hi my name is Adam and I'm here on 你好，我叫亚当，我在这里
behalf of humps health I'm here with my 代表高峰健康我在这里与我的
team member Sarah and Joe is sitting 队员萨拉和乔正在坐着
down there but I'll be delivering the 在那里，但我会提供
presentation today humans of our nature 今天介绍我们自然界的人类
with tribal people from the dawn of 与部落人的黎明
civilization we've lived in families our 我们在家庭中生活的文明
families and with other families and in 家庭和其他家庭和在
every culture in every society and at 在每一个社会和每一种文化
every point in our six million year long 我们六百万年的 每一点
history it's been families that have 历史就是这样的家庭
taken care of us as we age but if we 照顾我们，随着年龄的增长，但如果我们
look at the modern picture of aged care 看看老年护理的现代画面
in Australia it's the things that come 在澳大利亚就这么来的东西
to mind and nursing homes and old 心灵和养老院和老年人
people's homes this is the popular 人民的家园这是受欢迎的
narrative but we consider where the bulk 叙述，但我们考虑在哪里散装
of this notion of outsourcing care and 这种外包护理和服务的概念
paying someone to take care of the 付钱让别人照顾的
elderly people is a very new concept in 老年人是一个很新的概念
the context of our history and if we 我们的历史背景，如果我们
look at who's actually doing still 看看谁实际上做仍
delivering the bulk of of care for our 为我们提供大部分护理服务
elderly people in our society it remains 我们社会中的老年人依然存在
families to this day in fact one in 实际上一家人到了这一天
eight people in Australia is an informal 澳大利亚八人是非正式的
care providing assistance to their 为他们提供帮助
family member that's nearly three 家庭成员这是近三年
million people this proportion is 这个比例是百万人
similar here in the UK which means six 在英国类似这意味着六个
and a half million Brits are taking care 还有50 万英国人正在照顾
of someone that they love and helping 有人说，他们的爱和帮助 的
them to live their lives these people 他们为了这些人而生活
our husbands and wives sons and 我们的丈夫和妻子的儿子和儿子
daughters and Spell and um parents in 女儿和拼写和他们的父母
Australia these people collectively 澳大利亚这些人集体
provide 1.9 billion hours of unpaid care 提供19亿小时的无偿护理
a year and to order a place that we've 一年，并订购我们的地方
paid care it would cost more than sixty 付出的照顾它将花费超过六十
billion dollars and that's three and a 十亿美元，这是三个和一个
half percent of Australia's GDP 澳大利亚GDP的一半
therefore worrying when I say to you 因此当我对你说话时会感到担心
that for the first time in history 这是历史上第一次
Australia is facing a shortage of 澳大利亚面临短缺
informal care driven by the double 由双重驱动的非正式护理
whammy of a massive increase in demand 需求大幅增长的打击
for informal care as well as a shortage 非正式护理以及短缺
or a decline in the supply of the 或者供应量的下降
informal care there are several reasons 非正式照顾有几个原因
for this but these are the three main 为此但是这是三个主要
ones and these are ones that I'm going 那些和这些 是那些我要去
to 至
to talk you through today last year 今年去和你说说话
Deloitte released a report that stated 德勤发布了一份报告称
that over the next ten years the demand 即在未来十年的需求
for informal care in Australia will 在澳大利亚非正式护理会
increased by 40 percent and if we apply 增加了40％，如果我们申请
this figure to the 1.9 billion hours of 这个数字1.9十亿小时
care currently being delivered that 护理目前正在交付
means an additional 760 million hours of 意味着额外的7.6亿个小时
unpaid care each year so why is it 为什么每年都有无偿的护理
happening while Australia is fat 而澳大利亚则肥胖
Australia over the last century has 澳大利亚在上个世纪已经
experienced a huge increase in life 经历了生命的巨大增长
expectancy just like nearly every other 像几乎所有其他人一样期待
country and while we've gotten better at 国家，而我们已经越来越好
extending our lives we haven't managed 延长我们的生活，我们没有管理
to solve the key chronic diseases that 解决那些重要的慢性病
plague us in older age things like 在年龄较大的事物中困扰我们
cancer heart disease lung disease and 癌症心脏病肺部疾病和癌症
dementia is the big one unfortunately 不幸的是，痴呆是最大的问题
one of these is going to get all of us 其中之一将会让我们所有人
and while it might not kill us it will 虽然它可能不会杀死我们
