IDEAS home Printed from https://ideas.repec.org/a/spr/soinre/v169y2023i1d10.1007_s11205-023-03172-z.html
   My bibliography  Save this article

Demographic and Economic Determinants of Digitalization in Healthcare: An Exploratory Analysis of the Italian Local Health Centers

Author

Listed:
  • Margaret Antonicelli

    (La Sapienza University)

  • Michele Rubino

    (Lum Giuseppe Degennaro University)

  • Filomena Maggino

    (La Sapienza University)

Abstract

The last few years have seen an increasing attention of academics and professionals towards the evaluation of the impact of digitization in the healthcare sector. However, previous studies have mainly focused on the potential effects and benefits of disruptive technologies on the whole healthcare system and have not focused on the analysis of the fundamental parameters at the introduction of new computerised processes within this sector. This study investigates the demographic and economic determinants of digitisation, focusing on the population of Italian ASLs. To conduct the analysis, we adopt the Tobit model. The construction of a weighted composite indicator makes it possible to measure the level of digitization of individual healthcare organisations, highlighting the critical issues present within the variables that make up the indicator. Although the results confirm our hypotheses, some critical reflections emerge regarding the digitization policies adopted. This study offers important theoretical and practical implications and enriches the current literature on the topic of digitization in healthcare.

Suggested Citation

  • Margaret Antonicelli & Michele Rubino & Filomena Maggino, 2023. "Demographic and Economic Determinants of Digitalization in Healthcare: An Exploratory Analysis of the Italian Local Health Centers," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 169(1), pages 529-552, September.
  • Handle: RePEc:spr:soinre:v:169:y:2023:i:1:d:10.1007_s11205-023-03172-z
    DOI: 10.1007/s11205-023-03172-z
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s11205-023-03172-z
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.

