Use cases

The change of lifestyle and increased pressure in the labour environments of relatives of people in need of care lead to an increasing negligence of persons in need of care – which is about to become a serious societal problem all over Europe. Also migration is increasing in Europe and with it, the problem of the integration of the migrants with language and cultural barriers into the care and sanitary systems in the host countries. Furthermore, the cost explosion in sanitary systems across the member states forces administrations and health insurances to take action and eliminate the two sources of excessive cost generation: (i) often delayed medical consultation by migrants (especially by women), (ii) unjustified medical consultation by the rest of the population.

How can KRISTINA help me if I am a health professional?

  • KRISTINA helps to facilitate clinical practice with patients migrated.
  • KRISTINA helps to improve the outcome of clinical interview with the migrated patient.

Observing the strategic plans of the health services in Europe, we can state that there is a clear tendency to focus efforts towards promotion and prevention, rather than to treat the disease. That is because chronic diseases are common around Europe, as the European population is getting older and the survivor options for chronic patients are being increased day by day. Chronic diseases are frequent and very expensive to be supported by the national health services through the time. In this environment, prevention is getting an important role and the patient's home and his/her own competence for self-caPhoto 1.jpg ring is taking more importance.

The development of telemedicine opens new possibilities for health and basic care and the integration of care levels. Progress is being made towards a health system focused on the patient, as in other non-health sectors are focused on the customer and new technologies are bringing about a revolution (electronic medical records, networking, electronic prescription, health services, multichannel platforms, collaborative environment for professionals, knowledge management platforms, developing health websites, etc.) and are becoming a key to achieving broader goals. The patient-centred care requires the development of integrated care processes, high resolution and improving organizational processes and this is something that the national systems are working on in Europe, since they are facing the challenge of sustainable development of basic and health care in immediate future.

How can KRISTINA help me if I am a patient or a caregiver?

  • KRISTINA ensures privacy in health care.
  • KRISTINA facilitates following instructions from the health professionals.
  • KRISTINA reinforces and helps to cope with tasks of relatives and caregivers.
  • KRISTINA helps to improve the ability of the migrated patient to self-care.

“People don’t want health care or social care, they just want the best care”, Norman Lamb, MP (UK Government).

Telemedicine and other similar services are covering not only health care requirements for chronic diseases and basic care, but basic care for all those people that live alone and are not being attended by their own families. All this programs and experiences require the combination of work and abilities or collaboration of professionals, patients and social services.

Scientific studies show that in migration circles, especially of Turkish origin, there is a low take-up of care services and the care and provision system is insufficiently aligned with the needs of the Turkish population. In most cases, care at home is provided by family caregivers often with a low qualification in care matters. There are often barriers to effective communication, such as a lack of language skills, embarrassment or religious or cultural behaviour patterns, shortfalls of information and dependency.hands.jpg

Patient migrants and their families from North Africa, mainly Morocco (more than 700,000 people of Moroccan origin are living in Spain nowadays, but since the beginning of the crisis this number is decreasing) explain the interest that countries like Spain has always aroused in his closest neighbours. Migration flows are a feature of this area of the Mediterranean, which has traditionally been a land of welcome for immigrants.

The KRISTINA agent is expected to act as a mediator between the elderly migrant and caregivers at a retirement home. The caregivers are expected to speak only German and are likely not to be aware of culture-sensitive care issues. The agent should be able to provide information, acquired from a family member, concerning food and daily routine preferences, as well as general aspects with reference to handicaps, ailments and complaints etc. With the help of the KRISTINA agent, possible cultural differences or languages barriers should be bridged.

How can KRISTINA help me if I work for an institution?

  • KRISTINA facilitates migrated patient orientation within the host health system.
  • KRISTINA can contribute to lowering the number of visits of migrated patients.
  • KRISTINA can contribute to the reduction of inequalities.

A knowledge-based multilingual agent with social and human interaction competence that fulfils the function of an intelligent care companion and can have a tremendous positive impact on the quality of the basic care and healthcare, social and societal integration and not least, on the costs for the public and private social, healthcare systems and health insurance institutions. Its potential goes far beyond attending only the migrant population. It sets the ground for personalized basic care and healthcare coaching in general.

Offered as a smart phone/tablet and PC/laptop platform, the agent would attend the users in their native language, give them advice, provide background information, guide them, if needed, in their choice of a medical specialist, coach them on administrative procedures of the basic care and health systems, etc.Photo 3.jpg

The development of telemedicine opens new possibilities for health and basic care and the integration of care levels. Progress is being made towards a health system focused on the patient, as in other non-health sectors are focused on the customer and new technologies are bringing about a revolution (electronic medical records, networking, electronic prescription, health services, multichannel platforms, collaborative environment for professionals, knowledge management platforms, developing health websites, etc.) and are becoming a key to achieving broader goals. The patient-centred care requires the development of integrated care processes, high resolution and improving organizational processes and this is something that the national systems are working on in Europe, since they are facing the challenge of sustainable development of basic and health care,

Recent publications assessed the effectiveness, acceptability, and costs of interactive telemedicine, delivered in addition to, or as an alternative to, usual care as compared to usual care alone, and the results allow concluding that there is no difference in mortality between participants with heart failure receiving care through telemedicine, compared to those receiving health care without telemedicine (1).

(1) Flodgren, G, Raches, A, et al. 2015. “Effects on professional practice and health care outcomes”, Cochrane Effective Practice and Organisation of Care Group.

 

multilingual intelligent embodied agent social competence adaptive dialogue expressive speech recognition and synthesis discourse generation vocal facial and gestural social and emotional cues