Click here to download

E-health in Italy: evidence from the LITIS survey
Author/s: Elisabetta Santarelli, Claudio Di Carlo 
Year:  2013 Issue: Language: Italian 
Pages:  28 Pg. 34-61 FullText PDF:  882 KB
DOI:  10.3280/REST2013-001002
(DOI is like a bar code for intellectual property: to have more infomation:  clicca qui   and here 

E-health is defined as "the use of emerging information and communication interactive technology, especially the Internet, to improve or enable health and healthcare". According to the European Commission, e-health includes all ICT applications of a public health system. e-health solutions include instruments for administrations, health professionals and citizens: e.g., digital certificates and prescriptions, Electronic Health Records (EHR), electronic booking systems, telemedicine. In a health system, e-health causes product and process innovations to which various disciplines can contribute (among which computer science, medicine, economics and statistics). e-health development cannot be planned without an adequate knowledge of the phenomenon. To this aim relevant and accurate data are needed. The aim of this paper is twofold: i) to make a review of the main statistical sources currently available in Italy on e-health and analyze their potential and drawbacks; ii) to analyze data from a recent survey on e-health to evaluate its implementation across Italian regions. Methods and Results We carry out a Principal Component Analysis on data of the LITIS (Livelli di Innovazione Tecnologica in Sanità) survey 2009 promoted and financed by Federsanità- ANCI. Results show that e-health development is higher in the Northern and Central regions and that a low correspondence exists between supply and use of electronic health services. Moreover, findings of this work show that in Italy e-health is developing by stand-alone initiatives without harmonization at regional and local level. The IT network inside a single hospital trust (i.e. net among doctors, nurses, pharmacies) is more developed than the regional one (that is usually composed by interoperable information systems of a single region). Furthermore, initiatives for digital education of health professionals are highly associated with electronic services, in particular telemedicine, electronic referral and on line communication. Conclusions The vast majority of empirical studies in Europe indicate that e-health success is closely linked with policy objectives. To such aim qualitative and quantitative studies are needed. Findings of this work highlight that a major integration among e-health initiatives is needed in Italy and pave the way for future research on such topic in our country.
Keywords: E-health, health system, health policies, statistical data and indicators, Principal Component Analysis
Jel Code: I10, I11, I18, H51, H75

