ICT & Ageing European Study on Users, Markets and Technologies Final Report January, 2010 Report prepared by empirica and WRC on behalf of the European Commission, Directorate General for Information Society and Media ICT & Ageing – Final Report January 2010 Table of Contents Executive summary............................................................................................................................... i - v 0 General introduction ...................................................................................................................... 1 Part A: Overall analysis of the current market situation A1 Introduction....................................................................................................................................... 3 A2 The current state of market development/ readiness.......................................................... 8 A2.1 Telecare .................................................................................................................... 8 A2.2 Home telehealth ................................................................................................................11 A2.3 Smart homes and assistive technologies ......................................................................13 A2.4 More holistic / integrated approaches ............................................................................13 A2.5 Consumer goods and markets ........................................................................................14 A2.6 Market components: users, technologies, deployers...................................................15 A2.6.1 Users ...................................................................................................................... 15 A2.6.2 Technologies .......................................................................................................... 23 A1.6.3 Deployers ............................................................................................................... 25 A1.6.4 New players............................................................................................................ 26 A3 Key issues, drivers and barriers .............................................................................................. 27 A3.1 Overview of some core drivers and barriers ............................................................27 A3.2 Reimbursement........................................................................................................30 A3.3 The ethical dimension ..............................................................................................35 A4 Promising policy / service provider approaches ................................................................. 41 A5 Conclusions and policy recommendations........................................................................... 43 A5.1 Establishing the case for ICT-based solutions.........................................................43 A 5.1.1 Core dimensions..................................................................................................... 44 A 5.1.2 Policy implications .................................................................................................. 46 A5.2 Addressing systemic ‘imperfections’ and barriers....................................................48 A5.2.1 Core dimensions ....................................................................................................... 48 A5.2.2 Policy implications .................................................................................................. 50 A5.3 Supply side issues....................................................................................................51 A5.3.1 Well-functioning supply chains ............................................................................... 51 A5.3.2 Achieving critical mass / commercial viability ......................................................... 51 A5.3.3 Standards / interoperability..................................................................................... 52 A5.3.4 Functioning of internal market ................................................................................ 52 © European Union, 2010 - Reproduction is authorized provided the source is acknowledged 2 ICT & Ageing – Final Report January 2010 A5.4 Supporting technological innovation and infrastructure development .....................53 A 5.4.1 Technological innovation ........................................................................................ 53 A 5.4.2 Infrastructure development..................................................................................... 54 A5.5 Cross-cutting and coordinating policy ......................................................................54 A5.6. Establishment of ongoing benchmarking .................................................................56 A5.6.1 Demand side surveys ............................................................................................. 57 A5.6.2 Deployment / mainstreaming.................................................................................. 57 A5.6.3 Supply side............................................................................................................. 58 A5.6.4 Policy context ......................................................................................................... 58 Part B: Country-related description of the current market situation B1 Introduction..................................................................................................................................... 60 B2 Germany.......................................................................................................................................... 61 B2.1 Current situation.......................................................................................................61 B2.2 Reimbursement........................................................................................................64 B2.3 Drivers and Barriers .................................................................................................65 B3 Denmark.......................................................................................................................................... 68 B3.1 Current situation.......................................................................................................68 B3.2 Reimbursement........................................................................................................69 B3.3 Drivers and barriers..................................................................................................70 B4 Spain ................................................................................................................................................ 71 B4.1 Current situation.......................................................................................................71 B4.2 Reimbursement........................................................................................................72 B4.3 Drivers and barriers..................................................................................................72 B5 Finland ............................................................................................................................................. 74 B5.1 Current situation.......................................................................................................74 B5.2 Reimbursement........................................................................................................76 B5.3 Drivers and barriers..................................................................................................76 B6 France.............................................................................................................................................. 78 B6.1 Current situation.......................................................................................................78 B6.2 Reimbursement........................................................................................................79 B6.3 Drivers and barriers..................................................................................................79 B7 Hungary ........................................................................................................................................... 81 B7.1 Current situation.......................................................................................................81 B7.2 Reimbursement........................................................................................................83 B7.3 Drivers and barriers..................................................................................................83 © European Union, 2010 - Reproduction is authorized provided the source is acknowledged 3 ICT & Ageing – Final Report January 2010 B8 Ireland .............................................................................................................................................. 85 B8.1 Current situation.......................................................................................................85 B8.2 Reimbursement........................................................................................................87 B8.3 Drivers and barriers..................................................................................................87 B9 Italy ..................................................................................................................................................