Conceptual Insights and Research Avenues in Digital Health for the Ageing Population
摘要
The growth of the digital health landscape highlights pressing challenges, particularly for vulnerable groups like the ageing population, amid a demographic shift toward ageing populations and a shortage of healthcare professionals trained to manage age-related health complexities. Current literature predominantly focuses on individual digital health technologies, often neglecting their integration within a holistic healthcare framework. This paper addresses an underexplored area through a systematic literature review of 58 peer-reviewed articles, analysed via content analysis. The study proposes an interpretive conceptual framework that illustrates how digital technologies support ageing adults across the continuum of care. Informed by the connected care model and patient journey perspectives, the D-CARE framework conceptualises a three-dimensional matrix that aligns the core functions of digital health technologies, the temporal phases of care, and the healthcare outcomes they aim to support. Reflecting the temporal and spatial expansion of care processes, this structure enables the identification of three core types of integrated, technology-enabled services: preventive support, personalised care and health maintenance. The proposed framework provides a lens for understanding how digital technology mediates, structures, and transforms both the patient journey and the connected care approach. Informed by the connected care model and patient journey perspectives, the framework identifies three core categories of technology-enabled services: preventive support, personalised care, and health maintenance. The findings bring together previously overlooked connections in the literature, suggesting potential insights into how digital solutions could contribute to more integrated, continuity‑oriented care models for ageing populations.