PoliticalFactorsEconomicFactorsSocialFactorsTechnological FactorsLegalFactors

PESTLE Analysis

EnvironmentalFactorsregardingtheUseofAssistedLivingTechnologies

forPeoplewithDementiaandGermanNursingHomes

Political Factors• Steps are taken towardsa „National Dementia Strategy: “Allianz für Menschenmit Demenz”1• Several political activities in thef ield of dementia and theuse of assisted living technologies²• Awareness of German Government regarding challenges of thedemographic change andtheageing society3• Decentralised, self -managed healthcare system including many dif ferentactors4

EconomicFactors• Shortage of qualif iedstaff innursinghomes5

• eHealth as a growthmarket withpotential market opportunitiesinthe f ieldof assisted living technologies6• Economic growthinthe nursinghomesector7• Nursing homes are responsible forchoosingtechnologies fortheirinstitution8

• Complex handling of theCatalogue of Therapeutic Appliances might lead tofewer purchases9• Legally restricted possibilities of nursinghomes regarding e.g. expenses formedical care aids10

• Many relevant assisted living technologies may notbe f inanced bytheNursing Care Insurance11

Social Factors• The ageing populationleads toahigher risk of chronical diseases, especially dementia12

• Elderly people may accept technologies if usability anddesign f its• Focus onoutpatientcare13• Distance between adultchildren andelderly parents is generally increasing. Visits are becoming moredif f icult14

• High expenses forthehealth care system regarding people sufferingfromdementia15

• Surveillance is a controversial issue16

Technological Factors• Increasing internet use among people aged 60orolder17

• Few experiences inthe use of technologyforpeople aged 60orolder,however there isstill potential foracceptance of assisted living technologies18

• Technical solutionsforpeoplesuffering fromdementia shouldtarget the specif ic needs of thisgroup• Potential fortechnological innovationsin Germany19• “Störerhaftung” is potentially restricting openaccess toWi-Fi inmany nursinghomes20

Demantec is f inanced byInterreg Deutschland-Danmark withfundsfromTheEuropean Regional Development FundandSyddansk Vækstforum (SouthernDenmark GrowthForum).

References1 Kirchen-Peters ,Hielscher,&Herz-Silvestrini,2012,p.5,2 Bundesminis terium für Bildung undForschung,2015andWeiß etal.,2013,3 Bundesminis teriumfürGesundheit,2015a;Ehlers ,n.d.,4 Statis ta,2016bandBusse,Blümel,&Ognyanova,2013,p.111;Destatis ,2016andBundesregierung,2015;Busseetal.,2013;Techniker Krankenkasse,2016andIQWIG,2015,5 Augurzky etal.,2015,p.14,6Statis ta,2016a,7fos/aerzteblatt.de,2015,8Weiß etal.,2013,p.24,9Weiß etal.,2013,10 Section82(1)SGBXI,11 Section84(1)SGBXI,12 RobertKochInstitut &Statis tisches Bundesamt,2015,13Bundesminis terium für Gesundheit,2015e,2016a,14Weiß etal.,2013,15 Bundesminis terium für Bildung undForschung,2016,16 Bundesminis terium derJustiz undfür Verbraucherschutz , 2014,17 Frees &Koch,2015,18 Schultz ,Putze,&Kruse,2014,p.10,19 PeterGeorgieff,2009,20Schwarz ,2014,21Rothgang &Muller,n.d.,22 Bundesminis terium fürGesundheit,2016b,23section4(1)ofFederalData Protection ActPicture SourceFlag:Shutterstock,NaypongNote:Further information andfullreferences canbefoundinthe Demantec MilestoneReport 3.1

3.1Analysis ofpossibilities,

limitations, risksand chancesof

eHealth solutionsforpeoplewithdementiaandnursing homes

3.2Needs andrequirements

analysis

3.3Analysis andevaluation inreference tomobile devicesandpeople inneed of care

3.4Market analysisandpotentials

PESTLE Factors Opportunities &Threats

LegalFactors• SGB XIas framework forcare including relevant regulations regarding payment of thesocial care insurance inkindsand money

• Supportof outpatientcare may lead topeople in nursinghomes withahigher degree of care21• People sufferingfromdementia are able toreceive payment orservice f inanced bytheNursing CareInsurance22

• Extensive legal regulations play a role whenitcomes totheuse of personaldata23

StructureofWorkPackage 3 HowOpportunitiesandThreatshavebeenderivedwithinDemantec:

APESTLE analysis hasbeencarried outinGermany and Denmark in ordertobuildafoundationofknowledgeregarding influencefactorsonthepotentialuseofassisted living technologiesinthefie ldofdementiaonbothsidesoftheborder.Ecological factorswereidentifiedaslessimportantintheDemantec contextandhave beenleftout.TheSWOT analysis illustratesOpportunities andThreats fortheuseofassistedliving technologiesinnursing homesinthefie ldofdementia. This postershowstheresultsforGermany.

SWOT Analysis

Derivingopportunitiesandthreats

• eHealth companies couldget ( f inancial) supportbythestate• New chances fornursinghomesandthe acquisition of technological solutionsfortheirfacilities• FurthereHealthinnovations and newopportunitiesforcompanies,nursing homes&society

• Thedemographic changemight notbesufficientlycounteractedandthepoliticsmight notbeinteracting fastenoughwithregard totheirdecisionmaking processes

• There couldbea lack of publicfundswithregardtotechnologies

• Thereseemstobeahigh potential forassistedliving technologiesforpeoplewithdementiainnursing homes

• There mightbe a need of technologies whichcan supportthepersonnel’s workinnursinghomes ina long-termview

• Itmight be dif f icultforeHealth companies tocatchattentionand get anursing hometoapurchase decision

• Nursing homes aspurchasers of assisted living technologies mightnotbe ascompetent asDanish municipalities as purchasers

• Itmight happen thatpoorproductsareboughtbythenursinghomes while more suitable orbetter productsarenotnoticed

• Theremight bea lack ofbuying powerontheGermanmarket

• Technical supportis becomingmoreimportant,duetoe.g. a higherdistance betweenfamilymembers

• The focusonneeds of acertain target group,e.g. people withdementia, can help people inneed tobetter deal withtheirdisease

• Needs-orientedsolutionscanopennewmarketopportunitiesforcompanies• Thequality oflife ofpeopleinneedmightgetenhancedbytheuseoftechnologies• Coststhatoccurwhencaring forpeoplewithdementia couldbe reduced byusing assistedliving technologies

• Apersonsufferingfromseveredementiamight notbeabletousetechnologiesanymore• Elderly people of thecurrentgeneration ingeneral mightexperience dif f iculties whenusingtechnologies, especially when design doesnotf it

• Surveillance is acontroversial issueinGermany à “observations” might notbeagreedon

• There mightbe a futurepotentialregarding technology and internetuse• Thepotential fortechnicalinnovations might meanan opportunityfornursinghomesusingassisted living technologiesintheirfacility

• Technologies thatrequireuseofinternetmightnotbesuitableforanursinghome• Care personnel andpeople withdementia might notbecompetent enough withregard tousing technologies

• More people withdementia innursinghomes couldlead toaperspective of usingtechnologies innursinghomes regarding thistarget group

• Certainassisted living technologiesmight befinancedby theNursing CareInsurance

• Processing data couldmean problemsonthemarket• People witha highdegree of dementia living in nursinghomes inthefuturemight notbeable touse technologies anymore (see also: social factors)

• Certainassisted living technologiesmight notbefinancedby theNursing CareInsurance

Demantec is f inanced by Interreg Deutschland-Danmark with funds from TheEuropean Regional Development FundandSyddansk Vækstforum (SouthernDenmark GrowthForum).

