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We have successfully closed the first project phase of “Potentials of the European Silver Economy” with 95 ideas, 698 participants, 119 comments and 273 votes. We'd like to thank all participants for taking the time and contributing to our online ideation!
In a next step we validated these results with participants. These results are archived here. Please also visit our project website.
If you have any questions or feedback, please contact the Silver Economy study team at: silver-economy(at)technopolis-group.com
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Despite increasing attention for preventive medicine, our Western healthcare system is still predominantly focused treating disease. A group of health conscious people will take action independently of the healthcare system and pay attention to healthy food and physical activity using standard or populations-specific means which are currently available. However, there is a large group of people who need health care providers supported to take action via medically prescribed nutritional and physical interventions.. We propose to provide evidence based multimodal interventions to high risk (pre-frail) subgroups of older people; these interventions would be available by prescription, under the care of health care professionals and reimbursed by the health care systems.
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The increasing life expectancy of the population and a certainlifestyle predisposes many seniors at an increased risk of impaired blood sugar control. Balanced blood sugar control is vital for optimal physical and mental function and thus quality of life.
Good nutrition and regular physical activity are the cornerstones of a lifestyle that helps us stay in shape and facilitates good blood sugar control. Nowadays, there is only general advice derived from scientific studies on (young) adults. This is used to inform and educate seniors on the consequences of their lifestyle. More data is needed on the effects of lifestyle on health in seniors, since it is evident that the resilience to dietary and physical challenges is different in young versus older adults.
The idea would be to personalize lifestyle advice including healthy dietary intake and sufficient physical activity making it specific for seniors. It would use individual's data from suitable senior compliant measurement tools in combination with scientific data on lifestyle effects in seniors.
To convince and persuade seniors into favourable life style adaptations it is clear that personal communication about a health benefit on the long term is not enough. Benefits need to be substantiated that can really be perceived by the seniors on the short term as well (improved stamina, concentration, sleeping pattern, gut health etc).
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That disability implies the need for practical help in the usual activities of daily living (ADL) and
instrumental activities of daily living (IADL), is obvious but also very partial. The loss of physical
abilities has many psychological implications as it forces the individual to face a condition of
dependency that creates discomfort and limits the occasions of socialization and the normal
interactions with other individuals. All along and not by chance, the preferred care solution of the
elderly is informal caregiving provided by a relative: a care solution that answers the practical needs
of the individuals by minimizing discomfort through the warmth of the human contact.
In this setting, a first challenge for European countries is to help building up a LTC system that, by
supplying versatile solutions to the needs of disabled elderly, will respect their psychological
requirements and their preferences, also considering that the informal intra-household help is likely
to shrink in the future for cultural and economic reasons (Coda Moscarola, Fornero and Rossi,
2011; Coda Moscarola, 2007 and 2010). The respect of the person as a whole is indeed presumably
the right way to avoid a rapid deterioration of his mental and physical conditions with a consequent
need of intensifying the care to be provided.
We are convinced that, although comprehensive and good data base (such as SHARE) have been
provided in the past years, the information about the real needs and preferences of disabled people
is insufficient and that many of the solutions currently proposed in several European countries do
not approach the first-best option for the individuals in need and for the possible providers of it,
such as Governments, private insurance companies, start-ups. The project that we submit puts the
mapping of LTC preferences of elderly individuals and good ways to satisfy them at the centre of
our investigations.
All this cannot, of course, disregard financial constraints. A second challenge is indeed represented
by the financing method of LTC services. Notwithstanding its relevance, paradoxically, the LTC
risk is one of the least insured (Brown and Finkelstein, 2009). Indeed, many of the European
welfare states do not actually provide sufficient coverage for this risk (Leichsenring, K., Billings, J.
and H. Nies, 2013), and, at the same time, private insurance is not widespread (Cutler et al., 2008).
In this project we will explore the reserve prices of individuals for the provision of the services they
want, as well as try to figure out which public/private insurance scheme could meet their needs.