leave us in states of disability and 让我们留在残疾和残疾的州
more reliant on our family members to 更依赖于我们的家庭成员
care so who are the carers what do they 照顾那么谁是照顾者他们是什么
look like typically well a typical 看起来像典型的典型
primary carers delivering more than 20 主要照顾者提供20多个
hours of unpaid care a week to their 一个星期小时无偿照顾自己
family member the average age of a carer 家庭成员照顾者的平均年龄
is 56 years old so a lot of these people 是56岁，所以这些人很多
are approaching retirement age 正在接近退休年龄
themselves and overwhelmingly two-thirds 他们自己和压倒性的三分之二
of these care as a female so what what 作为女性的这些照顾如此又是什么
we've got here is a significant level of 我们在这里是一个重要的水平
dependence on a specific group in 对一个特定群体的依赖
society and we are maxing them out women 社会，我们正在把他们搞垮
today are working in in paid care in in 今天正在从事有偿护理工作
the in employment at greater levels and 在更高层次上的就业
they've ever been doing before and more 他们之前一直在做更多
time spent in formal import' employment 在正式进口'就业中花费的时间
means less time available to deliver the 指可为客户提供更短的时间
informal care or for family members the 非正式照顾或家庭成员
research shows that a typical carer a 56 研究表明， 一个典型的照顾者56
year old woman who in ten years time 岁的女人谁在十周几年的时间
will be 66 years old is going to face 将是66 岁将要面对的
age related disability themselves and so 与年龄有关的残疾本身等等
in 10 years time what the carers will 在10年的时间里护理人员会
become care recipients themselves but 成为护理接受者自己， 但
this is just a demographic profile so if 这只是一个人口统计资料，所以如果
you think about the statistics at a 你想想在统计
personal level about the needs and the 关于需求和个人的个人水平
challenges of individual carers they're 个人护理人员面临的挑战
even more revealing 更透露
forty percent of carers of those 3 那些照顾者的百分之四十 3
million people in Australia and six and 在澳大利亚有六十万人
a half million people here are suffering 这里有五十万人受苦
from depression and that's driven 从抑郁症，这是驱动
primarily by the complete breakdown in 主要是由于完全崩溃
their social connectedness that comes 他们的社交关系即将到来
with this responsibility of delivering 有这个交付的责任
informal care two in five carers have 非正式护理有五分之二的护理人员有
put off medical treatment to fulfill 推迟就医履行
their caring responsibilities and almost 他们的关怀责任和差不多
half have opted out of the workforce 一半的人选择退出 劳动力
placing carers at a significantly 将护理人员放在显着位置
greater risk of financial insecurity so 金融不安全的风险更大，从而
if we look at this picture here we can 如果我们在这里看这张照片，我们可以
see the interconnectedness between these 看到这些之间的相互关系
factors a great increase in demand for 因素对需求大幅增加
care is placing a significant burden on 护理放置在一个显著负担
a specific segment of society this is 这是社会的一个特定部分
creating health or having health 创造健康或有健康
implications and putting the risk at 影响和把风险放在
financial and security and that segment 财务和安全以及该部分
of society will not be able to deliver 的社会将无法交付
the care required into the future as 未来需要的护理
demand increases so what are the 需求增加，所以是什么
solutions today to whether we focused on 今天的解决方案，我们是否专注于
well in Australia our financial support 在澳大利亚我们的财政支持
is offered to carriers with the 是提供给运营商的
intention of supplementing paid income 补充收入的意图
to allow people to deliver more unpaid 让人们提供更多的无偿
care respite care case management 护理暂息护理病例管理
counseling and carer support groups are 辅导和照顾者支持团体
delivered by public and private private 由公共和私人私人交付
industry with the intention of building 行业意图建设
a support group around carers to try and 围绕护理人员的一个支持小组 来尝试和
alleviate those mental health issues 缓解这些心理健康问题
education and training is available to 教育和培训可用于
try and increase the skill set and 尝试并增加技能组合
that's delivered face-to-face or online 这是面对面或在线提供的
to make care is more effective at 使护理更有效
delivering care and there are options to 提供照顾和有选择，
supplement informal care with paid care 用有偿护理补充非正式护理