Opportunities

Threats

PoliticalFactorsEconomicFactorsSocialFactorsTechnological FactorsLegalFactors

PESTLE Analysis

Political Factors• Change fromstate management towardsmarket orientation1

• Focus onproactive initiatives tomitigate thepersonal andf inancial effectsof the demographic development(e.g. regarding eHealth andassisted living technology)2

• Commonstrategy fordigitalwelfare bythe Danish Government (Strategi forDigital Velfærd 2013-2020)3

• From 2016to2019Satspuljeaftalen has allocated over 60millionEuros ( DKK470million) foraNationalActionPlan forDementia4

• TheMinistry of Health Data (Sundhedsdata-Styrelsen) works onenhancing thecurrent digital infrastructureandstandards fordatacommunication5

EconomicFactors• Shortage of qualif iedstaff innursinghomes6,7

• Municipalities prove, choose andimplement assisted living technologies8• In2018aneff iciency improvement program requires themunicipalities tofreeup134millionEuros ( DKK1.0billion) per year forthePublicSector9

• CostreductioninthePublic Sector ingeneral8• Lack of capital andotherchallenging conditionsforinnovative small (digital) companies inthehealth sector10

Social Factors• The ageing populationleads toahigher risk of chronical diseases, especially dementia11

• Needs of people shouldbeconsidered whenit comes totheuse of technologies12• High costsforpeople sufferingfromdementia13• Focus onoutpatientcare14

• People moving tonursinghomes are notonlyhighly aged butalso physically ormentally impaired14• Surveillance is a controversial issue15

Technological Factors• New generations of elderly people are generally notafraidof technology16

• New technologies shouldinvolve and provevalue forthecitizens inconnection withnewtechnologydevelopment as well as supportforcarepersonnel intheirdaily routinesandpractical tasks17

• Care personnel has tobecompetent regarding theuse of newtechnologies innursinghomes18

• If the implementation of new technologies is notthoroughthentheelderly people may opposetothetechnology19

• There isa perception of a“forced” need tobeready andwilling toadoptnewtechnology inDenmark16• Anynew technology is expected touseopenstandards, enabling interaction withexisting systems20,21

Demantec is f inanced byInterreg Deutschland-Danmark withfundsfromTheEuropean Regional Development FundandSyddansk Vækstforum (SouthernDenmark GrowthForum).

References1 Chris tensen&Lægreid,2001;Kettl,2000;Vike,Brinchmann, Bakken,Kroken,&Haukelien,2002 ,2 Brunsson &Jacobsson,2002;Brydensholt,1993;Colombo,Llena-Nozal,Mercier,&Tjadens ,2011 ,3Digitaliseringsstyrelsen,2016c ,4Sundheds og ældreminis teriet,2015,5 Uddannelses - ogForskningsminis teriet,2016,6 Alzheimerforeningen, 2013,p.2 ,7Kommiss ion omlivskvalitet ofselvbestemmelse i plejebolig og plejehjem,2012,p.21citedfromTilbudsportalen,2011,8 Finansminis teriet,2011 , 9Finansminis teriet,2016 ,10 Erhvervsstyrelsen,2014a,11Danmarks Statis tik,2016,12Jørgensen,2016;Soren Peder Sorensen,2016;SorenPeder Sorensen,2016 ,13 Nationalt videnscenter forDemens ,n.d ,14 Section83ofDanishConsolidation ActonSocialServices ,15 Sundheds loven,n.d.,16Magas inet Pleje,2016 ,17 Lifepartners A/S,18 Vibeke Juliebø,2009;Jette Oberländer,Oehlert,Kjærgaard,&Andersen,2011 ,19 Jensen&Hjorth,2016 ,20 FreeSoftware FoundationEurope, 2016 ,21OpenSourceInitiative,2006,22Minis terfor SocialAffairs andtheInterior Denmark,2013 ,23Municipalityof Aabenraa ,n.d.Picture SourceFlag:Shutterstock,NaypongNote:Further information andfullreferences canbefoundinthe Demantec MilestoneReport 3.1