This is a key question, especially in times of weak growth or economic recession, when providing
for unexpected expenditures becomes difficult both for the public sector and for individuals. Our
analysis will try to fully account for the specificities of the LTC insurance market .
Our approach goes beyond the simple proposal of classical insurance programs or public policy
interventions, already widely discussed in the literature and in the public debate. Rather, it embraces
a wider perspective by looking at original best-fitting and affordable solutions to improve the life of
the elderly and of their close relatives. We also believe that these solutions cannot disregard ICT
developments, which strongly influence the quality of life of disabled elderly, by making them less
dependent from human help and by providing cost-efficient solutions. This is the reason why the
research team should include experts in the fields of economics (including behavioural economics),
finance, actuarial science, engineering, as well as managers with an experience in LTC services
provisions.
This also explains the title of our research proposal. The multidisciplinary approach proposed in this
project will address the key issues rotating around the LTC topic from an innovative perspective and
will propose original solutions that will be implemented and tested in their effectiveness.
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The built environment, enriched with new opportunities of evolving digital innovations such as the Internet of Things (IoT), matters crucially in enabling new forms of support and creative expression for all ages: Europe’s ageing populations need high quality ICT-enriched built environments that suit their aspirations, competences and needs across the whole life course. Hence, a building stock and infrastructure that makes use of the full breadth of available ICT solutions will empower European citizens to develop more meaningful, healthy and socially engaged lives at home well into old age, and transform ageing into an opportunity for economic growth and personal wellbeing.
Against this background, the European built environment (homes and communities) needs a major update. With current renovation and replacement rates of less than 3%,3 such an update requires well-targeted actions and investment strategies to turn it into a motor for growth and job creation. Due to its scale and reach, the European construction sector is well positioned to lead such a process and contribute to Europe’s silver economy in all stages of designing, planning, retrofitting and implementing age-friendly homes and built environments. What is needed is a dedicated and concerted set of actions at European, national and regional levels to take a fresh look at innovating smarter new build and retro-fit home environments, with a view to empowering an ageing population to live more meaningful, independent, connected lives with dignity and autonomy. Results need to inform a European Reference Framework for Age-friendly Housing to boost knowledge and investments in the construction and ICT sectors.
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With increasing elderly population, there is an urgent need for policies that contribute to aging healthy population, promoting the quality of life, healthy life expectancy, the independence and autonomy of the elderly.In rural areas, older people have greater difficulties in access to health care, as well as greater social isolation. This project aims to create properly equipped mobile units for the multidisciplinary teams, in conjunction with local authorities, may create promotion plans for health for these elderly people who are deployed in your local community. It is intended to engage in professional health project and members of the local community who can establish the link with these seniors in their community in order to increase the membership of the elderly population to the project. The mobile unit can intervene in the communities where the elderly are inserted without moving to urban centers, providing health care and promoting healthy aging, yet allowing greater involvement of family or neighbors of these seniors.
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Silver Navigation Policy is prototyping different ways into the Future of the aging Europe. The proposal is about the Reparadigming of perspectives on Seniors, into Silver Potentials, in a Nation, a Region or a City, as well as enterprise. Aging is that only to be seen as a problem or rather as a a potential?
If earlier referenced slide from NASA study, is correct, (not possible to attache) it is indicating that the age groups with highest entrepreneurial potential are youngsters as well as seniors? It is a U-curzve! The problem age group, i.e at the bottom of the curve, is the one around 40 ? Consequently then we need to reparadigme the conventional labor market. This calls for many navigational prototyping initiatives, as well as recruting of Impact Navigators of different age, to co create Societal Innovation for realeasing the Silver Potential..
If wisdom is emerging over time...where do Europe has its wisdom potential?
In Japan, by Future Center Alliance Japan, there is already in progress the development of so called Wise Place space. How does this impact the urban planning and city design? Instead of officde blocks, shoppings centers, car park spaces, day care centers for kids there might be a need for spaces of Silver Age Campus to culitvate the new networking and value creating?
