Cambridge Institute of Public Health, School of Clinical Medicine, University of Cambridge, Cambridge, UK.
Ministry of Health and Welfare, Sejong, Republic of Korea.
Gerontologist. 2021 Sep 13;61(7):e345-e369. doi: 10.1093/geront/gnaa051.
With the emergence of healthy aging as a key societal issue in recent decades, technology has often been proposed as a solution to the challenges faced by aging societies. From a public health perspective, however, aging-related technologies have been inconsistently conceptualized and ill-defined. By examining how relevant concepts in "technology for aging" have been developed to date, we hope to identify gaps and begin clarifying the topic.
We conducted a scoping review according to PRISMA-ScR, drawing on PubMed and Embase. We selected articles that directly reported concepts of technology for aging, or from which such concepts could be inferred.
We identified 43 articles, most of which were narrative reviews (n = 31). Concepts of technology for aging were presented in diverse ways with some overlap. Most studies provided some terminology (n = 36), but with little conceptual uniformity. Conceptual discourse was often focused on the aging agenda; while technological aspects were poorly defined. A conceptual framework from a public health perspective was derived from 8 articles-it showed that technology strategies do not take a population approach.
While the potential of "technology for aging" is vast, its real capacity to deliver a desirable life for older people remains underdeveloped. Clearer concepts and realistic goals at population level are lacking. Efficient investment must be made throughout the social system, and technology needs to be integrated via macro-level practices.
近几十年来,随着健康老龄化成为一个关键的社会问题,技术常常被提出来作为应对老龄化社会挑战的解决方案。然而,从公共卫生的角度来看,与老龄化相关的技术的概念一直没有得到一致的理解和明确的定义。通过考察“老龄化技术”中相关概念的发展情况,我们希望能够发现其中的差距,并开始澄清这一主题。
我们根据 PRISMA-ScR 进行了范围综述,检索了 PubMed 和 Embase。我们选择了直接报告老龄化技术概念的文章,或可以从中推断出这些概念的文章。
我们确定了 43 篇文章,其中大多数是叙述性综述(n = 31)。老龄化技术的概念以不同的方式呈现,有些概念存在重叠。大多数研究都提供了一些术语(n = 36),但概念上的统一性很小。概念性讨论往往集中在老龄化议程上,而技术方面则定义不清。从公共卫生的角度得出了一个概念框架,它表明技术策略没有采取人口方法。
虽然“老龄化技术”的潜力巨大,但它真正为老年人提供理想生活的能力仍未得到充分发展。在人口层面上缺乏更清晰的概念和现实的目标。必须在整个社会系统中进行有效的投资,并且需要通过宏观层面的实践来整合技术。