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Facilities Management and Health Care at Home
KTH, School of Technology and Health (STH), Centres, Centre for Health and Building, CHB. KTH, School of Technology and Health (STH), Design, Work Environment, Safety and Health, DASH.
2007 (English)Doctoral thesis, comprehensive summary (Other scientific)
Abstract [en]

The topic of this thesis is the new requirements that will be put upon the facilities management when the elderly are living longer in their own homes, in spite of illness, impairment and old age. For many reasons, especially demographic ones, this issue has come to the fore and since it has substantial political impact and considerably affects our living conditions, it will most certainly appear on the agenda of most Swedish housing companies in the near future.

The growing number of inhabitants in need of care and rehabilitation is a current subject in many countries of the industrial world. More medical conditions can be treated, but often at an ever increasing cost. Care and housing are often interlinked and more interest is being paid to the possibility of offering care to elderly in their own homes.

This development must lead to a discussion of the home as a hospital ward from time to time, and the demands it places on facilities management and security. So far the prospects of telecare services and "Smart homes" has been very little discussed in parallel, although in many aspects they share the same technological base.

The principal interest of the housing companies is to find a role in accordance with their mainstream business, and at the same time co-operate with other municipal actors directly in charge of offering assistance and service. There has been only limited study and research into the complex interaction between technology, home-based social service and the housing company.

The purpose here is to develop an understanding of the requirements placed on both the housing company and the CP when a tenant is to be subjected to minor and more extensive care at home, or suffers from an illness or an impairment which requires special equipment or technical adjustment in the home. A model to interpret this situation has been developed in this thesis.

Place, publisher, year, edition, pages
Stockholm: KTH , 2007. , iv, 86 p.
Series
Trita-STH : report, ISSN 1653-3836 ; 2007:1
Keyword [en]
facilities management, elderly, cognitive impairment
National Category
Other Social Sciences not elsewhere specified
Identifiers
URN: urn:nbn:se:kth:diva-4306ISBN: 978-91-7178-593-0 (print)OAI: oai:DiVA.org:kth-4306DiVA: diva2:11721
Public defence
2007-03-28, Sal F3, KTH, Lindstedtsvägen 26, Stockholm, 14:00
Opponent
Supervisors
Note
QC 20100806Available from: 2007-03-13 Created: 2007-03-13 Last updated: 2010-10-04Bibliographically approved
List of papers
1. An Empirical Study of the Use of Information in a Municipal Housing Company
Open this publication in new window or tab >>An Empirical Study of the Use of Information in a Municipal Housing Company
1997 (English)Other (Other academic)
National Category
Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:kth:diva-6878 (URN)
Note
QC 20100809. Tidigare publicerad på svenska med titeln "Empirisk studie av informationsanvändning i bostadsförvaltning" i licentiatavhandlingen "Informationsstrategier i bostadsförvaltning" av Stefan Lundberg, 1997.Available from: 2007-03-13 Created: 2007-03-13 Last updated: 2010-08-09Bibliographically approved
2. An Empirical Study of the Supply of Information in a Municipal Housing Company
Open this publication in new window or tab >>An Empirical Study of the Supply of Information in a Municipal Housing Company
1997 (English)Other (Other academic)
National Category
Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:kth:diva-6879 (URN)
Note
QC 20100809. Tidigare publicerad på svenska med titeln "Empirisk studie av informationsförsörjning i bostadsförvaltning" i licentiatavhandlingen "Informationsstrategier i bostadsförvaltning" av Stefan Lundberg, 1997.Available from: 2007-03-13 Created: 2007-03-13 Last updated: 2010-08-09Bibliographically approved
3. A Theoretical Model Study: a conceptual study of the use of information in a municipal housing company
Open this publication in new window or tab >>A Theoretical Model Study: a conceptual study of the use of information in a municipal housing company
1997 (English)Other (Other academic)
National Category
Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:kth:diva-6880 (URN)
Note
QC 20100809. Tidigare publicerad på svenska med titeln "Teoretisk studie av informationsanvändning i bostadsförvaltning" i licentiatavhandlingen "Informationsstrategier i bostadsförvaltning" av Stefan Lundberg, 1997.Available from: 2007-03-13 Created: 2007-03-13 Last updated: 2010-08-09Bibliographically approved
4. Facilities Management and Care at Home
Open this publication in new window or tab >>Facilities Management and Care at Home
(English)Article in journal (Refereed) Submitted
Abstract [en]

Today people are living longer and continue to be active late into life. In the industrialized world the "aging in place" philosophy has developed wich means that more nursing and care takes place in the home.

