La telemedicina nelle cure primarie: pratiche ed opinioni in un campione di MMG italiani

Journal title SALUTE E SOCIETÀ
Author/s Nicola Matteucci, Debora Scardacchi
Publishing Year 2026 Issue 2026/3
Language Italian Pages 16 P. 126-141 File size 373 KB
DOI 10.3280/SES2026-003009
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Hospital telemedicine has received widespread attention, while telemedicine in primary care is recent and unpublished. An original survey of Italian general practitioners (GPs) revealed practices and opinions on telemedicine during the Sars-Cov2 pandemic, which is believed to have driven its spread. It emerges that telemedicine in Italy is still used by a minority of GPs; although its use has increased with the pandemic, it has turned to simple and generalist technologies, less compatible with the complex digital healthcare architectures promoted by the EU. GPs’ opinions remain realistic, acknowledging the multiple technological, economic, and regulatory obstacles to primary care telemedicine, despite the perceived clinical and economic benefits. The findings of this study question the wisdom of policymakers, who, with the National Recovery and Resilience Plan (PNRR), have generously allocated resources, yet appear to be yielding uncertain and unsatisfactory results regarding primary care telemedicine

Keywords: telemedicine; primary healthcare; general practitioners; general ICT; NRRP; Italy.

  1. AGENAS (2019). Mappatura delle esperienze di telemedicina sul territorio. Report, Roma.
  2. AGENAS (2021). Aggiornamento mappatura delle esperienze di telemedicina 2019-2021: analisi, evidenze e finalità. Report. Roma.
  3. AGENAS (2025). 4 FEBBRAIO - AGENAS ha presentato la Piattaforma Nazionale di Telemedicina. Testo disponibile al sito: https://www.agenas.gov.it/aree-tematiche/comunicazione/primo-piano/2554-4-febbraio-agenas-presenta-la-piattaforma-nazionale-di-telemedicina (20/09/2026).
  4. Agenzia Nazionale per i Servizi Sanitari Regionali (AGENAS) (2024). Missione 6 Salute. Testo disponibile al sito: https://www.agenas.gov.it/pnrr/missione-6-salute (20/09/2026).
  5. Alenoghena C.O., Ohize H.O., Adejo A.O., Onumanyi A.J., Ohihoin E.E., Balarabe A.I., ... Alenoghena B. (2023). Telemedicine: a survey of telecommunication technologies, developments, and challenges. Journal of Sensor and Actuator Networks. 12(2): 20.
  6. Ananthakrishnan A.N., Singh S. (2020). The doctor will call you now! Telemedicine in the midst of a pandemic. Clinical gastroenterology and hepatology, 18(8): 1688-1690.
  7. Antonacci G., Benevento E., Bonavitacola S., Cannavacciuolo L., Foglia E., Fusi G., ... Stefanini A. (2023). Healthcare professional and manager perceptions on drivers, benefits, and challenges of telemedicine: results from a cross-sectional survey in the Italian NHS. BMC health services research, 23(1): 1115.
  8. Bashshur R.L., Howell J.D., Krupinski E.A., Harms K.M., Bashshur N., Doarn C.R. (2016). The empirical foundations of telemedicine interventions in primary care. Telemedicine and e-Health, 22 (5): 342-375.
  9. Bresnahan T. (2010). General purpose technologies. In: Hall B.H., Rosenberg N., editors, Handbook of the Economics of Innovation, Vol. 2. North-Holland.
  10. Causio F.A., Gentili A., Beccia F., De Maio L., Melnyk A., Quaranta G., ... Cascini F. (2025). A Survey on Italian General Practitioners’ Perspectives Regarding the Reorganization of Primary Care Services. Annali di igiene: medicina preventiva e di comunita, 37(6): 730-736.
  11. Field M.J. (Ed.). (1996). Telemedicine: A guide to assessing telecommunications for health care. Committee on Evaluating Clinical Applications of Telemedicine, Institute of Medicine. National Academies Press.
  12. Garante per la protezione dei dati personali (GPDP) (2024). Compendio sul trattamento dei dati personali effettuato attraverso piattaforme volte a mettere in contatto i pazienti con i professionisti sanitari accessibili via web e app. Marzo. Rapporto. Testo disponibile al sito: https://share.google/doZRXSWI02OIfMCtH (20/09/2026).