as well as carer support tools these are 以及这些都是照顾者支持工具
things like remote monitoring access to 像远程监控访问
remote information and remote care 远程信息和远程护理
coordination tools but what we see 协调工具，但我们看到
that if we consider the solution 如果我们考虑解决方案
landscape here what we see is that 这里的风景是我们看到的
there's an overwhelming focus on 有一个压倒性的重点
solutions that sustain the existing 支持现有解决方案
carriers sustain the status quo sustain 运营商维持现状持续
a system that has a dependence on 一个依赖的系统
informal care to faraway look whereas 正规照顾遥远的样子，而
Solutions that decrease the defense Eon 减少防守Eon的解决方案
on informal carers come secondary if we 如果我们的话，非正式护理人员来中学
map the solution landscape to the 将解决方案景观映射到
problem landscape we can clearly see a 问题景观我们可以清楚地看到一个
gap current solutions take an old-world 差距当前的解决方案需要一个旧世界
approach they build upon this reliance 他们建立在这种依赖的基础上
of informal carers to deliver the care 的非正式照顾者提供护理
and they're typically aimed at solving 他们通常旨在解决
simple problems that are targeted the 简单的问题是针对性的
individual carers to allow them to 个别照顾者允许他们
continue to provide care however if we 但如果我们继续提供护理
take a more of a systems approach and 采取更多的系统方法和
consider the systems of these operating 考虑这些操作系统
are operating in we can see that these 在经营中我们可以看到这些
these solutions do not challenge the 这些解决方案不会挑战
status quo they do not challenge the 他们不挑战现状
approach that the systems that are built 方法是建立的系统
around the dependence on informal carrot 围绕对非正式胡萝卜的依赖
and I thinking of Cheryl's presentation 我想到谢丽尔的介绍
there are things like the regime so 有这样的政权
there are regulatory systems there are 有监管制度
business service models there are 有商业服务模式
policies in place that emphasize 强调的政策
informal carers and then there's the 非正式的照顾者，然后就有了
landscape the actual mentality that 景观实际的心态，
we've got in society of the way that 我们已经有了在路上的社会，
care should typically be delivered but 护理通常应该交付，但是
we need to challenge this status quo 我们需要挑战这种现状
because we need to tackle we need to 因为我们需要解决我们需要的
tackle the current the current process 解决目前的流程
that sorry 那很抱歉
we do need to tackle this status quo 我们确实需要解决这个现状
because simply throwing more government 因为只是抛出更多的政府
subsidies throwing more carer support 补贴投放更多护老者的支持
throwing more counseling at informal 在非正式场合投入更多咨询
carers is not going to make a build 护理人员不会去建造
capacity to address this demand we've 解决这个需求的能力
been thinking about how we reduce the 一直在思考我们如何减少这种情况
reliance on informal carers to some time 一段时间依赖非正式护理人员
now and personally I've been thinking 现在和我一直在想
about the skills and and and experience 关于技能和和经验
and and professional networks that I 和我的职业网络
have to implement change in this area 必须在这个领域实施变革
I've also been thinking about the people 我也一直在思考 的人
that I need to involve in this and 我需要参与这个和
that's not just my team but it's also 那不仅仅是我的团队，而且也是
the collaborations that that we need to 我们需要的合作
make to make an impact and a dent on 使... 产生影响和影响
this problem and I've been doing that 这个问题，我一直在做
because this is a problem it's personal 因为这是个人问题
to me this is a picture of myself my dad 对我来说，这是 我自己 的照片，我的父亲
and my grandpa and over the past twelve 和我的爷爷和十二岁
months my grandpa's become increasingly 几个月我的爷爷越来越多
frail and had a number of Falls in your 体弱，并有一些在你的瀑布
time on one occasion he wasn't found for 有一次他没有找到
hours in response to this my family's 几个小时回应这个我家人的
had to increase the monastery of my 不得不增加我的修道院
grandpa to around-the-clock that's 爷爷到二十四小时
included visiting or calling him every 包括访问或每个电话给他
day but this very quickly became 但是这很快就变成了现实
unsustainable while doing this I was 当我这样做时，这是不可持续的
working with an energy provider 与能源供应商合作
developing a home energy management 开发家庭能源管理
