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Abstract— This paper explores the health care scenario of hospitals situated in district or state headquarters. The toughest
elder citizens. It compares the health care scenarios in first world challenge is getting quality health care in government hospitals
and India and proposes technological solutions that can be due to large number of people needing health care and the lack
implemented incorporating technologies like Internet of Things of sufficient facilities.
(IoT), data analytics and Cloud Computing.
Keywords— Smart healthcare; senior citizens; IoT; cloud III. HEALTH CARE IN FIRST WORLD
computing Universal health care in most countries has been achieved
by a mixed model of funding, though primary source of
I. INTRODUCTION revenue remains taxation. Most of the European systems are
financed through contributions from public sector and private
According to the constitution of India, public health and sector. The non-government funding is obtained by making
sanitation, is the responsibility of the state government. The contributions compulsory by employers and employees and
constitution says every state is responsible for raising the level also by non-sickness funds [7]. In Singapore no medical care is
of nutrition and the standard of living of its people [1]. In India provided free of charge and in the government sector treats
private sector is the primary source for health care. It provides patients like private patients without any subsidies. The
70% of health care facilities in urban area and 63% of facilities government follows a policy of compulsory savings and
in rural area [2], though this varies significantly across states. payroll deductions to meet the financial cost and this is ranked
The quality of medical care in major urban areas of India is among the most successful systems in first world [8]. In the
closer to first world standards. However, non-availability of United States of America most of the health care is provided by
diagnostic tools and inadequacy of professionals gravely affect private sector insurance companies and considered as one of
the quality of health care in rural areas. According to studies, the most expensive systems in the world [9]. The salient
the main reasons for reliance on private sector is cited as features of all these models are the accessibility of health care
inadequacy of staff in public sectors, waiting time for services facilities to the large population and also the special care
and inappropriate operating hours [3]. It can also be inferred provided to the elders of the country.
that reasons like long waiting time also apply to private sectors,
which prevent them from getting a further bigger role in Indian
health care scenario. IV. HEALTH OF SENIOR CITIZENS
According to United Nations, a person above the age 60 is
II. UNIVERSAL HEALTH CARE considered as an old person. Though this definition cannot be
applied universally, a person above the age of 60 is considered
India has a National Health Policy and the draft for its as a senior citizen for most purposes [10]. One of the sensitive
revision has been released for public consultation [4]. A issues in global health care scenario is the health of senior
nationwide universal health care system by the name National citizens. People are more susceptible to diseases while they get
Health Assurance Mission, which would provide all citizens older. Most of them may have limited or no access to health
with free drugs, diagnostic treatments, and insurance for insurance. The absence of long term policies for health care
serious ailments was discussed recently [5]. It was later stalled adversely affects the quality of life. The care for senior citizens
due to financial constraints by the government, though plans to involves fulfillment of the special needs and requirements
implement it are still underway. The universal health care unique to them. This will include assisted living, adult day
system is intended at providing health and financial protection care, nursing home care and home care. In different cultures,
to all citizens. It provides improved access to health services health care of senior citizens is perceived in different ways.
and improved health outcomes [6]. The primary health care in People prefer government established elderly care in most
the country focuses on immunization, prevention of European countries and US, while in Asian countries older
malnutrition, pregnancy, child birth post-natal care and people prefer traditional method of being cared by younger
treatment of common illnesses. Specialized care for generations of family.
complicated illnesses is available in secondary and tertiary