The need for privacy in elderly care is crucial, especially where constant monitoring can intrude on personal dignity. This research introduces the development of a unique camera-based monitoring system designed to address the dual objectives of elderly care: privacy and safety. At its core, the system employs an AI-driven technique for real-time subject anonymization. Unlike traditional methods such as pixelization or blurring, our proposed approach effectively removes the subject under monitoring from the scene, replacing them with a two-dimensional avatar. This is achieved through the use of YOLOv8, which facilitates accurate real-time person detection and pose estimation. Furthermore, the proposed system incorporates a fall detection algorithm that utilizes a residual causal convolutional network together with motion features of persons to identify emergency situations and promptly notify caregivers in the event of a fall. The effectiveness of the system is evaluated to emphasize its advanced privacy protection technique and fall detection capabilities using several metrics. This evaluation demonstrates the system’s proficiency in real-world applications and its potential to enhance both safety and privacy in elderly care environments.

Taiwan has a rapidly increasing aging population with a considerably high life expectancy rate, which poses challenges for healthcare and medical systems. This study examines three key factors: safety concerns, family expectations, and privacy concerns, and their influence on surveillance system installation decisions. A cross-sectional study was conducted involving a group of physically active older adults in Taiwan, using a questionnaire to collect data on the reasons for in-stalling a surveillance system and preferences for three image privacy protection techniques: blurring the face and transformation to a 2D or 3D character. The study concluded that while safety concerns and family expectations facilitate the adoption of surveillance systems, privacy concerns serve as a significant barrier. Furthermore, older adults showed a clear preference for avatar-based privacy protection methods over simpler techniques, such as blurring. The outcomes of this research will be instrumental in shaping the development of privacy-conscious home surveillance technologies, adeptly balancing safety and privacy. This understanding can pave the way for technology design that skillfully balances privacy concerns with remote monitoring quality, thereby enhancing the well-being and safety of this demographic. These results could possibly be extended to other demographics as well.