When the home becomes the centre for medical treatment and care the need arises to study how this influences facilities management and how, in turn, the medical service and care for the elderly is affected by the facilities management. Home care management indicates a need for cooperation between nursing, caring and facilities management.

This study is a qualitative study based on 10 projects over all Sweden. The projects where dealing with ICT for elderly and within the areas of memory support, communication and safety and security.

The results show that the interaction between the care provider and the facilities management is undeveloped and the responsibilities for the complete care chain passing through the building are unclear. The infrastructure of the buildings is in change but this is not reflected in the many different projects. There is for example a strong movement towards an IP-based infrastructure carrying telephone- and data communications plus TV  in the same cable (triple play). This influences the function of traditional safety alarm for elderly with the result that they will not work properly.

National Category
Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:kth:diva-6881 (URN)
Note
QS 20120328Available from: 2007-03-13 Created: 2007-03-13 Last updated: 2012-03-28Bibliographically approved
5. Safety at Home for People with Cognitive Disorder: the Installation Process
Open this publication in new window or tab >>Safety at Home for People with Cognitive Disorder: the Installation Process
2006 (English)In: Accesibility and Safety for All - International conference PTE-Expo, on March 2006 in Verona, Italy, 2006, 1-10 p.Conference paper, Published paper (Refereed)
Abstract [en]

Assistive technology is expected to facilitate life at home for people with variouskinds of cognitive disorder. To study the applicability and adaptation of a number ofaids for this group in their daily living at home a three-year project was launched inSweden 2004. It consists of undertakings in three municipalities, each planned tocomprise some twenty participants, sixty years of age and older, suffering either fromdementia or from some other acquired brain injury. In the second phase of theproject, now under way, the complexity of the installation process of assistivetechnology in ordinary homes has emerged as a crucial issue. If the project will besuccessful and able to offer a model for other similar undertakings in the future,efficient and reliable installation procedures will become indispensable. The verymoment of installation is considered and concern is paid to the functionality of theequipment over a long period of time. Assistive technologies applied for the sake ofsecurity for this target group comprise, i.a., automatic or manual alarms, smartsensors, automatic switch off systems, reminders and illuminated night paths to thebathrooms. Typical examples are security systems like the “go-away” lock and thereminder-panel. People with some cognitive dysfunction, still living in their ownhomes, are prone to forget to switch off the stove, the iron or other equipmentinducing a potential risk of fire. The paper describes the installation process of areminder system and some important findings from the study.

Keyword
Assistive technology, cognitive disorder, home, installation, maintenance, reminder, security, smart home
National Category
Other Social Sciences Engineering and Technology
Identifiers
urn:nbn:se:kth:diva-6882 (URN)
Conference
International conference PTE-Expo, March 2006, Verona, Italy
Note
QC 20100806Available from: 2007-03-13 Created: 2007-03-13 Last updated: 2012-02-07Bibliographically approved
6. The Building Infrastructure and Home Care
Open this publication in new window or tab >>The Building Infrastructure and Home Care
2007 (English)In: Safety Science Monitor, ISSN 1443-8844, Vol. 11, no 1Article in journal (Refereed) Published
Abstract [en]

Puropse - To discus the importance of the facilities management in Home Care service.

Design/methodology/approach - A case study of a project where new assistive technolgy was used to improve the security for elderly in Home Care service.

Findings - The infrastructure of a multi-story building is of vital importance for the delivery chain of Home Care. The care provider is depending on the functionality of the communication network in the home to sustain the care during the time of "care absence" from the tenatn or the patient.

Research limitations/implications - The study is performed in Sweden on one sample. The sample is from a project performed by a Home Service agency. In the project 142 elderly people living in their own homes were included in a test of a new safety alarm system. Further research must be performed to identify how care and medical treatment could interact with the facilities management in order to provide safe and secure health care in the home.

Practical implications - It is important for the facilitiesmanagement to be aware of the fact that more and more advanced medical care will be given in peoples own homes. The infrastructure in the buildings is of vital importance for such activities. The facilities manager should take a more active part in the developement of home care.

Value of paper - This is a new area of research. The realtion between the facilities management and the care provider in home care is mostly unknown tho the professional within the facilities management but is of high importance.

Keyword
buildings, infrastructure, facilities management, home care
Identifiers
urn:nbn:se:kth:diva-6883 (URN)
Note
QC 20100809Available from: 2007-03-13 Created: 2007-03-13 Last updated: 2011-08-15Bibliographically approved

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