Elsevier

Health Policy

Volume 133, July 2023, 104842
Health Policy

Tracking the digital health gap in elderly: A study in Italian remote areas

https://doi.org/10.1016/j.healthpol.2023.104842Get rights and content

Highlights

  • The paper analyses the access to digital health services in the elderly.

  • A positive correlation is highlighted between the propensity to use and educational qualification.

  • Actual use is affected by regional government decisions on the tools applied.

  • ‘Gender' and 'civil status' are not significant in accessing digital health services.

Abstract

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.

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