Clicca qui per scaricare

L’analisi economica delle relazioni tra ICT e organizzazioni sanitarie
Titolo Rivista: SALUTE E SOCIETÀ 
Autori/Curatori: Gianluca Fiorentini, Cristina Ugolini 
Anno di pubblicazione:  2017 Fascicolo: Lingua: Italiano 
Numero pagine:  23 P. 42-64 Dimensione file:  133 KB
DOI:  10.3280/SES2017-002004
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 

Starting from the neo-institutional theoretical approach, this article analyses the effects of the growing ICT investments on the boundaries of economic organizations, with particular reference to the dimension of vertical integration. The analysis of the impact of ICT on health organizations reveals very different effects than the shortening of vertical links between various stages of production that is typically observed in other industries. Indeed, the growing trend of health systems to strengthen the institutional and managerial tools to integrate their heterogeneous activities and services in order to provide a more effective support to the prevention, maintenance and recovery of the highest attainable standard of health, enhances the comparative advantages arising from an integrated management of information flows, which further strengthens the advantages of vertically integrated organizational solutions.
Keywords: Costi di transazione; modelli organizzativi; servizi sanitari; ICT; gestione integrata; valutazione economica

  1. Williamson O. (1975). Market and Hierarchies: Analysis and Antitrust Implication. New York: Free Press.
  2. Ugolini C. (2004). Verso una rilettura del modello di concorrenza amministrata?. Rivista delle politiche sociali, 4: 197-212.
  3. Telecom Italia (2015) Italia connessa. --Testo disponibile al link:
  4. Solow R. (1987). We’d better watch out, New York Times Book Review, July 12, page 36.
  5. Odlyzko A. (2012). The volume and value of information. International Journal of Communication, 6: 920-935.
  6. Malone T., Yates J., Benjamin R. (1987). Electronic Markets and Electronic Hierarchies. Communications of the ACM, 30: 484-497., DOI: 10.1145/214762.21476
  7. Louis D.Z., Robeson M., McAna J. et al. (2014). Predicting risk of hospitalisation or death: a retrospective population-based analysis. BMJ Open, 4: e005223.
  8. Le Grand J. (2002). Further tales from the British National Health Service, Health Affairs, 21(3): 116-129.
  9. Light D.W. (2001). Comparative institutional response to economic policy managed competition and governmentality. Social Science & Medicine, 52: 1151-66., DOI: 10.1016/S0277-9536(00)00236-
  10. Grossman S., Hart O. (1986). The Costs and Benefits of Ownership: a Theory of Lateral and Vertical Integration. Journal of Political Economy, 94: 691-719., DOI: 10.1086/26140
  11. Goldzweig C.L., Towfigh A., Maglione M., Shekelle P.G. (2009). Costs and benefits of health information technology: new trends from the literature. Health Affairs, 28(2): w282–93.
  12. France G. (1998). Healthcare quasi markets in a decentralised system of government. In: Bartlett W., Roberts L.A., Le Grand J., eds., Quasi-market reforms in the 1980s: a revolution in social policy. Bristol: The Policy Press.
  13. Enthoven A. (1988). Theory and practice of managed competition in health care finance. Amsterdam: North Holland.
  14. Draka M., Sadun R., Van Reenen J. (2006). Productivity and ICT: A Review of the Evidence. CEP Discussion Paper No 749.
  15. Dietrich M. (1994). The Economics of Quasi-Integration. Review of Political Economy, 6(1): 1-18., DOI: 10.1080/0953825940000000
  16. Davis F.D. (1989). Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology. MIS Quarterly, 13(3): 319-340., DOI: 10.2307/24900
  17. Danzon P.M., Furukawa M. (2010). E-Health: effects of the Internet on competition and productivity in health care. In: Litan R.E. and Rivlin A.M., eds., The economic payoff from the internet revolution. Brookings Institution Press.
  18. Coase R. (1937). The Nature of the Firm, Economica, 4; trad. it. La natura dell’impresa, in Impresa, mercato e diritto, Bologna, Il Mulino, 1995, 73-96.
  19. Chaudhry B., Wang J., Wu S., Maglione M., Mojica W., Roth E. et al. (2006). Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Annals of Internal Medicine, 144 (10):742–52., DOI: 10.7326/0003-4819-144-10-200605160-0012
  20. Buccoliero L., Calciolari S. and Marsilio M. (2008). A methodological and operative framework for the evaluation of an e‐health project. The International journal of health planning and management, 23(1): 3-20.
  21. Bresnahan T.F. and Trajtenberg M. (1995). General purpose technologies ‘Engines of growth’?. Journal of econometrics, 65(1): 83-108.
  22. Blois K.J. (1972). Vertical Quasi-Integration. Journal of Industrial Economics, 20: 253-72., DOI: 10.2307/209805
  23. Buntin M.B., Burke M.F., Hoaglin M.C. and Blumenthal D. (2011). The benefits of Health Information Technology: a review of the recent literature shows predominantly positive results. Health Affairs, 30 (3): 464-71.
  24. Hart O., Moore J. (1990). Property rights and the nature of the firm. Journal of Political Economy, 98: 1120-57., DOI: 10.1086/26172

Gianluca Fiorentini, Cristina Ugolini, in "SALUTE E SOCIETÀ" 2/2017, pp. 42-64, DOI:10.3280/SES2017-002004


FrancoAngeli è membro della Publishers International Linking Association associazione indipendente e no profit per facilitare l'accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche