3 Definitions, symbols and abbreviations 3.1 Definitions
For the purposes of the present document, the following terms and definitions apply:
assistive technologies: any product, instrument, equipment or technical system used by a disabled person to prevent, compensate, relieve or neutralize an impairment, disability or handicap
assistive technology device: device used by a disabled person to prevent, compensate, relieve or neutralize any
resultant handicap and which has the ability to interface to an ICT device
baby: defined for the purpose of the present document as a child, 0-1 years of age
carer: individual who provides care to the client, mediated through or assisted by the telecare service
NOTE: Carers and coordination agents will need to be able to use the telecare services efficiently and will have human factors needs that must be addressed.
child: defined for the purpose of the present document as a person up to the age of 12 years
client: individual receiving the telecare service, to support independent living and/or using telecare services for the care of his or her own health
coordinator (agent): individual who coordinates the delivery of care through the use of the telecare service
NOTE: Carers and coordination agents will need to be able to use the telecare services efficiently and will have human factors needs that must be addressed.
design for all: design of products to be usable by all people, to the greatest extent possible, without the need for specialized adoption
domiciliary (home) care: care arranged by social services and delivered to persons in their own homes and can include assistance with personal care including washing, dressing, going to and getting out of bed, assistance with laundry, shopping and with a range of practical/domestic tasks
emergency service: service, recognised as such by the EU Member State that provides immediate and rapid assistance in situations where there is a direct risk to life or limb, individual or public health or safety, to private or public property, or the environment, but not necessarily limited to these situations
end user: see client, carer and coordination agent
NOTE 1: Whilst clients are the primary end users of telecare services, the carers and coordination agents will need to be able to use the telecare services efficiently and will have human factor needs that must be addressed.
NOTE 2: Carers and coordination agents will need to be able to use the telecare services efficiently and will have human factors needs that must be addressed.
function: abstract concept of a particular piece of functionality in a device or service
ICT devices and services: devices or services for processing information and/or supporting communication, which has an interface to communicate with a user
impairment: any reduction or loss of psychological, physiological or anatomical function or structure of a user (environmental included)
informal carers: relatives, neighbours, friends or volunteers providing care for the person in need
intelligent home: see smart house
mobility: see personal (user) mobility, service mobility and terminal mobility
personal (user) mobility: ability for the user to access personal services and data independent of the device and access network used (including user’s fixed and mobile devices), while maintaining their personal communication environment
residential care: personal and/or nursing care that is provided to a person in a formally managed care home, in which the person is also provided with accommodation that includes appropriate staffing, meals, cleaning services, furnishings and equipment, for the provision of that care and accommodation
service mobility: possibility for services to be accessed and delivered independently of network, terminal or geographical location attributes
smart house: a house with a communication infrastructure, allowing interconnectivity of systems and devices in that home
telecare: the delivery of health and social care to individuals within the home or wider community, with the support of systems enabled by ICT
NOTE: See [35]. Additional components of the concept also include safety and security monitoring services and Electronic Assistive Technologies (EAT).
terminal: physical device which interfaces with a telecommunications network, and hence to a service provider, to enable access to a telecommunications service
NOTE: A terminal also provides an interface to the user to enable the interchange of control actions and information between the user and the terminal, network or service provider.
usability: effectiveness, efficiency and satisfaction with which specified users can achieve specified goals (tasks) in a particular environment; it includes the concepts of learnability and flexibility;
user interface (UI): physical interface through which a user communicates with a telecommunications terminal or via a terminal to a telecommunications service
NOTE: The communication is bi‑directional in real time and the interface includes both control and display elements.
user requirements: requirements made by users, based on their needs and capabilities, on a telecare service and any of its supporting components, terminals and interfaces, in order to make use of this service in the easiest, safest, most efficient and most secure way
3.2 Abbreviations
For the purposes of the present document, the following abbreviations apply:
AT Assistive Technologies
ADL Activities of Daily Living
ADSL Asymmetric Digital Subscriber Line
EAT Electronic Assistive Technologies
GP General Practitioner (Medical Doctor)
GPRS General Packet Radio Service
GSM Global System for Mobile telecommunication
ICT Information and Telecommunication Technologies
IP Internet Protocol (also known as TCI/IP)
IPv6 Internet Protocol version 6
ITU‑T International Telecommunications Union – Telecommunication standardization sector
MMI Man‑Machine Interface
OECD Organisation for Economic Co-operation and Development
P3P Privacy Preferences Protocol
PIN Personal Identity Number
RFID Radio Frequency Identification
SDSL Symmetric Digital Subscriber Line
SMS Short Message Services
UI User Interface
UMTS/3G Universal Mobile Terrestrial System, also known as 3G (Third Generation)
VoIP Voice over Internet Protocol
Wi‑Fi Wireless Fidelity ISO/IEC local area network standard (IEEE 802.11 family)
Wi-Max IEEE 802.16 (common name)
4.1 Definitions and approach
There are various definitions of telecare. One example is:
"Telecare is the interaction of an individual with electronic devices combined with a communication capability, to access or transmit health information or to provide or receive guidance or support on a health-related issue" [35].
For the purpose of this document the definition of telecare is broadened to include social care but focused on services which directly involve the recipient of care, the client, and therefore differentiated from telemedicine such that:
"Telecare involves the delivery of health and social care to individuals within the home or wider community, with the support of systems enabled by ICT [33].
Telecare refers to services that are delivered to an end user, in most cases a consumer- the client. Telecare can be expressed as a business-to-consumer service, where a health care business supplies services to the end user. In contrast, and for the purposes of clarity, Telemedicine can be defined as the use of ICT to support the transfer of information between care professionals to aid the support of a client (a business-to-business transaction model). In this document we are concerned with telecare services delivered to end users.
Our definition of telecare has led us to refer to the client who is in receipt of care service, through the use of ICT, as the primary end-user. We also adopt the broader process model outlined by Baxter et al. [34]. They define a typical telecare system as having three distinct elements, as shown in Figure 1:
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