Smart eldercare in Singapore: Negotiating agency and apathy at the margins

J Aging Stud. 2018 Dec:47:1-9. doi: 10.1016/j.jaging.2018.08.001. Epub 2018 Aug 18.

Abstract

Around the world, smart technologies are being embraced as a cost-efficient means of enabling the elderly to be cared for in new, more non-proximate ways. They can facilitate ageing-in-place, and have the potential to relieve pressure on the providers of care. Yet, the fact is that the interface of technology and society is a negotiated one. These negotiations are most acutely felt when technology is used to supplement the hitherto human-centred process of caregiving, especially amongst "marginalised" societal cohorts, like the elderly. With this, there is a need to better understand the ways in which smart eldercare technologies are used, misused, or not used by those that they are designed to benefit. Drawing on qualitative data derived from triallists of three smart eldercare technologies in Singapore, this paper explores how the lived experience of smart eldercare can cause agentic and apathetic behaviours towards technology to manifest. Specifically, we identify four expectations - of understanding, response, compliance and appreciation - that undermine the potential beneficence of smart eldercare. To conclude, we emphasise the need for more collaborative, and more contextually-sensitive, approaches to the design, development and implementation of smart eldercare solutions.

Keywords: Ageing-in-place; Eldercare; Home; Margins; Singapore; Smart technology.

MeSH terms

  • Aged
  • Apathy
  • Computer Communication Networks
  • Delivery of Health Care*
  • Health Services for the Aged*
  • Humans
  • Negotiating
  • Singapore
  • Technology