Gateway to Quality Living for the Elderly Charting an Innovative Approach to Evidence-based E-Health Technologies For Serving the Chronically Ill

In this paper, we explore four critical barriers to e-Health effectiveness and discuss why and how to build and evaluate e-Health technologies for the chronically ill, including: (1) gaps in knowledge about learning and health behaviors; (2) metrics for technology adoption and beneficial use; (3) sampling and decision support; and (4) adherence and adaptive care customization. Accordingly, the metaphor of a “gateway” is used to imply that healthcare providers and the individuals they serve must engage in a sensible two-way interactions, on the one hand, it should open the door for providers to offer personalized and cost-effective care; on the other hand, it should also open the door to a welcoming environment that provides easy access and motivation for sustained use by the chronically-ill individuals.