Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review

Abstract Background The worldwide increase in older persons demands technological solutions to combat the shortage of caregiving and to enable aging in place. Smart home health technologies (SHHTs) are promoted and implemented as a possible solution from an economic and practical perspective. Howeve...

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Main Authors: Nadine Andrea Felber, Yi Jiao (Angelina) Tian, Félix Pageau, Bernice Simone Elger, Tenzin Wangmo
Format: Article
Language:English
Published: BMC 2023-03-01
Series:BMC Medical Ethics
Subjects:
Online Access:https://doi.org/10.1186/s12910-023-00898-w
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author Nadine Andrea Felber
Yi Jiao (Angelina) Tian
Félix Pageau
Bernice Simone Elger
Tenzin Wangmo
author_facet Nadine Andrea Felber
Yi Jiao (Angelina) Tian
Félix Pageau
Bernice Simone Elger
Tenzin Wangmo
author_sort Nadine Andrea Felber
collection DOAJ
description Abstract Background The worldwide increase in older persons demands technological solutions to combat the shortage of caregiving and to enable aging in place. Smart home health technologies (SHHTs) are promoted and implemented as a possible solution from an economic and practical perspective. However, ethical considerations are equally important and need to be investigated. Methods We conducted a systematic review according to the PRISMA guidelines to investigate if and how ethical questions are discussed in the field of SHHTs in caregiving for older persons. Results 156 peer-reviewed articles published in English, German and French were retrieved and analyzed across 10 electronic databases. Using narrative analysis, 7 ethical categories were mapped: privacy, autonomy, responsibility, human vs. artificial interactions, trust, ageism and stigma, and other concerns. Conclusion The findings of our systematic review show the (lack of) ethical consideration when it comes to the development and implementation of SHHTs for older persons. Our analysis is useful to promote careful ethical consideration when carrying out technology development, research and deployment to care for older persons. Registration We registered our systematic review in the PROSPERO network under CRD42021248543.
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spelling doaj.art-22dc66afb7864caf9157b184bb6718862023-04-03T05:39:56ZengBMCBMC Medical Ethics1472-69392023-03-0124111310.1186/s12910-023-00898-wMapping ethical issues in the use of smart home health technologies to care for older persons: a systematic reviewNadine Andrea Felber0Yi Jiao (Angelina) Tian1Félix Pageau2Bernice Simone Elger3Tenzin Wangmo4Institute of Biomedical Ethics, University of BaselInstitute of Biomedical Ethics, University of BaselFaculty of Medicine, Université LavalInstitute of Biomedical Ethics, University of BaselInstitute of Biomedical Ethics, University of BaselAbstract Background The worldwide increase in older persons demands technological solutions to combat the shortage of caregiving and to enable aging in place. Smart home health technologies (SHHTs) are promoted and implemented as a possible solution from an economic and practical perspective. However, ethical considerations are equally important and need to be investigated. Methods We conducted a systematic review according to the PRISMA guidelines to investigate if and how ethical questions are discussed in the field of SHHTs in caregiving for older persons. Results 156 peer-reviewed articles published in English, German and French were retrieved and analyzed across 10 electronic databases. Using narrative analysis, 7 ethical categories were mapped: privacy, autonomy, responsibility, human vs. artificial interactions, trust, ageism and stigma, and other concerns. Conclusion The findings of our systematic review show the (lack of) ethical consideration when it comes to the development and implementation of SHHTs for older persons. Our analysis is useful to promote careful ethical consideration when carrying out technology development, research and deployment to care for older persons. Registration We registered our systematic review in the PROSPERO network under CRD42021248543.https://doi.org/10.1186/s12910-023-00898-wBiomedical ethicsCaregivingOlder personsSmart homeHealth technologyAging
spellingShingle Nadine Andrea Felber
Yi Jiao (Angelina) Tian
Félix Pageau
Bernice Simone Elger
Tenzin Wangmo
Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review
BMC Medical Ethics
Biomedical ethics
Caregiving
Older persons
Smart home
Health technology
Aging
title Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review
title_full Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review
title_fullStr Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review
title_full_unstemmed Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review
title_short Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review
title_sort mapping ethical issues in the use of smart home health technologies to care for older persons a systematic review
topic Biomedical ethics
Caregiving
Older persons
Smart home
Health technology
Aging
url https://doi.org/10.1186/s12910-023-00898-w
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