Digital transformation of home-based care: a narrative review of nursing, technology, and management synergies
Source: PubMed Central Open Access, NCBI / U.S. National Library of Medicine
Background The transition from the home-based care model represents an unprecedented revolution in the healthcare industry, with the conventional clinical-based healthcare system being replaced by innovations in digital health. Yet there is no comprehensive analysis that explains how nursing practices, healthcare management, and the digital health domain work together along with the community-based care system. The data in this regard is fragmented. This review summarizes findings on integrating nursing, technology, and management to support chronic care. Methodology A literature was screened by searching in PubMed, Scopus, and Web of Science databases using keywords such as “home-based primary care,” “nurse-led models,” “telehealth,” and “digital health equity,” with a focus on studies published between 2010 and 2025. The literature was searched for high-quality, peer-reviewed publications in English. The researchers selected 115 papers to conduct their in-depth study based on titles, abstracts, and full text. Results These studies indicate that the shift from conventional home care methods to digital home care delivery requires nurses to develop digital skills to lead their teams while delivering personalized telehealth services. Nurses play a central role in coordinating care, facilitating patient engagement with effective technological developments that now provide better access to safer systems that enhance quality of life, while management frameworks support execution t
Abstract
Background The transition from the home-based care model represents an unprecedented revolution in the healthcare industry, with the conventional clinical-based healthcare system being replaced by innovations in digital health. Yet there is no comprehensive analysis that explains how nursing practices, healthcare management, and the digital health domain work together along with the community-based care system. The data in this regard is fragmented. This review summarizes findings on integrating nursing, technology, and management to support chronic care. Methodology A literature was screened by searching in PubMed, Scopus, and Web of Science databases using keywords such as “home-based primary care,” “nurse-led models,” “telehealth,” and “digital health equity,” with a focus on studies published between 2010 and 2025. The literature was searched for high-quality, peer-reviewed publications in English. The researchers selected 115 papers to conduct their in-depth study based on titles, abstracts, and full text. Results These studies indicate that the shift from conventional home care methods to digital home care delivery requires nurses to develop digital skills to lead their teams while delivering personalized telehealth services. Nurses play a central role in coordinating care, facilitating patient engagement with effective technological developments that now provide better access to safer systems that enhance quality of life, while management frameworks support execution through policy development and resource allocation. Conclusion The existing challenges include staff shortages, digital access problems, and obstacles created by existing regulations. Gaps still exist in the long-term cost-effectiveness of digital health, accessibility of resources equally to all areas, and effect of remote care on the relationship of nurses and patients. The field of home care requires resilient and equitable systems that need both predictive analytics and social health factor solutions and ongoing partnerships between different sectors. Home care will depend on nursing leaders with digital skills to ensure that technology helps them provide empathetic patient care.