Management and Healthcare Laboratory, Institute of Management, Sant'Anna School of Advanced Studies of Pisa, Pisa, Italy.
Management and Healthcare Laboratory, Institute of Management, Sant'Anna School of Advanced Studies of Pisa, Pisa, Italy.
Health Policy. 2023 Jul;133:104842. doi: 10.1016/j.healthpol.2023.104842. Epub 2023 May 25.
The Covid-19 pandemic has provided a major innovative thrust to public services regarding their digitization to continue providing an effective response to the population's needs and to reduce management costs. However, there has been a partial lack of those welfare policies that can provide an adequate response to the elderly segment of the population, which is most affected by the introduction of new technologies into the public sphere. This study analyses the digital gap in health in the elderly living in remote areas of Italy and investigates the use of digital devices for health purposes. It compares the use of digital solutions for health with people's common digital competencies and their willingness to use them. A descriptive analysis of the sample was constructed to verify the different responses of the elderly by age, gender, educational qualification, and geographic area. Furthermore, regression analyses have been conducted to test whether there is any dependent effect among the elderly's characteristics or geographic areas. The results highlight the existence of a potential digital health gap among the elderly in remote areas of Italy both due to infrastructural issues and the lack of digital skills. The latter are positively correlated with educational qualification, such that it is also possible to highlight differences between age groups analysed and shape future welfare policies to reduce digital inequality.
Covid-19 大流行推动了公共服务的数字化创新,以继续有效满足民众的需求并降低管理成本。然而,在福利政策方面还存在部分欠缺,无法为受新技术引入公共领域影响最大的老年人群体提供充分的应对。本研究分析了意大利偏远地区老年人的健康数字鸿沟,并调查了他们使用数字设备进行健康管理的情况。研究比较了老年人使用数字解决方案进行健康管理的情况及其共同的数字能力和使用意愿。通过对样本进行描述性分析,验证了老年人在年龄、性别、教育程度和地理位置方面的不同反应。此外,还进行了回归分析,以检验老年人的特征或地理区域之间是否存在任何依赖效应。研究结果表明,意大利偏远地区的老年人存在潜在的数字健康鸿沟,这既与基础设施问题有关,也与数字技能缺乏有关。后者与教育程度呈正相关,因此也可以突出分析的年龄组之间的差异,并制定未来的福利政策以减少数字不平等。