Ethical and Quality of Care–Related Challenges of Digital Health Twins in Care Settings for Older Adults: Scoping Review

The studies reviewed reveal several critical characteristics regarding the implementation of DHT technologies and their associated ethical considerations, particularly in terms of safety, equity, timing, location, participant characteristics, and workflow impact. The implications of these challenges emphasize the necessity for more practical ethical guidelines and policy frameworks to mitigate the potential risks associated with DHT application in older care. Further research should be conducted to examine other dimensions of the quality of care, such as access, timeliness, acceptability, and appropriateness.