Digitisation and the patient–professional relationship in palliative care
Abstract
Over the next 20 years, the increasing use of digital technologies will change how healthcare, including palliative care, is delivered. Advances in electronic health records, telemedicine, smartphone apps, sensors and wearables for diagnostics and remote monitoring, speech recognition and natural language processing, virtual and augmented reality, automated image interpretation using artificial intelligence, interventional and rehabilitative robotics, and predictive analytics using artificial intelligence will all begin to reshape healthcare as they become more affordable and widespread1 (see Box 1 for more detailed examples related to palliative care). One of the most far-reaching impacts will be the way such changes affect the patient–professional relationship in palliative care contexts. From Laënnec’s invention of the stethoscope in the early 1800s, there have been concerns about how the introduction of new technologies affects the patient– professional relationship.2 Central to these concerns has been the perceived tension between the potential for technologies to improve care and the extent to which they may affect the relationship between patient and healthcare provider. The ability to establish and maintain a relationship between patients and healthcare professionals involves respect for patient values and goals, empathetic listening skills, enhancing dignity and patient-centredness, and is defined as a core constituent of palliative care by the European Association…
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