title: Possibilities of ICT-supported services in the clinical management of older adults.
abstract: Services making use of information and communication technology (ICT) are of potential interest to face the challenges of our aging society. Aim of this article is to describe the possible field of application for ICT-supported services in the management of older adults, in particular those with functional impairment. The current status of ICT-supported services is described and examples of how these services can be implemented in everyday practice are given. Upcoming technical solutions and future directions are also addressed. An ICT-supported service is not only the technological tool, but its combination with clinical purposes for which it is used and the way it is implemented in everyday care. Patient's satisfaction with ICT-supported services is moderate to good. Actual use of patients is higher than those of professionals but very variable. Frequency of use is positively related to clinical outcome. ICT offers a variety of opportunities for the treatment and prevention of frailty and functional decline. Future challenges are related to the intelligence of the systems and making the technologies even more unobtrusive and intuitive.
authors.affiliation: Roessingh Research and Development, Telemedicine group, Enschede, The Netherlands. m.m.r.hutten@utwente.nl.|Faculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine group, University of Twente, Enschede, The Netherlands. m.m.r.hutten@utwente.nl.|Ziekenhuis Groep Twente, Almelo, The Netherlands. m.m.r.hutten@utwente.nl.
authors.forename: Miriam
authors.initials: M
authors.lastname: Vollenbroek-Hutten
authors.affiliation: Roessingh Research and Development, Telemedicine group, Enschede, The Netherlands.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Jansen-Kosterink
authors.affiliation: Roessingh Research and Development, Telemedicine group, Enschede, The Netherlands.|Faculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine group, University of Twente, Enschede, The Netherlands.
authors.forename: Monique
authors.initials: M
authors.lastname: Tabak
authors.affiliation: Caretek, Turin, Italy.
authors.forename: Luca Carlo
authors.initials: LC
authors.lastname: Feletti
authors.affiliation: Caretek, Turin, Italy.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Zia
authors.affiliation: Sanofi R&D, Chilly Mazarin, France.
authors.forename: Aurèle
authors.initials: A
authors.lastname: N'dja
authors.affiliation: Roessingh Research and Development, Telemedicine group, Enschede, The Netherlands.|Faculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine group, University of Twente, Enschede, The Netherlands.
authors.forename: Hermie
authors.initials: H
authors.lastname: Hermens
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000628:therapy; D003199:Computer Systems; D016330:Frail Elderly; D006801:Humans; D008491:Medical Informatics Applications; D017060:Patient Satisfaction; D017216:Telemedicine / Q000379:methods*
keywords: Chronic diseases; Older adults; Remote monitoring; Tele-monitoring; Tele-treatment