Department of Oncology and Hemato-Oncology, University of Milan, Milan, 20122, MI, Italy.
Psycho-Oncology Division, European Institute of Oncology, Milan, 20141, MI, Italy.
BMC Health Serv Res. 2023 May 23;23(1):528. doi: 10.1186/s12913-023-09513-5.
Emerging Technologies (ETs) have recently acquired great relevance in elderly care. The exceptional experience with SARS-CoV-2 pandemic has emphasized the usefulness of ETs in the assistance and remote monitoring of older adults. Technological devices have also contributed to the preservation of social interactions, thus reducing isolation and loneliness. The general purpose of this work is to provide a comprehensive and updated overview of the technologies currently employed in elderly care. This objective was achieved firstly, by mapping and classifying the ETs currently available on the market and, secondly, by assessing the impact of such ETs on elderly care, exploring the ethical values promoted, as well as potential ethical threats.
An in-depth search was carried out on Google search engine, by using specific keywords (e.g. technology, monitoring techniques, ambient intelligence; elderly, older adults; care and assistance). Three hundred and twenty-eight technologies were originally identified. Then, based on a predetermined set of inclusion-exclusion criteria, two hundreds and twenty-two technologies were selected.
A comprehensive database was elaborated, where the two hundred and twenty-two ETs selected were classified as follows: category; developmental stage; companies and/or partners; functions; location of development; time of development; impact on elderly care; target; website. From an in-depth qualitative analysis, some ethically-related contents and themes emerged, namely: questions related to safety, independence and active aging, connectedness, empowerment and dignity, cost and efficiency. Although not reported by developers, a close analysis of website contents highlights that positive values are often associated with potential risks, notably privacy threats, deception, dehumanization of care.
Research findings may ultimately lead to a better understanding of the impact of ETs on elderly people.
新兴技术(ETs)最近在老年护理领域引起了广泛关注。在 SARS-CoV-2 大流行期间的特殊经历强调了 ETs 在帮助和远程监测老年人方面的实用性。技术设备也有助于保持社交互动,从而减少隔离和孤独感。这项工作的总体目的是提供当前在老年护理中使用的技术的全面和最新概述。这一目标首先通过对市场上现有 ETs 进行映射和分类来实现,其次通过评估这些 ETs 对老年护理的影响,探索所促进的伦理价值观以及潜在的伦理威胁来实现。
在 Google 搜索引擎上进行了深入搜索,使用了特定的关键词(例如技术、监测技术、环境智能;老年人、老年人;护理和援助)。最初确定了 328 种技术。然后,根据预定的一组包含-排除标准,选择了 222 种技术。
精心制作了一个综合数据库,其中将选定的 222 种 ETs 分类如下:类别;发展阶段;公司和/或合作伙伴;功能;开发地点;开发时间;对老年护理的影响;目标;网站。通过深入的定性分析,出现了一些与伦理相关的内容和主题,即:与安全、独立和积极老龄化、联系、赋权和尊严、成本和效率相关的问题。尽管开发人员没有报告,但对网站内容的仔细分析表明,积极的价值观往往与潜在的风险相关联,尤其是隐私威胁、欺骗、护理去人性化。
研究结果最终可能会更好地了解 ETs 对老年人的影响。