A Scoping Review on the Empowerment of Community Elderly Health Services by Digital-Intelligent Health Management Platforms postprint

Abstract: Background　The rapid development of digital technologies such as the Internet of Things (IoT), big data, and artificial intelligence (AI) offers new opportunities for empowering the health management of the elderly in communities. However, the integrated effects, implementation barriers, and health benefits of these technologies require systematic evaluation. Objective　This scoping review aims to systematically summarize the current research status of digital health management platforms in empowering the health management of the elderly in communities, providing a basis for future research, policy-making, and platform optimization. Methods　This study followed the scoping review framework by Arksey & O'Malley, and established inclusion and exclusion criteria based on the PCC (Population-Concept-Context) model. Systematic searches were conducted in CNKI, WanFang, PubMed, and Web of Science databases between May and June 2025 to identify literature related to digital-intelligent health management platforms empowering health services for community-dwelling older adults. The search period was set from June 1, 2015 to June 1, 2025. Results　A total of 50 relevant literature were retrieved and screened, including 13 Chinese and 37 English publications. The technical architecture of the included platforms generally follows the "perception layer-transmission layer-processing layer-application layer" model. The core functions focus on real-time health monitoring and early warning, multi-source data fusion and intelligent decision-making, personalized intervention, as well as collaborative integration of medical, nursing and care resources. Empirical studies show that it can effectively improve the health behaviors of the elderly, enhance the efficiency of chronic disease management, and optimize the speed of service response. Conclusion　Digital-intelligent health management platforms demonstrate significant potential in empowering health services for community-dwelling older adults. However, current research is limited by a lack of high-quality empirical evidence. Future efforts should focus on conducting localized, multi-dimensional effectiveness studies in real-world settings.