system designed to help people manage 系统旨在帮助人们管理
their appliances remotely using a smart 他们的设备远程使用智能
plug and that's when it hit me 插头，这是它打到我的时候
my grandpa drinks a lot of coffee so I 我的爷爷喝了很多咖啡
got one of these smart plugs and I 得到了这些智能插头和我之一
installed it on his kettle and 将它安装在他的水壶上
programmed it to send me an SMS every 编程它每隔一段时间向我发送短信
time he used it and this looked really 他用它的时间，这看起来很真
well for my family we received a 以及为我的家人， 我们收到了
notification eight to ten times a day 每天通知八到十次
telling us that he'd used his kettle and 告诉我们他用过他的水壶和
then he was okay after talking about 那么谈完之后他就没事了
this with her friends I received a 这与她的朋友，我收到了
number of inquiries and this motivated 询问数量和这个动机
us to apply for the University of 我们申请大学
Melbourne social impact accelerator and 墨尔本社会影响加速器和
we're accepted into that in July of last 我们在 去年七月被接受
year since then we've established 从那时起我们已经建立
collaborations with clinicians with 与临床医生合作
homecare providers and with government 家庭护理提供者和政府
with government service providers as 与政府服务提供商一样
well and we're looking to do it to 好，我们正在努力
implement a commercial deployment later 稍后再实施商业部署
this year so this idea that was never 今年所以这个想法从来没有
meant to be a business now has the 意味着是一个企业现在有
opportunity to affect the lives of 影响生活的机会
thousands of carrots by providing them 通过提供他们成千上万的胡萝卜
with peace 与和平
mind now we realize that this solution 现在我们意识到这个解决方案
isn't a panacea and it's not going to 是不是万能的，它不是去
address all the problems that carers 解决照顾者的所有问题
face and all the problems that older 面对和所有的老问题
people face 人脸
we recognize that we operate in a 我们承认我们在一家银行经营
solution landscape in a problem 解决问题的景观
landscape that is shifting but right now 景观被移位，而现在
we've identified an escape hole where we 我们已经确定了一个逃生洞，我们
can create impacts for carers and now 可以 为护理人员和现在 造成影响
it's about us growing into it thank you 这是关于我们成长的感谢
thank you so thanks Norman you can stay 谢谢你，诺曼你可以留下来
up there we're going to hear for a 在那里，我们将听到一个
couple of questions from our judges 来自我们评委的几个问题
feels a bit like a beauty pageant Thank 感觉有点像美女选美谢谢
You Melbourne 你在墨尔本
I need a sash Hey 我需要一个腰带嘿
one of the things that was in your 你的东西之一
submission materials that didn't make it 提交材料没有成功
into the presentation was a really 进入演讲是一个真正的
in-depth analysis of those two buckets 对这两个桶进行深入分析
that you showed of solutions that are 你展示的解决方案是
targeting basic support for caregivers 为照顾者提供基本支持
and then the solutions that are 然后解决方案，
targeting reduction of the need for care 目标是减少对护理的需求
and I would love for you to elaborate a 我很乐意为你详细阐述一个
little bit on that analysis and then how 一点点的分析，然后如何
you got to those two buckets the 你得到了那两个桶
categories of those two bucket yeah so 这两个桶耶这样的类别
support for carers and reducing the need 支持照顾者和减少需求
for care yep well this was them taken 因为照顾好，这是他们采取的
again taking kind of the approach of the 再次服用同类产品中的方法
two sides of the same coin starting with 同一枚硬币开始的两面
the shortage and thinking about the 短缺与思考
supply side and the demand side a lot of 供应方和需求方很多
solutions currently are well-intentioned 解决方案目前是善意的
to be designed to support older people 旨在支持老年人
as they age more independently and 因为他们的年龄更独立和
that's driven by a desire for all the 这是由所有的渴望驱动的
people to remain in their homes for 人们留在自己的家园
longer when we analyze those solutions 当我们分析这些解决方案时更长
what we found was that there are a 我们发现有一个
number of issues with the way that 那种问题的数量
companies or businesses had come to 公司或企业来了
develop them a big one was that 发展他们一个大的是那个
technology companies weren't engaging 科技公司没有参与
with older people early enough in the 老年人早就足够了
design process didn't have a real good 设计过程并没有真正的好处