    File URL: https://libkey.io/10.1007/s11205-023-03172-z?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Dinh Thanh, Su & Hart, Neil & Canh, Nguyen Phuc, 2020. "Public spending, public governance and economic growth at the Vietnamese provincial level: A disaggregate analysis," Economic Systems, Elsevier, vol. 44(4).
    2. Céline Carrère & Jaime de Melo, 2015. "Fiscal Spending and Economic Growth: Some Stylized Facts," World Scientific Book Chapters, in: Developing Countries in the World Economy, chapter 7, pages 167-196, World Scientific Publishing Co. Pte. Ltd..
    3. Gonzalez-Eiras, Martín & Niepelt, Dirk, 2012. "Ageing, government budgets, retirement, and growth," European Economic Review, Elsevier, vol. 56(1), pages 97-115.
    4. Jäger, Philipp & Schmidt, Torsten, 2016. "The political economy of public investment when population is aging: A panel cointegration analysis," European Journal of Political Economy, Elsevier, vol. 43(C), pages 145-158.
    5. Thompson, Herbert Jr. & Garbacz, Christopher, 2007. "Mobile, fixed line and Internet service effects on global productive efficiency," Information Economics and Policy, Elsevier, vol. 19(2), pages 189-214, June.
    6. Hardy, Andrew P., 1980. "The role of the telephone in economic development," Telecommunications Policy, Elsevier, vol. 4(4), pages 278-286, December.
    7. Shelton, Cameron A., 2008. "The aging population and the size of the welfare state: Is there a puzzle?," Journal of Public Economics, Elsevier, vol. 92(3-4), pages 647-651, April.
    8. Matti Pohjola, 2002. "The New Economy in Growth and Development," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 18(3), pages 380-396.
    9. Giuseppe Di Liddo & Cosimo Magazzino & Francesco Porcelli, 2015. "Decentralization, Growth And Optimal Government Size In The Italian Regional Framework," Working Papers 0115, CREI Università degli Studi Roma Tre, revised 2015.
    10. Kraus, Sascha & Schiavone, Francesco & Pluzhnikova, Anna & Invernizzi, Anna Chiara, 2021. "Digital transformation in healthcare: Analyzing the current state-of-research," Journal of Business Research, Elsevier, vol. 123(C), pages 557-567.
    11. Muthi Samudram & Mahendhiran Nair & Santha Vaithilingam, 2009. "Keynes and Wagner on government expenditures and economic development: the case of a developing economy," Empirical Economics, Springer, vol. 36(3), pages 697-712, June.
    12. Berndt, Ernst R. & Morrison, Catherine J., 1995. "High-tech capital formation and economic performance in U.S. manufacturing industries An exploratory analysis," Journal of Econometrics, Elsevier, vol. 65(1), pages 9-43, January.
    13. Appiah-Otoo, Isaac & Song, Na, 2021. "The impact of ICT on economic growth-Comparing rich and poor countries," Telecommunications Policy, Elsevier, vol. 45(2).
    14. Verhoef, Peter C. & Broekhuizen, Thijs & Bart, Yakov & Bhattacharya, Abhi & Qi Dong, John & Fabian, Nicolai & Haenlein, Michael, 2021. "Digital transformation: A multidisciplinary reflection and research agenda," Journal of Business Research, Elsevier, vol. 122(C), pages 889-901.
    15. Neset Hikmet & Anol Bhattacherjee & Nir Menachemi & Varol Kayhan & Robert Brooks, 2008. "The role of organizational factors in the adoption of healthcare information technology in Florida hospitals," Health Care Management Science, Springer, vol. 11(1), pages 1-9, March.
    16. Ritu Agarwal & Guodong (Gordon) Gao & Catherine DesRoches & Ashish K. Jha, 2010. "Research Commentary ---The Digital Transformation of Healthcare: Current Status and the Road Ahead," Information Systems Research, INFORMS, vol. 21(4), pages 796-809, December.
    17. Scully, Gerald W, 2003. "Optimal Taxation, Economic Growth and Income Inequality," Public Choice, Springer, vol. 115(3-4), pages 299-312, June.
    18. Barro, Robert J, 1990. "Government Spending in a Simple Model of Endogenous Growth," Journal of Political Economy, University of Chicago Press, vol. 98(5), pages 103-126, October.
    19. Ramaswamy, Venkat & Ozcan, Kerimcan, 2016. "Brand value co-creation in a digitalized world: An integrative framework and research implications," International Journal of Research in Marketing, Elsevier, vol. 33(1), pages 93-106.
    20. Ik-Whan G. Kwon & Sung-Ho Kim & David Martin, 2021. "Integrating Social Determinants of Health to Precision Medicine through Digital Transformation: An Exploratory Roadmap," IJERPH, MDPI, vol. 18(9), pages 1-8, May.
    21. James M. Poterba, 1997. "Demographic structure and the political economy of public education," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 16(1), pages 48-66.
