INTRODUCTION Health services delivered in an older person's home are often implemented at a critical juncture in an individual's functional status. Although homecare has potential to improve this situation, it often focuses on treating disease and 'taking care' of the patient rather than promoting independence. The aim of restorative homecare is to change the philosophy from one where delivery ...

We designed a broker platform for e-homecare services using web service technology. The broker allows efficient data communication and guarantees quality requirements such as security, availability and cost-efficiency by dynamic selection of services, minimizing user interactions and simplifying authentication through a single user sign-on. A prototype was implemented, with several e-homecare s...

Collaborative partnerships can help improve integration and quality in local healthcare systems. We describe an innovative approach that was implemented following the formation of a tri-provider partnership between homecare and two acute care hospitals. The approach questioned the prevailing thought that the home is always the most appropriate and least costly location to provide services to cl...

One of the conditions for the successful introduction of ICT-based homecare services is to allow non-technical persons such as home nurses to personalize these services. We refer to this process of homecare service personalization as service tailoring. Service tailoring can be done by configuring and composing previously developed and deployed service building blocks. In this paper, we describe...

This thesis addresses the problem of supporting independent living of elderly people through IT-based homecare services. Independent living is seen as one way to deal with the consequences of an aging population (especially in industrialized countries), which include rising healthcare expenditures and a required shortage of healthcare professionals. Our main goal is to improve the service creat...

BACKGROUND Homecare re-ablement services have been developed by local authorities in England in response to the government agenda for health and social care. These services aim to optimize users' independence and ability to cope at home, and reduce the need for ongoing health and social care services. However, there is currently limited evidence and guidance regarding the optimum configuration ...

Use of IT in providing homecare services to elderly people is expected to reduce the workload of care-providers. It is also expected that this will increase the quality of services by providing services roundthe-clock and will support independent living of the elderly. However, ITbased care systems can also introduce new types of risks such as those related to availability and accountability. T...

In elderly care the shortage of available financial and human resources for coping with an increasing number of elderly people becomes critical. Current solutions to this problem focus on efficiency gains through the usage of information systems and include homecare services provided by IT systems. However, the current IT systems that integrate homecare services have difficulties in handling th...

BACKGROUND Patient safety risk in the homecare context and patient safety risk related to telecare are both emerging research areas. Patient safety issues associated with the use of telecare in homecare services are therefore not clearly understood. It is unclear what the patient safety risks are, how patient safety issues have been investigated, and what research is still needed to provide a c...

Changes in public policy have led to increasing numbers of children with disabilities and complex medical needs being cared for in the homes of Canadians. Little work, however, has explored the ethical implications of these policies. This paper focuses on some of the shortcomings of current policy and describes a developing method for policy analysis with an explicit focus on ethics that could ...