The lack of oral hygiene leads to diseases of the oral cavity that can progress to tooth loss. This tooth loss leads to a difficulty in feeding (risk for malnutrition that can also be associated with the fall) and hindering the talks therefore communication with others which is reflected often in social isolation, can be dramatic. training and prevention of all these points in order to allow a healthy and active aging is crucial.
Promoting health for active aging and quality of life through awareness / training actions.
Strengthen the training of health professionals, informal carers geriatric and elderly in the prevention / recovery of oral health education on chronic disease approach towards nutrition in the elderly, prevention and decrease of complications.
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Encouraging dialogue and social gathering among silver surfers in Europe, through the enhancement of their leisure: this is the idea behind our initiative, a new European web portal developed according to tastes and needs of population aged over 50.
The project is closely based on Intrage.it, the first Italian web portal fully dedicated to the elderly which in the year 2000 in a stage still lacking in proposals for the target, launched in Italy the challenge of a diverse project built on quality information and services.
Defeating the preconceptions of technological age-related marginalization by implementing an age-friendly virtual space, Intrage.it brought older generations on the world wide web by making the ease of use one of its hallmarks; by constantly offering new insights and opportunities of dialogue and aggregation, it has also brought together many of the italian communities abroad who have warmly welcomed the initiative.
In 16 years, Intrage.it has been drawing up and independently publishing 100,000 pages with news, follow-ups, special, articles and interviews, and since our start we have had over 100 million visitors and over 400 million page views. (http://www.intrage.it/chi-siamo)
Leisure is “travel”: that’s why our initiative has also chosen to consider, among different topics that will be developed by the web portal, the opportunity to promote tourism for the elderly through specific sections.
The european web portal will cover a network of different tourist destinations, offering ad hoc services for the elderly who will be able to choose from many travel alternatives, thanks to different routes based on various cues as artistic, natural or cultural points of interests and places, spas or minor but interesting tourist destinations.
In support of our project, we will provide supplementary services resulting from our experience in research and experimentation fields, as appropriate for this initiative.
The careful enhancement of the European cultural heritage will act as a stimulus, as an input to new travel and life experiences. The growth of tourism for the elderly will not be, however, only an opportunity for personal growth but, above all, a concrete boost to the entire tourism industry. The project will promote the development of new or improved services, with the aim of creating new business opportunities for Silver Economy and senior tourism.
Leisure is “personal care”: take care of ourselves as we age should not be seen only as a personal duty but also as a pleasure; that's why we need to promote healthy lifestyles and good habits to follow through targeted content. But health is not only synonymous with medicalization: spas are in fact not only sites dedicated to health but also meeting places where people can socialize, highly appreciated by older people because of ability of spas, abundantly present in Europe, to combine the concept of well-being to leisure.
Leisure is “knowledge”: the project, conceived from a European perspetctive, will present multilingual content to involve most of our target. With articles, focus and follow-ups about different topics of interest, visitors will be able to develop and deepen their language skills in a totally user friendly environment. The presence of other users from all over Europe, will also be an opportunity for knowledge transfer to other visitors of the European web portal.
Leisure is “aggregation”: the basis of our initiative is the importance of sharing ideas and experiences by creating opportunities for discussion. For this reason the social side of our new European portal becomes imperative: creating a diverse community, eager to learn and ready to take the first step towards new points of view, can decrease the virtual distance between visitors and broaden the knowledge of uses and traditions of the European community.
Leisure is “social”: European web portal visitors will not only enjoy contents but will actively collaborate to realise them, sharing their experiences and expressing their ideas. They will suggest itineraries or local customs, help or get help in understanding foreign languages or, as has happened over the years with Intrage.it, be part of an active and highly aggregating community.
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silver Economy goes beyond the geriatic paradigm and so called job paradigm. Silver Age citizens are both more active, multiskilled, and with entrepreneurial spirit, both for research, business and politics. Research from NASA verify that the risk aptitude is at its bottom in age group 42. So higher before as well as after. Picasso said to be at peak performance around 60?
