The use of smart technologies for enhancing palliative care: A systematic review

With the rapid advancement of technology, smart technologies have permeated various sectors, including palliative care in healthcare. Based on the available literature, similar studies have elucidated the application of individual and isolated smart technologies in palliative care, with their benefits, and limitations. This research, therefore, focuses on the conceptualisation of various smart technologies and makes holistic recommendations on the effective and efficient use of smart technologies in healthcare to enhance palliative care.

The purpose of this study is to systematically review the existing literature to conceptualise the role of various key smart technologies in palliative care, and their benefits and make recommendations on how smart technologies can enhance healthcare in palliative care.

The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were adopted in this study. Using the keywords: 'smart technologies', 'healthcare' and 'palliative care' (using Booleans AND/OR in different ways, including their synonyms), an exhaustive search was done on four major databases: MEDLINE, PubMed, Scopus and CINAHL. Resultantly, 19 articles met the inclusion criteria and were analysed.

The main results reveal that smart technologies enhance the quality of life and efficiency of palliative care, notably telemedicine, wearable devices, and mobile health apps. They reduce hospital visits and carer stress by improving patient-doctor communication, enabling remote monitoring, and forecasting health outcomes. However, there are challenges such as the digital divide, privacy issues, and the need for comprehensive integration and training into the current frameworks.

The study emphasises the significant impact of smart technologies in improving palliative care. It emphasises the importance of considering technological, ethical, and practical factors to ensure that these advancements truly enhance palliative care. This research has important implications for healthcare professionals and policymakers, indicating a need for a patient-centred palliative care model that integrates technology more effectively.