Application of Digital Technology in Palliative Care in Japan.

Journal of hospice and palliative care Pub Date : 2026-09-01 DOI:10.14475/jhpc.2026.29.3.61

Kazuyuki Niki

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Abstract

Purpose: To provide a comprehensive overview of the use of digital technology in palliative care, focusing on its potential and challenges.

Methods: A narrative review of recent literature and clinical applications in Japan was conducted by examining smartphone applications, extended reality (XR), electronic patient-reported outcomes (ePRO), non-wearable sensors, and artificial intelligence.

Results: Smartphone applications provide continuous psychological support and alleviate loneliness. XR (mainly virtual reality) offers distraction therapy for symptom relief and fulfills patients' "last wishes." ePRO systems and non-wearable bed sensors enable proactive care through real-time symptom and agitation monitoring. AI assists in predicting non-visible symptoms and formulating personalized care plans. Despite these benefits, challenges such as the digital divide, ethical and legal concerns, and the need for high-quality evidence remain.

Conclusion: Digital technologies can significantly enhance non-pharmacological interventions in palliative care. Realizing "personalized digital palliative care" requires the integration of these tools according to individual patient needs, along with the resolution of ethical and technical issues.

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数字技术在日本姑息治疗中的应用。

目的：全面概述数字技术在姑息治疗中的应用，重点关注其潜力和挑战。方法：通过研究智能手机应用、扩展现实（XR）、电子患者报告结果（ePRO）、非可穿戴传感器和人工智能，对日本最近的文献和临床应用进行了叙述性回顾。结果：智能手机应用提供持续的心理支持，缓解孤独感。XR（主要是虚拟现实）提供分心治疗以缓解症状并满足患者的“最后愿望”，ePRO系统和非穿戴式床传感器通过实时症状和躁动监测实现主动护理。人工智能有助于预测不可见的症状并制定个性化的护理计划。尽管有这些好处，但数字鸿沟、道德和法律问题以及对高质量证据的需求等挑战仍然存在。结论：数字技术可显著增强姑息治疗的非药物干预。实现“个性化数字姑息治疗”需要根据患者个体需求整合这些工具，同时解决伦理和技术问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of hospice and palliative care

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