FW-HTF-P: The Future Matrix of Care: Communities, Networks, and Technologies

FW-HTF-P：未来的护理矩阵：社区、网络和技术

• 批准号: 1928547
• 负责人: Selma Sabanovic
• 金额: $ 15万
• 依托单位: Indiana University
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1928547&HistoricalAwards=false
• 关键词: FW; HTF; Future; Matrix; Care; FW; HTF; Future; Matrix; Care

Care work is a mainstay of modern societies. The provision of care at the right time and the right place is crucial for the welfare and wellbeing of children, the elderly, the disabled, and individuals dealing with health issues. Because of the changing demographics, more and more American households will have both children and aging parents, as well as other individuals with various health conditions, who need care and support. The current model of care is not going to be able to provide this support because it is fragmented between various settings and providers such as nursing homes, hospitals, daycares, and senior- and childcare facilities. This fragmentation, in turn, gives rise to issues of transition and continuity of care, generating insurmountable financial and social costs. To overcome these issues, this project proposes 'the matrix of care' as a community-based, socially embedded, and interactive model of care using intelligent technologies based on a new understanding of care work. The proposed matrix will transform the landscape of the Future of Work in the provision of care and medical services.As a first step in this direction, the investigators propose to think of care work not solely as what happens in professional settings, but more broadly as any activity that aims to improve and enrich the health, wellbeing, and quality of life of individuals, families, and communities, regardless of context. This includes, among other things, housekeeping (e.g. cleaning, cooking), shopping, emotional support, help with dressing and personal hygiene, eating, lifting, administrative tasks (e.g. paying bills, filing taxes), safely getting around, and doing laundry. The resulting matrix of care will span across scales (individual, household, organization, community, city) and various dimensions, including different settings of care delivery (homes, facilities, hospitals, etc.) for multiple generations (children, adults, older adults) in different environments (urban, rural, suburban). The investigators also propose to think of caregivers not solely in terms of paid professional workers but as anyone who is involved in the delivery of care. This would involve professional caregivers (nurses, doctors, therapists, coaches, etc.) but also immediate and extended family, neighbors, and other members of the community. On this basis, the project will pursue a multi-pronged approach with the following key components: (i) the training, promotion, and regulation of professional caregivers; (ii) institutional and government support for family and community care; (iii) the provision of skilled individuals who can act as integrators at the interface between cared-for individuals, their families, and various new technologies. Such technologies will include assistive robots sensing devices attached to individuals or distributed in the environments; domain- and condition-specific applications; transportation infrastructures; telehealth, telerehab, and telemedicine platforms; and cognitive augmentation systems such as games. The project will develop several case studies to be carried out in the city of Bloomington, Indiana, as a testbed for experimenting with the proposed matrix of care. The ultimate goal of this project is to develop the necessary research personnel, research infrastructure, and foundational work to expand the opportunities for studying future technology, future workers, and future work at the level of a FW-HTF full research proposal.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.

护理工作是现代社会的支柱。在正确的时间和正确的地方提供护理，对于儿童，老年人，残疾人和处理健康问题的个人的福利和福祉至关重要。由于人口统计的变化，越来越多的美国家庭将拥有孩子和老龄父母，以及其他需要护理和支持的人。当前的护理模式将无法提供此支持，因为它在各种环境和提供商之间分散，例如疗养院，医院，日托以及高级和育儿设施。反过来，这种分裂导致了护理的过渡和连续性问题，从而产生了无法克服的财务和社会成本。为了克服这些问题，该项目建议使用基于对护理工作的新理解的智能技术，将“护理矩阵”作为基于社区的，社会嵌入式和交互式护理模型。提出的矩阵将改变提供护理和医疗服务的工作未来的景观。作为朝这个方向迈出的第一步，调查人员建议不仅将护理工作视为专业环境中发生的事情，而是更广泛地将任何旨在改善和丰富健康，家庭生活和社区生活质量的活动，而无与伦比。其中包括家政服务（例如清洁，烹饪），购物，情感支持，穿衣和个人卫生，饮食，举重，行政任务（例如，支付账单，缴纳税款），安全地及时携带以及洗衣服。由此产生的护理矩阵将跨越量表（个人，家庭，组织，社区，城市）和各种维度，包括在不同环境（城市，农村，郊区）中多代（儿童，成人，老年人）的不同代价（房屋，设施，医院等）的不同环境（房屋，设施，医院等）。调查人员还建议将护理人员不仅在有偿专业工作者方面，而是参与提供护理的任何人。这将涉及专业护理人员（护士，医生，治疗师，教练等），还有直接和大家庭，邻居和社区的其他成员。在此基础上，该项目将采用以下关键组成部分进行多管齐下的方法：（i）专业护理人员的培训，晋升和监管； （ii）机构和政府对家庭和社区护理的支持； （iii）提供熟练的个人，他们可以在有照顾的个人，家人和各种新技术之间充当集成商。这样的技术将包括辅助机器人感应个人或在环境中分布的设备；域和条件特定的应用；运输基础设施；远程医疗，Telerehab和远程医疗平台；和认知增强系统，例如游戏。该项目将在印第安纳州布卢明顿市进行几项案例研究，作为试验拟议的护理矩阵的测试床。 The ultimate goal of this project is to develop the necessary research personnel, research infrastructure, and foundational work to expand the opportunities for studying future technology, future workers, and future work at the level of a FW-HTF full research proposal.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.