    22. Erik Brynjolfsson, 1996. "The Contribution of Information Technology to Consumer Welfare," Information Systems Research, INFORMS, vol. 7(3), pages 281-300, September.
    23. António Afonso & João Jalles, 2016. "Economic performance, government size, and institutional quality," Empirica, Springer;Austrian Institute for Economic Research;Austrian Economic Association, vol. 43(1), pages 83-109, February.
    24. Vu, Khuong M., 2011. "ICT as a source of economic growth in the information age: Empirical evidence from the 1996-2005 period," Telecommunications Policy, Elsevier, vol. 35(4), pages 357-372, May.
    25. Kevin J. Stiroh, 2001. "Investing in information technology: productivity payoffs for U.S. industries," Current Issues in Economics and Finance, Federal Reserve Bank of New York, vol. 7(Jun).
    26. Mahmood Hajli & Julian M. Sims & Valisher Ibragimov, 2015. "Information technology (IT) productivity paradox in the 21st century," International Journal of Productivity and Performance Management, Emerald Group Publishing Limited, vol. 64(4), pages 457-478, April.
    27. Tepe, Markus & Vanhuysse, Pieter, 2009. "Are Aging OECD Welfare States on the Path to Gerontocracy?," Journal of Public Policy, Cambridge University Press, vol. 29(1), pages 1-28, April.
    28. Muthi Samudram & Mahendhiran Nair & Santha Vaithilingam, 2009. "Keynes and Wagner on government expenditures and economic development: the case of a developing economy," Empirical Economics, Springer, vol. 36(3), pages 713-713, June.
    29. Go Jefferies, Josephine & Bishop, Simon & Hibbert, Sally, 2019. "Customer boundary work to navigate institutional arrangements around service interactions: Exploring the case of telehealth," Journal of Business Research, Elsevier, vol. 105(C), pages 420-433.
    30. Harris, Amy Rehder & Evans, William N. & Schwab, Robert M., 2001. "Education spending in an aging America," Journal of Public Economics, Elsevier, vol. 81(3), pages 449-472, September.
    31. Dissou, Yazid & Didic, Selma & Yakautsava, Tatsiana, 2016. "Government spending on education, human capital accumulation, and growth," Economic Modelling, Elsevier, vol. 58(C), pages 9-21.
    32. Madden, Gary & Savage, Scott J., 1998. "CEE telecommunications investment and economic growth," Information Economics and Policy, Elsevier, vol. 10(2), pages 173-195, June.
    33. Hee Kyung Kim & Chang Won Lee, 2021. "Relationships among Healthcare Digitalization, Social Capital, and Supply Chain Performance in the Healthcare Manufacturing Industry," IJERPH, MDPI, vol. 18(4), pages 1-13, February.
    34. Salahodjaev, Raufhon, 2017. "Government size, intelligence and life satisfaction," MPRA Paper 76902, University Library of Munich, Germany.
    35. Lia Patrício & Jorge Grenha Teixeira & Josina Vink, 2019. "A service design approach to healthcare innovation: from decision-making to sense-making and institutional change," AMS Review, Springer;Academy of Marketing Science, vol. 9(1), pages 115-120, June.
    36. Stephanie, Lena & Sharma, Ravi S., 2020. "Digital health eco-systems: An epochal review of practice-oriented research," International Journal of Information Management, Elsevier, vol. 53(C).
    37. Scully, Gerald W, 2002. "Economic Freedom, Government Policy and the Trade-Off between Equity and Economic Growth," Public Choice, Springer, vol. 113(1-2), pages 77-96, October.
    38. Sanz, Ismael & Velazquez, Francisco J., 2007. "The role of ageing in the growth of government and social welfare spending in the OECD," European Journal of Political Economy, Elsevier, vol. 23(4), pages 917-931, December.
    39. Aaron Mehrotra & Timo Välilä, 2006. "Public Investment in Europe: Evolution and Determinants in perspective," Fiscal Studies, Institute for Fiscal Studies, vol. 27(4), pages 443-471, December.
    40. Mahmood Hajli & Julian M. Sims & Valisher Ibragimov, 2015. "Information technology (IT) productivity paradox in the 21st century," International Journal of Productivity and Performance Management, Emerald Group Publishing Limited, vol. 64(4), pages 457-478, April.
    41. Rezaei, Mojtaba & Jafari-Sadeghi, Vahid & Cao, Dongmei & Mahdiraji, Hannan Amoozad, 2021. "Key indicators of ethical challenges in digital healthcare: A combined Delphi exploration and confirmative factor analysis approach with evidence from Khorasan province in Iran," Technological Forecasting and Social Change, Elsevier, vol. 167(C).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sawng, Yeong-wha & Kim, Pang-ryong & Park, JiYoung, 2021. "ICT investment and GDP growth: Causality analysis for the case of Korea," Telecommunications Policy, Elsevier, vol. 45(7).
