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Targeted Digital Health Intervention in End-of-Life and Hospice Care: A Scoping Review
Misun Jeon1, Heejung Jeon1, Sanghee Kim2,3
1College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, South Korea.
Journal of Advanced Nursing
|January 3, 2025
Summary
Digital health shows promise for end-of-life (EOL) and hospice care, but challenges in study design and implementation exist. Future strategies must prioritize human-centered digital tools for providers and user-centered designs for patients.
Area of Science:
- Palliative Care and Digital Health Integration
- Healthcare Innovation in End-of-Life Services
Background:
- Digital health interventions are increasingly effective in palliative care.
- End-of-life (EOL) and hospice care, while part of palliative care, have distinct characteristics.
- Research trends in digital health for EOL and hospice care require examination.
Purpose of the Study:
- To review current research trends in digital health for end-of-life (EOL) and hospice care.
- To guide the development of effective digital health strategies in these specialized care settings.
- To identify key challenges and opportunities for digital health implementation.
Main Methods:
- A scoping review was conducted using systematic searches across multiple databases (CINAHL, MEDLINE, SCOPUS, EMBASE, Cochrane, Web of Science).
- Studies published between 2019 and 2023 using keywords 'end of life', 'hospice', and 'digital health' were included.
- Data extraction and categorization followed the Joanna Briggs Institute framework, aligning with WHO and Deloitte classifications.
Main Results:
- Out of 4342 identified studies, 38 met the inclusion criteria, with most being retrospective and lacking control groups.
- Key targets for digital health interventions were healthcare systems (44.2%) and patients (25.6%).
- Health analytics (44.7%) and mobile health (mHealth) (23.7%) were prominent, focusing on EOL transitions and symptom management, with utilization, efficiency, and quality as primary challenges.
Conclusions:
- Digital health interventions offer significant potential for improving EOL and hospice care quality.
- Challenges include limited study designs, selecting appropriate digital modalities, building rapport, and the risk of exacerbating health inequalities.
- Future interventions should focus on human-centered digital capabilities for healthcare providers and user-centered designs for patients and caregivers.
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