ArticleHealth expectations : an international journal of public participation in health care and health policy2015
Ethical implications of home telecare for older people: a framework derived from a multisited participative study.
Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
44 citing papers in PubMed, 4 syntheses or guidelines pooled it, 128 citations in OpenAlex.
- Acceptance of telemedicine among care personnel in inpatient and outpatient elderly care: a systematic review.BMC geriatrics · 2025Pooled it
- Ethical, legal, and social aspects of health technologies for home-based paediatric palliative care - a systematic review.BMC palliative care · 2025Pooled it
- The Uses and Experiences of Synchronous Communication Technology for Home-Dwelling Older Adults in a Home Care Services Context: Qualitative Systematic Review.Journal of medical Internet research · 2024Pooled it
- The Value of Applying Ethical Principles in Telehealth Practices: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Using a Proactive Telecare System to Support Independence, Health, and Well-Being in Older Adults: Feasibility Randomized Controlled Trial.JMIR formative research · 2025Trial
- Assistive technology and telecare to maintain independent living at home for people with dementia: the ATTILA RCT.Health technology assessment (Winchester, England) · 2021Trial
- Placing assistive technology and telecare in everyday practices of people with dementia and their caregivers: findings from an embedded ethnography of a national dementia trial.BMC geriatrics · 2021Trial
- Trial
- Guiding the Ethics of Locator Devices in Dementia Care: Tutorial on Developing a Question-Based Ethical Framework.Journal of medical Internet research · 2026Article
- Highlighting person-centredness in technology supported care within nursing homes: a multiple case study.Frontiers in health services · 2026Article
- Experiences of patients with complex needs at municipal emergency outpost satellites.Scandinavian journal of primary health care · 2025Article
- Advancing Toward P6 Medicine: Recommendations for Integrating Artificial Intelligence in Internal Medicine.Clinics and practice · 2025Article
- What are the ethical issues related to telerehabilitation? A critical interpretive synthesis protocol.BMJ open · 2025Article
- Gerontechnologies, ethics, and care phases: Secondary analysis of qualitative interviews.Nursing ethics · 2025Article
- Good care and adverse effects: Exploring the use of social alarms in care for older people in Sweden.Health (London, England : 1997) · 2024Article
- Applications to augment patient care for Internal Medicine specialists: a position paper from the EFIM working group on telemedicine, innovative technologies & digital health.Frontiers in public health · 2024Review
- Understanding the Value of a Proactive Telecare System in Supporting Older Adults' Independence at Home: Qualitative Interview Study Among Key Interest Groups.Journal of medical Internet research · 2023Article
- Mobile health (mHealth) interventions in prostate cancer survivorship: a scoping review.Journal of cancer survivorship : research and practice · 2023Article
- Trends in Telecare Use among Community-Dwelling Older Adults: A Scoping Review.International journal of environmental research and public health · 2022Article
- Ethical considerations in design and implementation of home-based smart care for dementia.Nursing ethics · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextTelecare and telehealth developments have recently attracted much attention in research and service development contexts, where their evaluation has predominantly concerned effectiveness and efficiency. Their social and ethical implications, in contrast, have received little scrutiny.
objectiveTo develop an ethical framework for telecare systems based on analysis of observations of telecare-in-use and citizens' panel deliberations.
designEthnographic study (observation, work shadowing), interviews, older citizens' panels and a participative conference.
settingParticipants' homes, workplaces and familiar community venues in England, Spain, the Netherlands and Norway 2008-2011.
resultsOlder respondents expressed concerns that telecare might be used to replace face-to-face/hands-on care to cut costs. Citizens' panels strongly advocated ethical and social questions being considered in tandem with technical and policy developments. Older people are too often excluded from telecare system design, and installation is often wrongly seen as a one-off event. Some systems enhance self-care by increasing self-awareness, while others shift agency away from the older person, introducing new forms of dependency.
conclusionsTelecare has care limitations; it is not a solution, but a shift in networks of relations and responsibilities. Telecare cannot be meaningfully evaluated as an entity, but rather in the situated relations people and technologies create together. Characteristics of ethical telecare include on-going user/carer engagement in decision making about systems: in-home system evolution with feedback opportunities built into implementation. System design should be horizontal, 'two-way'/interactive rather than vertical or 'one-way'. An ethical framework for telecare has been developed from these conclusions (Table 1).
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.