SCH: EXP: Old is Gold - Co-Production of Healthy Living for the Elderly Through Time Banking

该项目由美国国家科学基金会和美国国立卫生研究院联合征集资金，名为“智能互联健康”(SCH)，旨在加快创新方法的开发和使用，以支持全民亟需的医疗保健转型。由于出生率下降和寿命延长的相辅相成的影响，老年人在总人口中所占的比例越来越大。通过扩大目前的监护方法来照顾这一老年人口的前景是不可行的：人口中没有足够的年轻人。但除了数字之外，还不清楚简单地扩大监管方式是否可取。老年人是包括公司和当地社区在内的各种组织的社会资产。此外，参与对个人有意义的活动直接有助于享受更长和更健康的生活。本项目调查时间库互动作为一种社会技术干预，以扩大和延长老年人独立和富有成效地生活的机会，更具体地说，与他人合作，使其更加积极和参与。人们使用时间银行来交换根据执行服务所需的时间来评估的服务。许多时间银行互动是共同制作的，是双方互惠互利的服务。这些类型的交流可以特别强大地帮助施赠者和接受者变得更加积极和参与。该项目分析了健康生活的联合生产，在这种生产中，人们提供和接受社会服务和支持。例如，当两个人一起散步或打牌时，他们是在相互照顾；每个人都在帮助对方变得更加积极和投入。这项研究是与一个就地老龄化组织和一个退休社区合作进行的，目的是调查老年人的不同生活安排。这项研究首先分析了目前老年人健康生活的做法，并确定了为这些做法提供时间银行支持的机会。在此指导下，设计、部署和评估了时间银行工具和基础设施，以加强老年人社区的共同健康生产。

This project is funded under a joint solicitation between the National Science Foundation and the National Institutes of Health, named "Smart and Connected Health" (SCH), which aims to accelerate the development and use of innovative approaches that would support the much needed transformation of healthcare across the entire population. The elderly represent a growing segment of the total population due to the mutually reinforcing effects of declining birth rates and increasing longevity. The prospect of caring for this elderly population by scaling current custodial approaches is not feasible: There are not enough younger people in the population. But beyond numbers, it is not clear that simply scaling up custodial approaches is even desirable. Elderly people comprise social assets to many kinds of organizations including corporations and local communities. Moreover, engaging in personally meaningful activity directly contributes to enjoying longer and healthier lives.This project investigates timebank interactions as a socio-technical intervention to expand and extend opportunities for elderly people to live independently and productively, and more specifically, to cooperate with others to be more active and engaged. People use timebanks to exchange services valued by the time required to perform the services. Many timebank interactions are co-productions, services that reciprocally benefit both parties. These types of exchanges can be particularly powerful in helping both giver and receiver become more active and engaged.The project analyzes the co-production of healthy living, in which people provide and receive social services and support. For example, when two people take a walk or play cards together, they are providing mutual care; each is helping the other to be more active and engaged. The study is a partnership with an aging-in-place organization and a retirement community, in order to investigate different living arrangements among the elderly. The study first analyzes current practices for healthy living among the elderly, and identify opportunities for timebanking support of these practices. Guided by this, timebanking tools and infrastructure to enhance co-production of health in communities of elderly people are designed, deployed, and evaluated.