Telecare

**Telecare** nubuvuzi bushingiye ku ikoranabuhanga nko gukurikirana ingingo z’abarwayi kugira ngo zishobore kuguma zifite umutekano kandi zigenga mu ngo zabo. Ibikoresho birashobora gushiramo porogaramu zubuzima nubuzima bwiza, nkibikoresho byo gukurikirana imyitozo hamwe na porogaramu yibutsa imiti ya digitale, cyangwa tekinoroji itanga umuburo hakiri kare.  Gukoresha ibyuma bifata  bishobora kuba bimwe mubice bishobora gutanga ubufasha kubantu bafite uburwayi nko guta umutwe, cyangwa abantu bafite ibyago byo kugwa. 

Itumanaho ryinshi rigabanya ingaruka ziterwa no kutitabira ibintu no gutanga ubufasha bwihuse. Bimwe mubitumanaho, nko kwemeza umutekano no gukurikirana imibereho bifite ibikorwa byo gukumira kuberako iyangirika ryimibereho yabakoresha itumanaho rishobora kugaragara hakiri kare.

Telecare itandukanye cyane na telemedisine na telehealth . Telecare bivuga igitekerezo cyo gufasha abantu gukomeza kwigenga mumazu yabo batanga ikoranabuhanga rishingiye kumuntu kugirango bafashe umuntu cyangwa abarezi babo.

Itumanaho rya terefone igendanwa ni serivisi igaragara aho imiterere yubuhanzi bugendanwa hamwe na SIM igenda ikoresha kugirango umukiriya asohoke hanze yiwabo ariko aracyafite serivisi ya 24/7 itumanaho iboneka kugirango ibashyigikire. Ibikoresho bisanzwe bikora ibi nibintu nka Pebbell mobile GPS ikurikirana.

Ibisobanuro n'imikoreshereze yijambo 'telecare' ntabwo byakemuwe muburyo buhoraho. Mu Bwongereza hashingiwe ku rwego rwo kwita ku mibereho kandi yibanda ku bisobanuro byasobanuwe haruguru. Mu bindi bihugu 'telecare' irashobora gukoreshwa mubikorwa byubuvuzi kure.

## Imikoreshereze ya Telecare

Muburyo bworoshye cyane, irashobora kwerekeza kuri terefone ihamye cyangwa igendanwa ifite aho ihurira nikigo gikurikirana aho uyikoresha ashobora gutabaza. Tekinoroji yateye imbere sisitemu ikoresha sensor, aho hashobora gukurikiranwa ingaruka zishobora kubaho. Ibi bishobora kubamo kugwa, kimwe nimpinduka zibidukikije murugo nkumwuzure, umuriro na gaze. Abarezi b'abantu bafite ikibazo cyo guta umutwe barashobora kuburirwa mugihe umuntu avuye munzu cyangwa ahandi hantu hasobanuwe. Iyo sensor ikora ikohereza ikimenyetso cya radio mubice bikuru murugo rwumukoresha, hanyuma igahita ihamagarira ikigo gikurikirana amasaha 24 aho abashoramari bahuguwe bashobora gufata ingamba zikwiye, haba kuvugana nabafite urufunguzo rwibanze, umuganga cyangwa byihutirwa serivisi.

Itumanaho kandi rigizwe na tereviziyo yihariye itohereza ibimenyetso mu kigo gisubiza ariko igafasha abarezi binyuze mu gutanga amakuru yo mu rugo (mu rugo) mu rugo rw'umuntu kugira ngo amenyeshe umurezi igihe umuntu akeneye kwitabwaho.

Ni ngombwa kumenya ko 'telecare' atari uburyo bwo kuburira gusa niba umuntu avuye mu rugo ahubwo ni ingamba zo gukumira abantu bagarurwa kandi bakabikwa mu baturage binyuze mu itumanaho risanzwe. Hano hari serivisi nini za serivise zitumanaho ziboneka hamwe na bimwe bizwi cyane ni impuruza ya pendant, sisitemu ya terefone igendanwa, ikwirakwiza ibinini, serivisi yihuta ya terefone igenzura ibikorwa, kugenzura kugwa n'ibindi. Serivisi zitumanaho zikoresha indimi nyinshi ubu zatangijwe zifungura serivisi kubantu benshi. Bose bafite uruhare mukubungabunga ubwigenge bwabantu no kwemerera abantu kuguma mumazu yabo.

## Kazoza ka Telecare

Iterambere ry'ikoranabuhanga ritera amahirwe yo guteza imbere ubwigenge no gutanga ubufasha buva mu nzego zita ku mibereho, ubu butekereza kuri eCare, hamwe na sisitemu yo kugendana / imyanya, nka GPS kubantu bafite ikibazo cyo guta umutwe cyangwa ubundi bumuga bwo kutamenya.

## Telecare mu Bwongereza
Mu 2005, ishami ry’ubuzima ry’Ubwongereza ryasohoye *inyubako ya Telecare mu Bwongereza* kugira ngo rihuriranye n’itangazwa ry’inkunga yo gufasha gushishikarizwa gufata inama z’ibanze zifite inshingano zo kwita ku mibereho. 

Ishami ry’ubuzima mu Bwongereza Sisitemu Yuzuye (WSD)  ryatangiye muri Gicurasi 2008. Nibigeragezo binini byateganijwe byo kugenzura telehealthna tereviziyo ku isi, birimo abarwayi 6191 hamwe na 238 GP ku mbuga eshatu, Newham, Kent na Cornwall . Ibigeragezo byasuzumwe na: City University London, University of Oxford, University of Manchester, Nuffield Trust, Imperial College London na London School of Economics .

Ibyavuye mu mutwe wa WSD nyuma y’igeragezwa rya telehealth, birimo abarwayi 3154, harimo ibi bisubizo: 

* Kugabanuka kwa 45%
* Kugabanuka 20% mubyinjira byihutirwa
* Kugabanuka 15% mugusura A&E
* 14% kugabanuka kwabanyeshuri batoranijwe
* Kugabanuka 14% muminsi yo kuryama
* 8% kugabanya ibiciro byamahoro

Ibyavuye mu itumanaho byateganijwe gutangazwa mugihe runaka kizaza.  Mubyukuri ntabwo bigeze bagaragara. Bamwe mu barwayi baracyafite ikizere ko itumanaho rizatuma habaho iterambere ryinshi muri serivisi nziza.  Ubushakashatsi bwerekanye ko uburyo bwo gutumanaho bwitwaye neza, hamwe n’igiciro cyiyongera kuri QALY iyo hiyongereyeho ubuvuzi busanzwe bwa 92.000. 

Minisitiri wa serivisi ishinzwe kwita kuri leta, Paul Burstow, yatangaje mu mwaka wa 2012 ko telehealth n’itumanaho bizongerwa mu myaka itanu iri imbere (2012-2017) kugira ngo bigere ku bantu miliyoni eshatu.  Iki cyifuzo cyarahebwe mu Gushyingo 2013. Muri Nzeri 2014 NHS Ubwongereza bwatangaje ko buzasimburwa, ariko bugaragara cyane, gahunda nshya "ikoranabuhanga ryatumye serivisi zita ku barwayi". 

## Reba Ibindi

* Assistive technology
* Friendly caller program
* Wandering (dementia)

## Shakisha