developing competences related to digital health and social care services for multidisciplinary students

2020 ◽  
Vol 12 (4) ◽  
Author(s):  
Outi Maria Ahonen ◽  
Virve Pekkarinen
Keyword(s):  
Online Learning ◽  
Quantitative Methods ◽  
Social Care ◽  
Digital Health ◽  
Learning Opportunities ◽  
Development Project ◽  
Learning Tools ◽  
Online Questionnaire ◽  
Care Services ◽  
Health And Social Care

Digital health and social care services are increasing worldwide, and the rapidly changing nature of the world is creating a need for new competences among health and social care students and professionals. The purpose of this paper is to describe the pedagogical solutions of the SotePeda 24/7 national educational development project and to explore especially the massive open online courses (MOOCs) related to digital health and social care services as open (CC BY-SA 4.0) and flexible opportunities for developing the competence of multidisciplinary students and professionals. The data were collected via an online questionnaire from 266 Finnish University of Applied Science (UAS) students participating in the 20 MOOCs piloted during the spring 2020 semester. The majority of the participants (87.6%) came from the health and social care fields. From the 913 registrees, 562 (62%) completed the MOOCs. While piloting the MOOCS, the COVID-19 pandemic influenced heavily, and this may have increased the number of participants in the MOOCs, but also affecting the MOOCs in decreased retention and increased number of dropouts. To motivate students to actively complete the MOOCs, most were offered as 1-ECTS credit courses. Shorter study units were used as they were considered more flexible than longer ones, allowing students to find time to complete them more easily. The data were analysed using nonparametric quantitative methods. According to the results, the MOOCs were very successful in offering students flexible and open online learning opportunities and tools for developing their competences. MOOCs can potentially be efficient tools also in developing professionals’ competences and pursuing lifelong learning. There is a fruitful ground in Finland to utilize open online learning opportunities as tools for developing competences because the already wide usage of digital tools and solutions in the country.

scholarly journals Paradigm of Visual Communication of Sticker Design in the Age of Industrial Revolution 4.0

2020 ◽  
Author(s):  
Andika Agung Sutrisno ◽  
Andhika Putra Herwanto ◽  
Dimas Rifqy Novica
Keyword(s):  
Reference Material ◽  
Industry 4.0 ◽  
Visual Communication ◽  
Industrial Revolution ◽  
New Technologies ◽  
New Technology ◽  
Communication Media ◽  
Major Influence ◽  
New Paradigm ◽  
Communication Paradigm

Paradigm changes due to new technology have a major influence on promotional activities. This is suggested by the change in promotion used to identify and target audiences. Where the target audience was once a large indistinct mass, promotions are now directed at specific individual users. In the industrial revolution 4.0, there was a significant change in technology which produced many shifts in the meaning and understanding of information. One development was a new paradigm that emerged concerning the meaning of stickers in the digitised era. This study considers whether, in the context of promotion, conventional stickers can be replaced by the presence of new technologies that give a new paradigm to stickers? Based on data obtained from interviews and questionnaires, the visual communication paradigm of sticker design in the industrial revolution era 4.0 shifted the perception and meaning of the word ’stickers’. The description of the results of this study can be used as reference material to find out how to deal with the new paradigm in visual communication media in the era of industrial revolution 4.0. Keywords: paradigm, stickers, industry 4.0, media, visual communication

Sign in / Sign up

Export Citation Format

Share Document