Evidence map›Paper›PMID 42045873›Full record

ArticleBMC palliative care2026

CARE-HOUSE: developing a framework for conceptualizing social implications of digital health technologies in palliative care.

Natalie Öhl, Tobias Steigleder, Eva Maria Hille, Matthias Braun, Alina Weisser, Felix Mühlensiepen, Martin Vossiek, Björn Eskofier, Alexander Kölpin, Peter Dabrock and 3 more

Abstract read
In one paragraph

Article in BMC palliative care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Natalie ÖhlDepartment of Palliative Medicine, University Hospital Erlangen, Friedrich- Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany. natalie.oehl@evhn.de.
Tobias SteiglederDepartment of Palliative Medicine, University Hospital Erlangen, Friedrich- Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Eva Maria HilleDepartment of (Social) Ethics, Faculty of Protestant Theology, Rheinische Friedrich- Wilhelms-Universität Bonn, Bonn, Germany.
Matthias BraunDepartment of (Social) Ethics, Faculty of Protestant Theology, Rheinische Friedrich- Wilhelms-Universität Bonn, Bonn, Germany.
Alina WeisserDepartment of Palliative Medicine, University Hospital Erlangen, Friedrich- Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Felix MühlensiepenCenter for Health Services Research, Faculty for Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Ruedersdorf, Germany.
Martin VossiekDepartment of Electrical-Electronic-Communication Engineering, Institute of Microwaves and Photonics, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Björn EskofierChair of Machine Learning and Data Analytics, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Alexander KölpinInstitute for High Frequency Technology, Hamburg University of Technology, Hamburg, Germany.
Peter DabrockChair for Systematic Theology II (Ethics), Friedrich-Alexander-Universität Erlangen- Nürnberg, Erlangen, Germany.
Cynthia C ForbesWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Kingston upon Hull, UK.
Christoph OstgatheDepartment of Palliative Medicine, University Hospital Erlangen, Friedrich- Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Maria HeckelDepartment of Palliative Medicine, University Hospital Erlangen, Friedrich- Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of digital health technologies holds potential benefits for palliative care. Their implementation is fundamentally shifting routines and care practices. These shifts entail social implications that are complex, may emerge gradually and are challenging to identify. However, the social implications of digital health technologies are not conceptualized yet. This study addresses this gap by developing a framework on the social implications of digital technologies in palliative care, where the importance of social inclusion and interpersonal connection is particularly evident.

methodsWe assessed the potential social implications of digital health technologies’ use in palliative care through a sequential research design using qualitative empirical methods of social research. Alongside conducting an iterative narrative literature review, we held multidisciplinary expert consultations using a conceptual mapping method and focus groups involving researchers, clinicians, and a patient and public involvement group, analyzed with qualitative structured content analysis.

resultsParticipants as well as the literature review identified key areas to the understanding and analysis of the social implications of digital health technologies in palliative care: principles and objectives of palliative care (patient-centered care, Total care, multiprofessional collaboration, relieving suffering, improving quality of life); the various actors involved in a specific care practice; the different roles they might have; the interactions among different actors; the tasks individual actors might carry out; the processes they are involved in; and the contexts they are embedded in. These factors were summarized and set out in the CARE-HOUSE Framework to conceptualize the social implications of digital health technologies’ use in palliative care and to support researchers in assessing the impacts of these technologies.

conclusionsThe CARE-HOUSE Framework provides guidance for analyzing the social implications of digital health technologies in palliative care. It will be for future studies to evaluate the framework’s adaptability and scalability to diverse technologies and settings.

Indexed as

Biomedical TechnologyDigital TechnologyPalliative CareDigital HealthDigital MediaFocus GroupsHumansQualitative ResearchFrameworkPalliative careQualitative researchSocial implicationsTechnology

Identifiers

PMID42045873
PMCPMC13112699

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.