  13. Garattini L., Badinella Martini M., Zanetti M. (2021). More room for telemedicine after COVID-19: lessons for primary care?. The European Journal of Health Economics, 22(2): 183-186.
  14. Glock H., Milos Nymberg V., Borgström Bolmsjö B., Holm J., Calling S., Wolff M., Pikkemaat M. (2021). Attitudes, barriers, and concerns regarding telemedicine among Swedish primary care physicians: a qualitative study. International Journal of General Medicine, 9237-9246. DOI: 10.2147/IJGM.S33478
  15. Hong Z., Li N., Li D., Li J., Li B., Xiong W., ... Zhou D. (2020). Telemedicine during the COVID-19 pandemic: experiences from Western China. Journal of medical Internet research, 22(5): e19577. DOI: 10.2196/1957
  16. Kane C. K., Gillis K. (2018). The use of telemedicine by physicians: still the exception rather than the rule. Health affairs, 37(12): 1923-1930.
  17. Knörr V., Dini L., Gunkel S., Hoffmann J., Mause L., Ohnhäuser T., ... Scholten, N. (2022). Use of telemedicine in the outpatient sector during the COVID-19 pandemic: a cross-sectional survey of German physicians. BMC Primary Care, 23(1): 92.
  18. Magalini S.I. (1995). TELEMEDICINA, V Appendice, Enciclopedia Italiana. Testo disponibile al sito: https://www.treccani.it/enciclopedia/telemedicina_(Enciclopedia-Italiana)/ (20/09/2026).
  19. Matteucci N. (2009). Interoperability provision in NGC: the case of Italian DTV. info, 11(6): 30-50. DOI: 10.1108/14636690910996704
  20. Matteucci N. (2010). Strategies for digital television: DTT in Italy. The International Journal on Media Management, 12(3-4): 159-181. DOI: 10.1080/14241277.2010.52731
  21. Matteucci N., Picchio M., Santolini R., Tchounkeu R.A.Y. (2026). Telecare and elderly mortality: Evidence from Italian municipalities. Economics & Human Biology, 101571.
  22. Matteucci N., Scardacchi D. (2026). Diffusion of telemedicine among Italian GPs: A survey. Paper presentato al XXIV Workshop SIEPI, 29-30 gennaio, Università degli Studi di Bari.
  23. Ministero della Salute (2014). TELEMEDICINA - Linee di indirizzo nazionali. Testo disponibile al sito: https://www.salute.gov.it/new/it/pubblicazione/telemedicinalinee-di-indirizzo-nazionali/ (20/09/2026).
  24. Ministero della Salute (2025). Distribuzione dei Medici Generici per anzianità di laurea e adulti per medico generico. Direzione Generale della digitalizzazione, del sistema informativo sanitario e della statistica. Ufficio di Statistica. Testo disponibile al sito: https://www.salute.gov.it/new/it/pubblicazione/annuario-statistico-del-servizio-sanitario-nazionale-anno-2023/ (20/09/2026).
  25. Ministero della Salute. (2020). Linee guida sulla telemedicina: Visite, teleassistenza, teleconsulto, telerefertazione (Accordo Conferenza Stato Regioni), 17 dicembre. Testo disponibile al sito: https://www.salute.gov.it/portale/temi/p2_6.jsp?id=5219 (20/09/2026).
  26. Ministero della Salute. (2022). Approvazione delle linee guida per i servizi di telemedicina: Requisiti funzionali e livelli di servizio (D.M. 21 settembre 2022, G.U. n. 256, 02/11/2022). Testo disponibile al sito: https://www.salute.gov.it/portale/temi/documenti/telemedicina/LineeGuidaTelemedicina_2022.pdf (20/09/2026).
  27. Murgia Y., Gazzarata R., Ciampi M., Sicuranza M., Cirillo F., Esposito C., ... Giacomini M. (2025). The challenges of national health data ecosystems in feeding the European health data space: the Italian example. Frontiers in Medicine, 12: 1644719.
  28. Omboni S. (2020). Telemedicine during the COVID-19 in Italy: a missed opportunity?. Telemedicine and e-Health, 26(8): 973-975.
