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The digital silver economy

The digital silver economy - Issues and outlook

This report explores the technological innovations designed with older adults (age 65+) in mind, and for medical and social practitioners (caregivers, nurses and other healthcare professionals).

Six main categories of technology that can help make seniors' daily lives easier have been distinguished. An analysis of the economic impact and expected take-up rates is also included, along with a detailed look at how each of the players is positioned along the value chain.

The main unanswered questions today relate to:

Whether seniors and caregivers will embrace these solutions;
The economic value-added of these solutions;
And the right business model for these technological solutions (notably in terms of their financing).

1. Executive Summary
2. Methodology & definitions
 2.1. General methodology of IDATE reports
 2.2. Definitions and report framework
3. The global challenges of the silver economy
 3.1. The demographic and socioeconomic situation
3.1.1. Senior citizens' share of the global population
 3.1.2. Senior citizens' economic potential
 3.1.3. Seniors: consumer profile
 3.1.4. A growing dependency ratio for the elderly across the globe
3.2. Medical issues and challenges
3.2.1. Elderly and in good health: fiction or reality?
 3.2.2. Snapshot of seniors' healthcare spending
 3.2.3. Fall prevention: a central focus of healthcare systems
 3.2.4. What is at stake for technologies in this industry?
 3.3. Social issues and challenges
 3.3.1. The old-age dependency issue
 3.3.2. The informal caregivers dilemma
3.4. Technological issues
3.4.1. Senior citizens' digital habits
 3.4.2. The issue of who will pay for monitoring systems for seniors
3.5. Regulatory environment
3.5.1. Public policies on ageing well
 3.5.2. Internet access defined as a universal service in Europe
 3.5.3. The particular case of the Internet of Things (IoT)
 3.5.4. Regulation governing the security of health-related data
4. Analysis of the different vertical markets involved in the digital silver economy
 4.1. A classification of digital silver economy technologies
 4.2. ICT
4.2.1. ICT products and services
 4.2.2. Value chain
 4.2.1. Trends in products and services
4.3. Assistive technologies
4.3.1. Assistive technology products and services
 4.3.2. Value chain
 4.3.3. Trends in products and services
4.4. Medicalised smart home technologies
4.4.1. Medicalised smart home products and services
 4.4.2. Value chain
 4.4.3. Trends in products and services
4.5. Healthcare technologies
4.5.1. Healthcare technology products and services
 4.5.2. Value chain
 4.5.3. Trends in products and services
4.6. Non-medical remote support and actimetry technologies
4.6.1. Non-medical remote support and actimetry products and services
 4.6.2. Value chain
 4.6.3. Trends in products and services
4.7. Technologies dedicated to physical and cognitive activities
4.7.1. Products and services for physical and cognitive activities
 4.7.2. Value chain
 4.7.3. Trends in products and services
5. Strategic analysis of the digital silver economy
 5.1. Enablers and obstacles
5.1.1. Enablers
 5.1.2. Obstacles
5.2. What business model for the silver economy?
5.2.1. Innovative billing models adapted to the digital silver economy
 5.2.2. The issue of financing products and services
5.3. Outlook for the silver economy
5.3.1. Outlook in terms of demographics and senior citizens' digital behaviour
 5.3.2. Outlook for the healthcare technologies market
 5.3.3. Outlook for the assistive technologies market
List of Figures
Figure 1: Summary of technologies in the service of ageing well
Figure 2: Percentage of the global, OECD and European population that is 65+ and 80+
Figure 3: Poverty gap for people over 65 in OECD countries, in 2012
Figure 4: Senior citizens' average household consumer expenditure in 2010
Figure 5: Breakdown of seniors' consumer spending in France in 2015, by sector
Figure 6: Breakdown of old age (65+) dependency ratios in 2015
Figure 7: Life expectancy and healthy life years for men and women at 65, in 2014
Figure 8: Median annual cost of long-term health care for seniors in the United States, by type of service
Figure 9: Dependency rate of senior citizens in France, in 2007 and 2012
Figure 10: Percentage of informal caregivers in OECD countries in 2011
Figure 11: Comparison of the use of long-term home healthcare services by people with and without insurance, in the United States, in 2014
Figure 12: Internet use among people age 65+ in Europe and in the United States in 2014
Figure 13: Summary of Internet use by people age 65+ in Europe and in the United States, in 2014
Figure 14: Security and safety technologies owned by senior citizens, in 2011
Figure 15: Number of American and Western European households that pay for products and services for monitoring an elderly person, in 2016
Figure 16: Percentage of people with a family member age 70+ who are interested in and willing to pay for a monitoring solution
Figure 17: The Doro Manager app and Doro Smartphone
Figure 18: How-to instructions for a senior rides programme
Figure 19: Amazon Echo product line
Figure 20: The Google Car
Figure 21: Global ICT value chain
Figure 22: PARO, the therapeutic robot
Figure 23: The Kompai 2 (left) and Kompai (right) robots
Figure 24: Assistive technologies value chain
Figure 25: Orange My Plug 2 smart plug
Figure 26: The Phony device
Figure 27: A sample Orange connected sensor installation
Figure 28: How the Orange Senior Care system works
Figure 29: The CareSensus project
Figure 30: The Philips Lifeline "HomeSafe with AutoAlert" system for monitoring falls
Figure 31: The CarePoint 5.0 safety system developed by Philips
Figure 32: Value chain for the medicalised smart home for senior citizens
Figure 33: The CareSage system developed by Philips
Figure 34: The Medido medication dispenser by Philips
Figure 35: Connected health value chain
Figure 36: Home alert and security devices
Figure 37: The Arkea Assistance smart watch
Figure 38: Value chain for non-medical remote support and actimetry technologies
Figure 39: Sea Hero Quest game interface
Figure 40: Example of an interface on the Neuroracer serious game
Figure 41: Impact of Neuroracer on older adults' cognitive abilities
Figure 42: Value chain for physical and cognitive activities technologies
Figure 43: Design recommendations serious games for elders
Figure 44: Cost of hospitalisation in the United States per payer, in 2012
Figure 45: Places where elderly people are most likely to fall
Figure 46: Forecast public debt and fiscal debt in the Eurozone
Figure 47: Quotes from seniors on their perceptions of technologies
Figure 48: Percentage of people 65+ who are concerned by the security of their online data in 2015
Figure 49: GreatCall Lively subscription (pendant)
Figure 50: Map of how the global population will age between now and 2050
Figure 51: Internet and broadband adoption among people age 65+ in the United States, in 2013

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