  1. Baraldi S., Memmola M. (2006), How Healthcare Organizations actually use the Internet’s Virtual Space: A Field Study, International Journal of Healthcare Technology and Management, 7, 3-4, pp. 187-207.
  2. Berwick D.M. (2003), Disseminating Innovations in Health Care, Journal of American Medical Association, 289, 15, pp. 1969-1974.
  3. Bolasco S. (1999), Analisi multidimensionale dei dati, Roma: Carocci
  4. Burgio A., Corsetti G., Cotroneo R., Pugliese A., Riccio M., Salvini F. (2011), An Information System on Personnel Working in the Health Sector to support the Planning and Assessment of Regional Health Systems, relazione presentata al Convegno “Giornata italiana della statistica”, Roma, 21 ottobre.
  5. Centre for Economic and International Studies (CEIS) (2009), Rapporto Sanità 2009. Sanità e sviluppo economico, Università degli Studi di Roma “Tor Vergata”,
  6. Colli Franzone P. (2011), Piano e-Gov 2012. Le sfide per la sanità, relazione presentata al Convegno “e-Health Conference”, Roma, 14 aprile
  7. Commissione Europea (2004), e-Health. Making health care better for European citizens: an action plan for a European e-health area
  8. Commissione Europea (2008), ICT Standards in the Health Sector: Current Situation and Prospect, Special Study, 1.
  9. Confindustria (2009), Osservatorio Italia digitale 2.0. Servizi innovativi per il Paese, 0.pdf
  10. Di Carlo C., Santarelli E. (2011a), Il ruolo dell’ICT nella crescita economica in Italia, Mondo digitale, 1, pp. 3-8.
  11. Di Carlo C., Santarelli E. (2011b), e-health in Italy: Current State and Future Prospects of Statistical Information, relazione presentata al Convegno AICA 2011, Torino, 15-17 novembre.
  12. Di Carlo C., Santarelli E. (2012), Dati e indicatori statistici sulla sanità elettronica in Italia, relazione presentata al Convegno “Making Decisions: The Role of Statistics for Knowledge and Governance”, Roma, 19-20 aprile
  13. Eng T.R. (2001), The e-Health Landscape: A Terrain Map of Emerging Information and Communication Technologies in Health and Health Care, Princeton, NJ: The Robert Wood Johnson Foundation
  14. Eysenbach G. (2001), What is e-health?, Journal of Medical Internet Research, 3, 2.
  15. Eurostat (2009), ESS handbook for Quality Reports, eu/portal/page/portal/ver-1/quality/documents/EHQR_FINAL.pdf.
  16. Forum PA (2010), LITIS. Livelli di innovazione tecnologica in sanità.
  17. ISTAT (2009), La dotazione di infrastrutture e servizi nella sanità, Collana Informazioni n. 8.
  18. ISTAT (2013), Health for all – Italia,
  19. Loghi M., D’Errico A. (2012), Il sistema informativo Health for All – Italia a supporto delle politiche sanitarie, relazione presentata al Convegno “Making Decisions: The Role of Statistics for Knowledge and Governance”, Roma, 19-20 aprile
  20. Ministero della Salute (2012), (ottobre).
  21. Ministero della Salute (2013), jsp?menu=dati&idPag=5.
  22. Ministero della Salute, Università La Sapienza (2010), Linee guida per la comunicazione online in tema di tutela e promozione della salute, http://www.salute.
  23. Osservatorio Politecnico di Milano (2011), ICT in sanità: l’innovazione in cerca d’autore, rapporto 2011 Osservatorio ICT in sanità.
  24. Pasquariello M., Bia M., Cassone A. (2011), Uno studio economico-territoriale del Nord-Ovest italiano tramite l’analisi delle componenti principali, Rivista di Economia e Statistica del Territorio, 1, pp. 43-81.
  25. Ronchi E. (2010), ICTs in the Health Sector: Towards and OECD Model Survey, Working Paper DSTI/ICCP/IIS(2010)6.
  26. Ronchi E. (2012), Summary Record of the International Workshop: Benchmarking Adoption and Use of Information and Communication Technologies in the Health Sector, Working Paper COM/DELSA/DSTI(2012)7.
  27. Ronchi E., Spiezia V. (2011), Project on Benchmarking Adoption and Use of ICT in the Health Sector: Towards an OECD Model Survey-An Update, Working paper DSTI/ICCP/IIS(2011)7.
  28. Rossi Mori A. (a cura di) (2002), L’ICT nelle aziende sanitarie. Analisi dei dati sulle aziende sanitarie aderenti alla FIASO nella rilevazione effettuata dalla Confservizi nell’estate 2002, Forum sull’Information and Communication Technology (ICT) per i servizi pubblici locali, CNR-Istituto Tecnologie Biomediche per conto del progetto OSIRIS – Osservatorio Interregionale sull’ICT in Sanità.
  29. Rossi Mori A. (2004), Integrated Clinical Information Systems: An Essential Resource – An Opportunity for International Cooperation, Swiss Medical Informatics Journal, 52, pp. 7-13
  30. Rossi Mori A., Consorti F. (2002), A Reference Framework for the Development of e-health
  31. Rossi Mori A., Tamburis O. (2010), LITIS: uno strumento di valutazione e programmazione, eHealthcare, 2, pp. 8-19.
  32. Rossi Mori A., Mercurio G., Verbicaro R. (2012), Enhanced Policies on Connected Health are Essential to achieve Accountable Social and Health Systems, European Journal of ePractice, 15, pp. 4-25.
  33. Stroetmann K.A., Jones T., Dobrev A., Stroetmann V.N. (2006), eHealth is worth it. The Economic Benefits of Implemented eHealth Solutions at Ten European Sites, Luxembourg. ehealthimpactsept2006.pdf.
  34. Tamburis O., Mangia M., Contenti M., Mercurio G., Rossi Mori A. (2011), The LITIS Conceptual Framework: Measuring eHealth Readiness and Adoption Dynamics across the Healthcare Organizations, Health and Technology, 3, 1.
  35. Ugenti R., Di Minco L., Gilardi M.C. (2011), Le strategie nazionali in materia di sanità elettronica, e-Healthcare, 3, 10, pp. 14-21
  36. Zani (2000), Analisi dei dati statistici, vol. 2: Osservazioni multidimensionali, Milano: Giuffrè

Elisabetta Santarelli, Claudio Di Carlo, E-health in Italy: evidence from the LITIS survey in "RIVISTA DI ECONOMIA E STATISTICA DEL TERRITORIO" 1/2013, pp. 34-61, DOI:10.3280/REST2013-001002


FrancoAngeli is a member of Publishers International Linking Association a not for profit orgasnization wich runs the CrossRef service, enabing links to and from online scholarly content