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We need to create a good environment for elder people so that they can still do their activities and still stimulate their abilities and creativeness. They need more time for recreation, indeed but they still need stimulus for the brain and socialization: travel, computering, learning. But in my opinion the most important isto focuson Geriatric medicine to prevent severe degradation: fitness, good nutrients for the brain, prevention in rheuma ans dementia..And we have to help people be on their "own feet" as much as possible.
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As we are moving towards a more intelligent, collaborative world, which will require co-creation, innovation, sharing everything, nothing more important than making the most connected and integrated citizens. Thus, my idea is to create a program that enables the integration of different generations (which today are characterized by boomer, baby boomer, x, y, z), so that older people can share their knowledge with the younger to the formation of social, trained, responsible and happy citizens, uniting knowledge, lives and overlooking the need to transform intergenerational conflicts into learning opportunities, relationships and actions that can be turned into products and services. The program is based on the wealth of experience, expertise and diversity that each participant of different generations, can bring to each other, democratizing knowledge, power, innovation making much more humanized and socialized relationship. Thus, each can teach and share what you know, so that knowledge is the basis of integration of all generations, highlighting the role and the knowledge and wisdom of the elderly.
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The idea would be to develop social housing adapted to elderly people with adequate equipment, services and ICT solutions. Because adapting’s one house (shower, larger door, lights, …) remains expensive, the idea could be to develop programmes of social housing targeting the elderly, such as small residences with adapted solutions for the elderly and located next to services and shops to allow them to stay longer independent at home.
The project of the “Seniors Residences” set up by the Lower Rhine Council in France is based on this analysis. It targets the elderly between 65 and 80 who are still able to live at home. Three main criteria are important for the development of an adequate rental offer: the flat/house has to be adapted to the situation of elderly people (but not medicalised); it has to be well located next to shops, meeting places and other services; and it has to be affordable.
It would be good to experiment and develop technologies and services in order to increase the capacity of the elderly to live longer at home. These technologies and services would as well prevent them from loss of autonomy and reduce impacts of first stage of dependency.
The Moselle Council in France has launched a project call “Innovative and Solidarity in housing” (Habitat innovant et solidaire) based on 2 main pillars:
- Concrete testing with social landlords and local enterprises of building smart residences with services, including IT solutions
- Digital services platform to find sustainable solutions for the elderly (technologies for wellbeing and automation / technologies for prevention / technologies for information and communication / technologies for telemedicine)
The project is aimed at creating a kindly ecosystem which supports access and diffusion of adapted and personalized goods and services. But human people are full considered as part of the ecosystem as well, because social relations can strongly contribute to support weakness situations and loss of autonomy at home. The adaptation of social dwellings is a step toward affordable and safe housing that could result in better ageing, less accident and more social inclusion.
Besides the housing adaptation, to allow elderly people staying at home as long as possible, it is necessary to ensure an efficient home care coordination and facilitate communication between the different stakeholders (doctors, nurses, home help services…).
The integration of home care services is an innovative approach, allowing local actors from health, social and medico-social sectors to adopt common procedures and tools, sharing information to ensure harmonized, appropriate and suitable solutions. It is based on a secured information exchange system, accessible to all partners. The system relies on the dialogue between the main care system funders, the integration of desks offices and harmonization tools and methods (using case management and multidimensional assessment).
Since 2009, the Upper Rhine Council is developing and experencing a new organizational scheme for professionals taking care of dependent elderly people at home, named MAIA. This integrated service desk relies on a user centred system.
Besides, since 2016 the “Département” is also experiencing a shared ICT coordination and information system (SICODOM) in the southern part of the Département (both on urban and rural areas), in close cooperation with the Regional Health Agency. It concerns elderly dependent people living at home and needing at least 2 home care providers (besides usual doctor and pharmacist). 15 structures are testing this system since January 2016. Through better coordination of the various home service stakeholders it helps improving quality of care, while optimizing the use of resources and allowing elderly people to stay at home in the best conditions.
