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.

If you are 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.

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