Telecare, telehealth and telemedicine

The incorporation of new technologies into the fields of health and social care is already a worldwide phenomenon – despite a lack of evidence to support this practice. Studies thus far have focused on patient satisfaction and feasibility rather than efficacy and cost-effectiveness. Research supporting the usefulness of data collected by lifestyle monitoring systems is required to justify the associated intrusion, particularly in users with cognitive impairment. This group may have the most to gain from devices designed to improve safety in the home, which may enable them to live independently, but are at risk of losing their autonomy. Older people are likely to be disproportionately affected by technological change and geriatricians must be aware of the wide-ranging implications for their patients and practice.