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Until 2011, the Cologne Institute for Economic Research was project partner of the project “PriMa – Menschen Unternehmen Zukunft” of the German Federal Ministry for Education and Research, co-funded by the European Social Fund. In order to keep the knowledge of longstanding employees within a company, to counter a potential shortage of skilled workers and to obtain a healthy and motivated workforce before retirement we proposed a life-cycle oriented personnel policy.
The main outcome of the project was the so called “PersonalKompass” – a guide for the implementation of demography management and life-cycle orientation in personnel policy.
Link to the former website of PriMa (in German): http://p236982.mittwaldserver.info/de/
Link to the “PersonalKompass” (in German): http://www.iwkoeln.de/Portals/0/pdf/PersonalKompass.pdf
Link to a brief ppt-presentation of the “PersonalKompass” (in German): http://p236982.mittwaldserver.info/media/pdf/prima_foliensatz.pdf
In short, the “PersonalKompass” offers…
… a comprehensive concept, which takes the changes in the lifes of employees into account and still ensures competitive advantages for businesses.
… orientation towards the implementation of a lifecycle-oriented personnel policy.
… information on fields of action and concrete instruments of personnel policy, practically prepared for immediate use through businesses.
… a modular concept that allows businesses to tailor the instruments to their specific needs.
… a company-specific guide to a future-oriented personnel policy.
The “PersonalKompass” proposes a list of instruments and fields of action:
Personnel Marketing and Human Resources
- Recruitment of older professionals
- Higher education cooperation
- Cooperation projects between schools and businesses
Performance management and remuneration
- Management with target agreements
- Variable remuneration
Work organization and working time
- Annual working time accounts
- Job rotation
- Training Exchanges
Career and career planning
- Specialist career
- analysis of potentials
- Dialogues about career perspectives
Health Management
- Workplace design
- Health programs
- Psychosocial counseling
Knowledge management
- Exit interviews
- Ideas management
- Knowledge maps
Exit and transition management
- Exit interviews
- Bow careers
- Silver Workers
Additionally to the project PriMa, the Cologne Institute for Economic Research is permanently conducting research on the issue of the silver economy and demographic change. Please note that the described materials so far are available in German only. If you are interested in further discussing the topic with our staff and researchers, please contact our Brussels Liaison Office (http://www.iwkoeln.de/en/institute/offices).
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This idea is part of the UNCAP project. UNCAP (“Ubiquitous iNteroperable Care for Ageing People “) is an open, scalable and privacy-savvy ICT infrastructure designed to help ageing people live independently while maintaining and improving their lifestyle. The final solution will consist of real products that will be made available on the market. The project is co-financed by the EU through the Horizon 2020 programme, and it involves 23 partners (including several pilot user partners) from 9 European countries (IT, UK, SI, RO, EL, DE, SE, ES, MK) with a start-up (FR) who will bring the results of the project to the market. In particular to improve the quality of life and health outcomes of older people increasing and enhanced the self-care and at the same time increase adherence and safety of elderly people living in private homes or in ad-hoc structures. The solutions implemented in UNCAP project will be tested in a range of different conditions with real users in nursing homes.
Part of this project is the creation and definition of an observation & measurements (O&M) markup language called AHA (Active Healty Ageing) into OGC (Open Geospatial Consortium). OGC is an international not for profit organization committed to making quality open standards for the global geospatial community.
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personal health domain
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My contribution is to create the environment and atmosphere in a new settled Senior House as the joyfull and well being place. People in retired still being active and in social interaction with the others.Working in a part-time, taking care about their life style and healthy, gardening, making products, mentoring students, visiting kindergardens, taking volunteering activities, sports, performing a theatre etc.etc. up to their vital willigness to be involved in their Senior House as well community/society around them. It does not meant just to live but also show the results of their activities and enjoy the Senior House prosperity.The older people need to feel "not to be alone" and be interactive. Smile, joyfull mood with the fruitfull life. On the practical level these seniors launch and develop the interactive database on the local level. I can imagine their influence to cross borders to the other Senior Houses.