3.1Analysis ofpossibilities,

limitations, risksand chancesof

eHealth solutionsforpeoplewithdementiaandnursing homes

3.2Needs andrequirements

analysis

3.3Analysis andevaluation inreference tomobile devicesandpeople inneed of care

3.4Market analysisandpotentials

PESTLE Factors Opportunities &Threats

LegalFactors• According totheDanish ConsolidationActonSocial Services (Serviceloven) , themunicipalities mustprovidespecial measures toresidents sufferingfromdementia22

• Municipalities work withaspecif ic set of regulations regarding data processing23

StructureofWorkPackage 3 HowOpportunitiesandThreatshavebeenderivedwithinDemantec:

APESTLE analysis hasbeencarried outinGermany and Denmark in ordertobuildafoundationofknowledgeregarding influencefactorsonthepotentialuseofassisted living technologiesinthefie ldofdementiaonbothsidesoftheborder.Ecological factorswereidentifiedaslessimportantintheDemantec contextandhave beenleftout.TheSWOT analysis illustratesOpportunities andThreats fortheuseofassistedliving technologiesinnursing homesinthefie ldofdementia. This postershowstheresultsforDenmark.

SWOT Analysis

DerivingOpportunitiesandThreats

• Thepositive attitudetowardsassisted living technologiescreatesa positive environmentforprivate companies engaged infinding newsolutions

• Creation of amore uniformapproachtodigital solutionsintheDanish Public Sector• Opportunitiesfortheprivate providersof eHealth anddigital solutionsoccur,asthey are facingthesame requirements interms of standardsina contextof animproved digital infrastructure

• Anychanges inthe favourable political climate orpublicopiniontowardsassisted livingtechnologies couldposea threat tothefurtherdevelopment anddissemination of thesesolutions

• Focus onassistedliving technologies providesa high levelofservice ata reducedlevelofcosts

• Opportunitiesin public-privatepartnerships occurthroughtheengagementofmunicipalitiesindeveloping and testingassisted living technologies

• Funding available forprojectsaiming atcreating newtechnologies can lead tonewinnovations

• Themarket competitive andthe publicdecision-making process islong• The development phase is cost- intensive forsmall innovative companies andstart-ups• Alack ofcapital forcompanies couldlead tofewerinnovativesolutions

• Elderly people are expecting and expected tobeable tolive independently intheownhomesforalonger time withas little home care as possible

• Market fornewsolutionstoretaina high quality oflife and levelofindependence• Costsforpeoplewithdementia might bereduced by theuse of technologies

• Anything that might beviewedassurveillance is a controversial issueinDenmark• People innursinghomes whoare highly aged might notbeable touse technologies

• Opportunity forintroducingnewtechnologiesthatare simpletouse,evenfortheinexperiencedaswell as forthosesufferingfromdementia

• New generation of elderly people being familiar withtechnologies lead tonewtechnologicalperspectives

• Using openstandards can lead tonewtechnological possibilities

• Care personnel might nothave therightcompetences forintegrating thenew technologies incare

• Thepressureonelderlytobeableand willing toadopttechnologymight leadtoa counterreactionofopposing newtechnologiesina care situation

• Themunicipal framework inDenmark providestheregulatory possibilities forincorporating newtechnology inthecare

• Regulations pose a threattothe technologies thatmight be viewed as surveillance• Regulations might limit thepossibilities oftechnology use

Demantec is f inanced by Interreg Deutschland-Danmark with funds from TheEuropean Regional Development FundandSyddansk Vækstforum (SouthernDenmark GrowthForum).

Opportunities

Threats

EnvironmentalFactorsregardingtheUseofAssistedLivingTechnologies

forPeoplewithDementiaandDanishNursingHomes