understanding of the needs and wants of 了解需求和需求
older people and that's 老年人，这是
consistent with some how older people 与一些老年人一致
are treated in society more generally 在社会上得到更广泛的对待
they tend to become a bit more invisible 他们往往变得更隐形
a bit more generic people don't consider 有点更通用的人不会考虑
the intricacies of older age and so in 老年人的错综复杂等等
my grandpa's exactly my grandpa's case 我的爷爷正是我爷爷的情况
for an example he had a piece of 举个例子，他有一块
technology that was designed to detect 技术，旨在检测
his Falls 他的瀑布
that's a pendant that's worn around the 那是戴在身上的吊坠
neck but it relied on him to completely 脖子， 但它完全依靠他
change his behavior to wear the pendant 改变他的行为来佩戴吊坠
when he fell he had to want to press the 当他跌，他不得不想按
pendant he perceives that pendant is the 他认为挂坠是吊坠
one way to get into residential care so 一个方式 进入住宅的照顾，让
even when he fought fell he didn't press 即使当他战斗下降， 他也没有按
the pendant and that was a common story 吊坠，这是一个普遍的故事
throughout a lot of the technology that 贯穿了很多的技术是
we analyzed on that side and it's 我们分析了这方面的情况
actually one of the reasons that was 实际的原因 之一 是
actually one of the driving motivators 实际上是驾驶动机之一
for me designing my solution so it 为我设计我的解决方案
doesn't rely on him to change his 不靠他改变他的
behavior 行为
it wasn't until we've begun engaging in 直到我们开始参与
this this sum to this program that we 此这笔 这个程序，我们
realized the scale of the informal care 实现了非正式护理的规模
market and the fact that the real 市场和真实的事实
benefit of some of these solut of our 我们的一些解决方案的好处
solutions is actually to aid carers in 解决方案实际上是为了帮助照顾者
having a greater sense of peace of mind 有更大的安心感
but most carers lots of carers deliver 但大多数照顾者有很多照顾者提供
20 hours of care for a week but lots of 20个小时的照顾一周，但很多
them are also still working full time 他们还在全职工作
and so that's when and also even in our 所以这是当，甚至在我们的
business a lot of the purchasing power 生意很多的购买力
often resides with the carrots as well 经常与胡萝卜一起居住
and so that's when we started 这就是我们开始的时候
considering solutions to actually aid 考虑实际援助的解决方案
carers and that vitally came up with 护理人员和那些极有可能的想法
those two buckets hi 那两个水桶嗨
I'm curious to learn about some of the 我很好奇，想了解一些的
other kinds of solutions that sounds 其他类型的解决方案，这听起来
like technology that doesn't require 像不需要的技术
behavior changes one and so what are 行为改变一个人等等
some of the other solutions you would 一些其他的解决方案，你会
prioritize in this market yeah so if I 如果我在这个市场上优先考虑的话
think about the we're going to think 想想我们将要考虑的事情
about the market will focus on the 关于市场将重点关注
informal care of first so it doesn't 非正式的照顾， 所以没有
really require but how 真的需要但如何
your change of the older person and 你上了年纪的人的变化，
therefore it functions better and 因此它的功能更好，并且
supports the informal carer the other 支持非正式照顾者和其他人
big solution that I would focus on 大的解决方案，我将专注于
developing and we have a technology 发展和我们有一种技术
background but the service landscape for 背景，但该服务为景观
aged care provision in Australia is very 澳大利亚的老年护理规定非常
complex 复杂
it's very fragmented there are a huge 它非常分散，有一个巨大的
number of providers providing all of 供应商提供所有的数
those solutions up there and as someone 那些解决方案在那里和作为一个人
who is witnessing the decline physically 谁目睹了身体的衰退
and mentally if someone you've always 和精神上，如果你一直是你的人
looked up to then having to deal with 抬起头，然后不得不处理
all the day-to-day challenges and 所有的日常挑战和挑战
navigate that whole service space if 导航整个服务空间
that's something that we repeatedly saw 这是我们一再看到的
the huge challenge and so I would focus 巨大的挑战，所以我会集中精力
on making that easier to navigate these 上使这更容易浏览这些
kind of developing a more sophisticated 一种发展更复杂
care coordination tool that works better 保健协调工具，效果更好
for informal carers tastic thank you so 对于非正式的照顾者tastic非常感谢你
much 许多
[Applause] [掌声]