    2. Jäger, Philipp & Schmidt, Torsten, 2016. "The political economy of public investment when population is aging: A panel cointegration analysis," European Journal of Political Economy, Elsevier, vol. 43(C), pages 145-158.
    3. repec:zbw:rwirep:0557 is not listed on IDEAS
    4. Kumar, Ronald Ravinesh & Stauvermann, Peter Josef & Samitas, Aristeidis, 2016. "The effects of ICT⁎ on output per worker: A study of the Chinese economy," Telecommunications Policy, Elsevier, vol. 40(2), pages 102-115.
    5. Ronald Ravinesh Kumar & Peter Josef Stauvermann & Syed Jawad Hussain Shahzad, 2017. "Can technology provide a glimmer of hope for economic growth in the midst of chaos? A case of Zimbabwe," Quality & Quantity: International Journal of Methodology, Springer, vol. 51(2), pages 919-939, March.
    6. Kumar, Ronald Ravinesh & Kumar, Radika Devi & Patel, Arvind, 2015. "Accounting for telecommunications contribution to economic growth: A study of Small Pacific Island States," Telecommunications Policy, Elsevier, vol. 39(3), pages 284-295.
    7. Angelos I. Stoumpos & Fotis Kitsios & Michael A. Talias, 2023. "Digital Transformation in Healthcare: Technology Acceptance and Its Applications," IJERPH, MDPI, vol. 20(4), pages 1-44, February.
    8. Philipp Jäger & Torsten Schmidt, 2015. "The Political Economy of Public Investment when Population is Aging – A Panel Cointegration Analysis," Ruhr Economic Papers 0557, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
    9. Ronald Kumar, 2014. "Exploring the role of technology, tourism and financial development: an empirical study of Vietnam," Quality & Quantity: International Journal of Methodology, Springer, vol. 48(5), pages 2881-2898, September.
    10. Ronald Kumar & Madhukar Singh, 2014. "Role of health expenditure and ICT in a small island economy: a study of Fiji," Quality & Quantity: International Journal of Methodology, Springer, vol. 48(4), pages 2295-2311, July.
    11. Charles Shaaba Saba & Nicholas Ngepah, 2021. "Nexus between telecommunication infrastructures, defence and economic growth: a global evidence," Netnomics, Springer, vol. 22(2), pages 139-177, December.
    12. Sørensen, Rune J., 2013. "Does aging affect preferences for welfare spending? A study of peoples' spending preferences in 22 countries, 1985–2006," European Journal of Political Economy, Elsevier, vol. 29(C), pages 259-271.
    13. Georges Casamatta & L. Batté, 2016. "The Political Economy of Population Aging," Post-Print hal-02520521, HAL.
    14. Casamatta, G. & Batté, L., 2016. "The Political Economy of Population Aging," Handbook of the Economics of Population Aging, in: Piggott, John & Woodland, Alan (ed.), Handbook of the Economics of Population Aging, edition 1, volume 1, chapter 0, pages 381-444, Elsevier.
    15. Charles Shaaba Saba & Nicholas Ngepah, 2022. "Nexus between telecommunication infrastructures, defence and economic growth: a global evidence," Netnomics, Springer, vol. 22(2), pages 139-177, October.
    16. Dinh Thanh, Su & Hart, Neil & Canh, Nguyen Phuc, 2020. "Public spending, public governance and economic growth at the Vietnamese provincial level: A disaggregate analysis," Economic Systems, Elsevier, vol. 44(4).
    17. Giuseppe Di Liddo, 2015. "Urban sprawl and regional growth: empirical evidence from Italian Regions," Economics Bulletin, AccessEcon, vol. 35(4), pages 2141-2160.
    18. Ward, Michael R. & Zheng, Shilin, 2016. "Mobile telecommunications service and economic growth: Evidence from China," Telecommunications Policy, Elsevier, vol. 40(2), pages 89-101.
    19. Kraus, Sascha & Schiavone, Francesco & Pluzhnikova, Anna & Invernizzi, Anna Chiara, 2021. "Digital transformation in healthcare: Analyzing the current state-of-research," Journal of Business Research, Elsevier, vol. 123(C), pages 557-567.
    20. Di Liddo, Giuseppe, 2015. "Urban sprawl and regional growth: empirical evidence from Italian Regions," Working Papers 1505, SIET Società Italiana di Economia dei Trasporti e della Logistica.
    21. Ronald Ravinesh Kumar & Peter Josef Stauvermann & Nikeel Kumar & Syed Jawad Hussain Shahzad, 2019. "Exploring the effect of ICT and tourism on economic growth: a study of Israel," Economic Change and Restructuring, Springer, vol. 52(3), pages 221-254, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:soinre:v:169:y:2023:i:1:d:10.1007_s11205-023-03172-z. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.