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Robots become more and more able to interact properly with people in their environment. Currently, several researchers are working on robots that can be used for companionship to elderly. The idea is that robots can reduce feelings of loneliness and isolation that many elderly face. Robots can also provide help or instructions and may call emergency services when needed. They can also assist in, for example, physiotherapeutic exercises or medicine intake (the right medicine at the right time). In the Netherlands, researchers from the Free University of Amsterdam have developed a companion robot called Alice. The recent Dutch documentary "Allice Cares" was discussed in The Lancet last year: http://dx.doi.org/10.1016/S0140-6736(15)61267-3.
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Nowadays, techology is evolving quicker than elderly can learn or even understand. The market is plenty of apps aimed at elderly, but there isn't a big demand yet. One of the first problems I see for that is that elderly don't know about those apps, so my proposal 1) would be to find better ways to make them aware about these solutions that make them like better. The following problem is the User eXperience, 2) the interaction between elderly and these apps should be via voice/natural language, since it is the most familiar way for them to express what they need. Also more "tangible" interfaces are a good idea for that purpose, instead of using tactile screens. The third problem I see is the involvement of elderly people in society. In some countries they are not so valued as they should, but their experience of years could help a lot of working age people. 4) create programs where elderly people can teach others with their experience. And the last one, at least in Spain, is that is difficult to get a holistic coverage unless you pay for it. Apart from health status of elderly basic things such as nutrition, activity, sleep, are must to take care about. It is 5) vertical services must be interconnected between them in order to take advantage of each other, being aware of the global status of the elder.
Taking into account these points when creating any app/solution/wearable... for elderly people will have more chances to success.
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TeLiPro provides data-based telemedical support for chronically ill people with lifestyle adaption, medication and increased self-sufficiency both in everyday life and with disease management. The support consists of regular telephone calls with a personal health coach, structured self-measurement of relevant parameters (e.g. blood glucose, blood pressure, physical activity, medication administered etc.), know-how transfer and motivational support. The program follows a specific schedule – e.g. concerning content and rhythm of conversations – but are highly personalized regarding the specific life and lifestyle of the program participant (family life, likes and dislikes, health problems and physical limitations, personality type etc.).
Many elderly people suffer from later-stage chronic diseases or multiple chronic diseases and co-morbidities which often exclude them from other health management or lifestyle change programs available on the market. Thanks to the integration of expert medical knowledge and our own online platform, specifically designed for these programs, we are uniquely qualified to assist their treatment.
The content of our program is specifically designed for the elderly: the motivational, nutrition and exercise modules are adapted to the daily life and physical and mental abilities of older people in general and each program participant in particular. By catering to the special needs of the elderly, TeLiPro is uniquely able to offer a service that the rest of the lifestyle change sector ignores. TeLiPro is thus able to provide solutions to the particular challenges that this population poses.
90% of the health and lifestyle change market is focused on self-management, inherent motivation and self-tracking technology. This markets toward a young, technology-savvy and highly motivated demographic. In Germany, 50% of the elderly have no internet access or smartphones. We are specialized in lifestyle change for the elderly and have built a plug&play solution that enables automatic data transfer. The technology we use enables the support of people who do not have home internet or a smartphone and are not technologically capable. The technology thus only acts in the background – the main actor that leads the program participant through the program is the personal health coach. The program participant does not need to independently keep up the motivation to use the technology, as is normally the case.
Since chronic diseases disproportionately burden the elderly, it is important to note the technology that we use – phone calls, which are familiar to the elderly, as well as easy to understand and easy to use self-measurement devices – is suitable to that demographic. Further, TeLiPro includes the option to have a “mentor” or a “buddy” – a family member or a neighbor – who not only holds the patient responsible but can also assist in the case of any arising technological issues. All stakeholders – including the attending physicians and, where desired, family members or friends – are connected via one central technology.
TeLiPro brings the elderly demographic into the focus and offers the patient improved quality of life, increased lifespan and the ability to recover some of the independence that chronic diseases claim through our intentionally age-appropriate set-up. From an economic perspective, TeLiPro allows for huge savings in healthcare spending – through the prevention and/or telemedical substitution of doctor and hospital visits, medication, co-morbidities and care.
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