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The first baby boomer born in 1946 turned 65 in 2011 and the last baby boomerwill turn 65 in 2029. By then, the total U.S. population over 65 is projectedto be 71.5 million (compared with 44.6 million in 2013). The current (2014)median cost of a nursing home is $226 a day ($82,490 per year), while assistedliving is $3500 a month ($42,000 per year). While the elderly populationcontinues to get larger and costs will continue to rise, nearly ninety percent(90%) of people want to grow old in their own home and community and remain outof the hospital, nursing home or other institutional setting. New technologiescould potentially allow older adults and people with disabilities to remain intheir homes longer, reduce health care costs and enhance the quality of life.  In summary, there is a need for a new generation of research that addressesthe complexity of supporting the quality of life and independence of a vast,diverse, and aging population. While there are common themes and needs in thisresearch that we describe shortly, we must start by recognizing that there ismore than one needed path and approach to meet these diverse needs. One pathincludes the tight integration of chronic disease management in the home withexisting acute healthcare systems. Another path embraces comprehensive homehealth for improving nutrition and social connectedness while combatingphysical, cognitive and psychological ailments. Yet another path emphasizeswellness, consumer technologies and removing basic barriers to meaningfulcommunity participation. These paths will intersect in interesting ways forindividuals, families, healthcare providers, and communities. However researchis critically needed to illuminate these paths and to make measurable stridesin our care and support for over 15% of our nation's citizens.

Trans-NIH/Interagency Workshop on the Use and Development of Assistive Technology for the Aging Population and People with Chronic Disabilities