  29. Parretti C., La Regina M., Tortu C., Candido G., Tartaglia R. (2023). Telemedicine in Italy, the starting point. Internal and Emergency Medicine, 18(3): 949-951.
  30. Peine A., Paffenholz P., Martin L., Dohmen S., Marx G., Loosen S.H. (2020). Telemedicine in Germany during the COVID-19 pandemic: multi-professional national survey. Journal of medical Internet research, 22(8): e19745. DOI: 10.2196/1974
  31. Pisanelli D.M., Ricci F.L., Maceratini R. (1995). A survey of telemedicine in Italy. Journal of telemedicine and telecare, 1(3): 125-130. DOI: 10.1177/1357633X950010030
  32. Rogers E.M. (2003), Diffusion of Innovations, 5th ed.. New York, NY: Free Press.
  33. Solimini R., Busardò F.P., Gibelli F., Sirignano A., Ricci G. (2021). Ethical and legal challenges of telemedicine in the era of the COVID-19 pandemic. Medicina, 57(12): 1314.
  34. Solli H., Bjørk I.T., Hvalvik S., Hellesø R., (2012). Principle-based analysis of the concept of telecare. Journal of Advanced Nursing, 68 (12): 2802–2815.
  35. Sood S., Mbarika V., Jugoo S., Dookhy R., Doarn C.R., Prakash N., Merrell R.C. (2007). What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings. Telemedicine and e-Health, 13(5): 573-590.
  36. Stowe S., Harding S. (2010). Telecare, telehealth and telemedicine. European Geriatric Medicine 1(3): 193-197.
  37. SUMAI-Assoprof (2023). Medici 2023 – 2030. Quale futuro: PUBBLICO O PRIVATO? I numeri, Rapporto di studio, Roma. Testo disponibile al sito: https://www.sumaiassoprof.org (20/09/2026).
  38. Tabaeeian R.A., Hajrahimi B., Khoshfetrat A. (2024). A systematic review of telemedicine systems use barriers: primary health care providers’ perspective. Journal of Science and Technology Policy Management, 15(3): 610-635. DOI: 10.1108/JSTPM-07-2021-010
  39. Vicente M.A., Fernández C., Guilabert M., Carrillo I., Martín-Delgado J., Mira J. J., Prometeo173 Working Group. (2022). Patient engagement using telemedicine in primary care during COVID-19 pandemic: a trial study. International journal of environmental research and public health, 19(22): 14682.
  40. Vigano M., Voza A., Harari S., Eusebio A., Ripoll Pons M., Bordonali M., ... Aghemo A. (2020). Clinical management of nonrespiratory diseases in the COVID-19 pandemic: what have we done and what needs to be done?. Telemedicine and e-Health, 26(10): 1206-1208.
  41. Vitali A., Ghidotti A., Savoldelli A., Bonometti F., Rizzi C., Bernocchi P., Borghi G., Scalvini S. (2023). Definition of a Method for the Evaluation of Telemedicine Platforms in the Italian Context. Telemedicine journal and e-Health. 29(5): 769-777.
  42. Walczak R., Kludacz-Alessandri M., Hawrysz L. (2022). Use of telemedicine technology among general practitioners during COVID-19: a modified technology acceptance model study in Poland. International Journal of Environmental Research and Public Health, 19(17): 10937.
  43. Waller M., Stotler, C. (2018). Telemedicine: a primer. Current allergy and asthma reports, 18(10): 54.
  44. Walley D., McCombe G., Broughan J., O’Shea C., Crowley D., Quinlan D., ...Cullen W. (2024). Use of telemedicine in general practice in Europe since the COVID-19 pandemic: a scoping review of patient and practitioner perspectives. PLOS Digital Health, 3(2): e0000427.
  45. World Health Organization. (2010). Telemedicine: Opportunities and developments in member states: Report on the second Global Survey on eHealth 2009 (Global Observatory for eHealth Series, Vol. 2). Testo disponibile al sito: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3402558/ (20/09/2026).

Nicola Matteucci, Debora Scardacchi, La telemedicina nelle cure primarie: pratiche ed opinioni in un campione di MMG italiani in "SALUTE E SOCIETÀ" 3/2026, pp 126-141, DOI: 10.3280/SES2026-003009