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Integrated services and housing Consultation: Providing for the elderly Prof. Dr. Dominique Verté Office of the Vice-Minister-President of the Flemish government
Integrated services and housing
Consultation: Providing for the
elderly
Prof. Dr. Dominique Verté
Office of the Vice-Minister-President of
the Flemish government
① Background
1. The global impact of demographic change, with a wide
range of housing and community needs emerging
among those aged 50 and over (Biggs et al., 2000)
2. The policy goal of supporting people in their own homes
(neighbourhood)
for as long as possible – the idea of ‘ageing in place’
3. Changing housing preferences of older people: staying
in their own homes as long as possible
② Belgian Ageing Studies
Survey of quality of life and living conditions of older
people
Representative sample in each municipality (N=165)
Stratified for age & gender
Peer-research method
Response rate: between 65 and 85%
N= 64.737 aged 60 and over
Household
97.6
1.0 1.3
95.5
2.2 2.4
88.4
7.0 4.7
0
10
20
30
40
50
60
70
80
90
100
Living independent at home
Living with children Alternative forms of housing
60 - 69 years
70 - 79 years
80 years and older
Level of Adaptation
Age Friendly Cities
14.4
45.5
40.1
0
5
10
15
20
25
30
35
40
45
50
Adapted Moderate adapted Poorly adapted
Level of Adaptation &
Disability
9.8
44.8 45.4
13.1
50.3
36.6
0
10
20
30
40
50
60
Adapted Moderate adapted Poorly adapted
With a disability
Without a disability
Housing adaptation
20.7
15.6
63.7
0
10
20
30
40
50
60
70
Change the current condition of the house
Neutral Leave the house in current condition
The ‘physical’ environment
– Physical space
– Access
– Use of space
– Design
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The ‘physical’ environment
% of older adults that experience problems in their
neighbourhood
Too much traffic 39,4
Not enough facilities 23,1
Too much noise 19,2
Neighbourhood is not pleasant 16,3
Degradation and pollution 7,3
Obstacles in the residence 7,3
• Rates of shortage of facilities and services in the
neighbourhood
The ‘physical’ environment
Basic services
– Grosseries
– Post office, …
Care
• % need of care for
Activities in their hoosehold 23.4
Mobility 21.0
Personal care 11.0
Care providers?
• Children
• Cleaning services and family care
• Partner
• General practitioner
• Nurses
What olde people want
• Stay in their own home (neighbourhood)
as long as possible (connected)
• Nursing homes (4.5 %)
• Children (2,5 %)
• No 24 hour care
• Insufficient support of informal carers
• Insufficient coordination of care and services
• Competition between different sectors and
different care providers
• Legislation
• Insufficient absorption of innovation in care
Innovation in care
Goals of innovation of
care for the elderly
• Developing a sustainable environment for innovation in care processes and care products
• The development of a valid test and experimental environment in order to test new concepts, services, processes and products in real life context
• An integrative approach including society, technology, economy, care providers, public authorities (local) and users
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Goals of innovation of care for
the elderly
• Measurement of economical and social
impact of the experiments (comparative
effectivity studies (EC 1social impact)
• Dissemination of good practices (output) in
Flanders policy, in the market or in a private
public partnership
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Goals of innovation of care for
the elderly
• Creation of an open innovation ecosystem in
order to develop partnerships
• Inclusion of users (clients and informal
carers) in the conceptualisation, the
development, the implementation and
evaluation of the innovation process (co-
creation)
• Translation of fundamental research into the
development of new products
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Approach: Living lab ‘Innovation
of care for the elderly’
• Integrative, cooperative consortia
• Inclusion of a diversity of partners ( care
providers, service providers, test population,
urban planning, housing companies)
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Means: Living lab
• Localy based
• Diversiteit in care and service providers
• Test population (users and informal caregivers)
• Users driven ↔ Organisation driven
•
• Proces driven ↔ technology driven
Means: Living lab innovation in
care
• Lead partner: local authorities in collaboration with for profit & nonprofit
organizations, service and care providers, users and informal caregivers
• The complete care and value chain
• Projects: prevention, care and ‘cure’ (Integration)
• No medicalization
