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.