Multi-Agent Collaboration in Long-Term Care Service System—— An International Research Review from the Perspective of Digital Technology

China Health Insurance ›› 2025, Vol. 0 ›› Issue (8) : 23-30.

China Health Insurance ›› 2025, Vol. 0 ›› Issue (8) : 23-30. DOI: 10.19546/j.issn.1674-3830.2025.8.003
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Multi-Agent Collaboration in Long-Term Care Service System—— An International Research Review from the Perspective of Digital Technology

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Abstract

Objective: The paper systematically analyzes the mechanism of multi-agent collaboration enabled by digital technology in the long-term care service system, existing obstacles, and the construction path of an effective collaboration mechanism. Method: An integrative review method was employed to search the PubMed and Web of Science databases using the terms "multi-agent collaboration", "long-term care", and "digital technology", from the establishment of the databases to May 2025. We screened literature by establishing inclusion and exclusion criteria and 11 articles that met the requirements were ultimately included. The thematic analysis method was adopted to extract and integrate the literature data for analysis. Results: The multi-agent collaboration of long-term care service system from the perspective of digital technology can be divided into implementation dimensions and collaborative mechanisms. The implementation dimensions cover information flow, workflow, multi-agent collaboration and experience, obstacles and facilitating factors, opportunities and challenges, and construction paths. The collaborative mechanisms include the construction of a digital platform and a multi-agent dialogue mechanism. Conclusion: Digital technology offers an innovative path for multi-agent collaboration in long-term care service systems, but its effectiveness relies on the coordination of technology, organization, and policy.

Key words

long-term care / multi-agent collaboration / digital technology / international experience

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Multi-Agent Collaboration in Long-Term Care Service System—— An International Research Review from the Perspective of Digital Technology[J]. China Health Insurance. 2025, 0(8): 23-30 https://doi.org/10.19546/j.issn.1674-3830.2025.8.003

References

[1] World Health Organization. Ageing and health.[EB/OL]. (2024-10-01)[2025-04-18]. https://www.who.int/zh/news-room/fact-sheets/detail/ageing-and-health.
[2] 韩润霖,韩晓静,张立龙,等.中国农村失能老年人口的规模、结构与发展趋势——基于CLHLS数据和第七次全国人口普查数据的研究[J].人口研究,2023,47(02):63-77.
[3] 中华人民共和国民政部.民政部、全国老龄办发布《2024年度国家老龄事业发展公报》[EB/OL].(2025-07-24)[2025-08-14].https://www.mca.gov.cn/n152/n165/c1662004999980006089/part/21508.pdf.
[4] FENG Z L, GLINSKAYA E, CHEN H T, et al.Long-term care system for older adults in China: policy landscape, challenges, and future prospects[J]. Lancet, 2020, 396(10259):1362-1372.
[5] HE X L, WANG J L, LIANG Y.Developing integrated person-centered care quality indicators for home health agencies in Shanghai, China: a modified Delphi-analytic hierarchy process study[J]. Geriatric nursing, 2024, 58:1-7.
[6] 靳慧,赵明月,谢慧玲.中国商业长期护理保险发展现状分析[J].卫生经济研究,2024,41(4):51-55.
[7] 王雯,高紫璇.长护保险支持家庭非正式照护的国际经验与启示[J].中国医疗保险,2024(11):55-60.
[8] DEUSDAD B, DJURDJEVIC M, HALL K A E. Participation of older adults in the digital co-creation of long-term care services with the SoCaTel platform[J]. International journal of care and caring, 2024:1-21.
[9] KUOPPAKANGAS P, STENVALL J, KINDER T, et al.Detecting and managing the mechanism of perceived meaningfulness of work and digital transformation in public sector health and social care services[J]. Technological forecasting and social change, 2023.
[10] 杨思兰, 张杰, 李娟, 等. 整合性综述及其在国外护理领域的应用进展[J]. 解放军护理杂志, 2020, 37(7):54-57.
[11] ROST T B, CLAUSEN C, NYTRO O, et al.Local, early, and precise: designing a clinical decision support system for child and adolescent mental health services[J]. Frontiers in psychiatry, 2020, 11:564205.
[12] MONACO A, CASTEIG BLANCO A, COBAIN M, et al.The role of collaborative, multistakeholder partnerships in reshaping the health management of patients with noncommunicable diseases during and after the COVID-19 pandemic[J]. Aging clinical and experimental research, 2021, 33(10):2899-2907.
[13] TOLLEY C, SEYMOUR H, WATSON N, et al.Barriers and Opportunities for the Use of Digital Tools in Medicines Optimization Across the Interfaces of Care: Stakeholder Interviews in the United Kingdom[J]. JMIR medical informatics, 2023, 11:e42458.
[14] NABELSI V, PLOUFFE V.Enhancing care coordination in oncology and nononcology thoracic surgery care pathways through a digital health solution: mixed methods study[J]. JMIR formative research, 2024, 8:e60.
[15] LOMMI M, D’AGOSTINO F, ESPOSITO G, et al. Perception of utility and efficacy of implementation of TEC-MED model of care for frail older people and their caregivers: a qualitative study[J]. International journal of older people nursing, 2024, 19(6): e12658.
[16] DAS S, HUSSEY P.HL7-FHIR-Based ContSys Formal Ontology for Enabling Continuity of Care Data Interoperability[J]. Journal of personalized medicine, 2023, 13(7):1024.
[17] LIN G, LIN T K, ALLUHIDAN M, et al.Evidence for building an integrated dementia healthcare system: a systematic review[J]. Clinical gerontologist, 2025:1-17.
[18] KUEPER J K, TERRY A, BAHNIWAL R, et al.Connecting artificial intelligence and primary care challenges: findings from a multi stakeholder collaborative consultation[J]. BMJ health and care informatics, 2022, 29(1):e100493.
[19] PEEK S T M, WOUTERS E J M, LUIJKX K G, et al. What it takes to successfully implement technology for aging in place: focus groups with stakeholders[J]. Journal of medical internet research, 2016, 18(5): e98.
[20] RODOLFO I M S. Design strategy for integrated personal health records: improving the user experience of digital healthcare and wellbeing[D]. Lisbon: Universidade NOVA de Lisboa, 2017.
[21] GORDON A L, RAND S, CRELLIN E, et al. Piloting a minimum data set for older people living in care homes in England: a developmental study[J]. Age and ageing, 2025, 54(1): afaf001.
[22] Department of Health & Social Care. Data saves lives: reshapinghealth and socialcare withdata[EB/OL]. (2022-06-15)[2024-12-03]. https://www.gov.uk/government/publications/data-saves-lives-reshaping-health-and-social-care-with-data/data-saves-lives-reshaping-health-and-social-care-with-data.
[23] 国家发展改革委.国家发展改革委等部门关于印发《促进普惠养老服务高质量发展的若干措施》的通知[EB/OL].(2025-02-28)[2025-04-22].https://www.gov.cn/zhengce/zhengceku/202502/content_7008789.htm.
[24] MARWAHA J S, LANDMAN A B, BRAT G A, et al.Deploying digital health tools within large, complex health systems: key considerations for adoption and implementation[J]. NPJ digital medicine, 2022, 5(1):13.
[25] YU J, HUANG J, YANG Q.Long-term adoption or abandonment of smart technology in the Chinese elderly home care environment: a qualitative research study[J]. Healthcare, 2023, 11(17):2440.

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