Covid-19, Innovazione Tecnologica e i nuovi scenari dell’assistenza (a distanza)

Titolo Rivista SALUTE E SOCIETÀ
Autori/Curatori Carlo Botrugno, Sandra Gallerini, Giulia Mascagni
Anno di pubblicazione 2021 Fascicolo 2021/2
Lingua Italiano Numero pagine 19 P. 40-58 Dimensione file 231 KB
DOI 10.3280/SES2021-002004
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più clicca qui

Qui sotto puoi vedere in anteprima la prima pagina di questo articolo.

Se questo articolo ti interessa, lo puoi acquistare (e scaricare in formato pdf) seguendo le facili indicazioni per acquistare il download credit. Acquista Download Credits per scaricare questo Articolo in formato PDF

Anteprima articolo

FrancoAngeli è membro della Publishers International Linking Association, Inc (PILA)associazione indipendente e non profit per facilitare (attraverso i servizi tecnologici implementati da CrossRef.org) l’accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche

The advent of the pandemic has renewed the centrality of health equity in healthcare and shown the urgency of reflecting on the factors that affect healthcare accessibility. In particular, there is a need to integrate the analysis on healthcare inequalities with the new disparities in-duced by the digitalization of healthcare. The article starts by highlighting three critical issues faced by the Italian NHS during the Covid-19 health emergency. After that, an overview of the main attempts made by the Italian Government to stimulate a digital transition of healthcare-delivery is provided. Finally, the interplay of conventional inequalities, digital divides and health literacy is assessed from a critical point of view and the risk of a two-speed right to health is emphasized.

Parole chiave:Covid-19; Digital divide; Assistenza sanitaria; Alfabetizzazione sanitaria; Ac-cesso alle cure; Divario di salute.

  1. Botrugno C. (2018). Telemedicina e trasformazione dei sistemi sanitari. Un’indagine di bioetica. Roma: Aracne.
  2. Botrugno C. (2019). Towards an ethics for telehealth. Nursing Ethics, 26(2): 357-67. DOI: 10.1177/096973301770500
  3. Botrugno C. (2020a). Telemedicina ed emergenza sanitaria: un grande rimpianto per il nostro paese. Biolaw Journal, 1s: 691-696.
  4. Botrugno C. (2020b). La nuova geografia del diritto alla salute. Innovazione tecnologica, relazioni spaziali e forme di sapere. Roma: IF Press.
  5. Botrugno C. (2020c). Aspettando che sia diritto. Lo strano caso del diritto all’assistenza sociale tra esigibilità formale e inesigibilità materiale. Biolaw Journal, 1: 355-378.
  6. Botrugno C. (2020d). Covid-19 e nuove tecnologie: implicazioni etiche e tutela dei diritti fondamentali. L’Altro Diritto, 4: 21-40.
  7. Botrugno C., Ghirotto L. (2020). Getting closer at a distance: A focused ethnography in a teleconsultation service in North of Italy. In: Motareh F.B., Suman A.B., a cura di, Legal, social and ethical perspectives on Health & Technology. Paris: Lextenso éditions.
  8. Bradby H. (2016). Research Agenda in Medical Sociology. Front. Sociol., 1: 14.
  9. CCM Centro nazionale per la Prevenzione e il Controllo delle Malattie (2007). Piano nazionale di preparazione e risposta a una pandemia influenzale. Roma: Ministero della Salute. -- Testo disponibile al sito: https://www.epicentro.iss.it/focus/flu_aviaria/pdf/pianopandemico.pdf (29/09/2020).
  10. Curtale F. (2020). C’era una volta il Piano pandemico. Salute Internazionale, 15 aprile. -- Testo disponibile al sito: https://www.saluteinternazionale.info/2020/04/cera-una-volta-il-piano-pandemico/ (29/09/2020).
  11. Dahlgren G., Whitehead M. (1991). Policies and strategies to promote social equity in health. Stockholm: Institute of Futures Studies.
  12. EuroHealthNet (2011). Making the link: eHealth and health equity. - Testo disponibile al sito: https://eurohealthnet.eu/publications/policy-precis (28/09/2020).
  13. Finch T., May C., Mair F., Mort M., Gask L. (2003). Integrating service development with evaluation in tele healthcare: an ethnographic study. British Medical Journal, 327(7425): 1205-1209.
  14. Garattini L., Zanetti M., Freemantle N. (2020). The Italian NHS: What Lessons to Draw from Covid-19?. Appl Health Econ Health Policy, 18(4): 463-466.
  15. Gelli F., Lubrani A. (2020). La gestione del rischio nelle maxiemergenze. Siena: Betti editrice.
  16. Genova A., Terraneo M. (2020). Le disuguaglianze sociali di salute. In: Cardano M., Giarelli G., Vicarelli G., a cura di, Sociologia della salute e della medicina. Bologna: Il Mulino.
  17. Grint K., Woolgar S. (1997). The Machine at Work: Technology, Work and Organization. Cambridge: Polity Press.
  18. Gui M. (2015). Le trasformazioni della disuguaglianza digitale tra gli adolescenti: evidenze da tre indagini nel Nord Italia. Quaderni di Sociologia, 69: 33-55.
  19. Hart J.T. (1971). The Inverse Care Law. Lancet, 1(7696): 405-12. DOI: 10.1016/S0140-6736(71)92410-
  20. Heide van der I., Uiters E., Sørensen K., Röthlin F., Pelikan J., Rademakers J., Boshuizen H. (2016). Health literacy in Europe: the development and validation of health literacy prediction models. The European Journal of Public Health, 26(6): 906-911.
  21. Kontos E., Blake K.D., Chou W.S., Prestin A. (2014). Predictors of eHealth Usage: Insights on the Digital Divide from the Health Information National Trends Survey 2012. J. Med. Internet Res., 16 (7): e172.
  22. Latour B. (2000). Pandora’s Hope: Essays on the Reality of Science Studies. Boston, Massachussets: Harvard University Press.
  23. Latulippe K., Hamel C., Giroux D. (2017). Social Health Inequalities and eHealth: A Literature Review with Qualitative Synthesis of Theoretical and Empirical Studies. J. Med. Internet Res., 19(4): e136.
  24. Lindberg B., Nilsson C., Zotterman D., Söderberg S., Skär L. (2013). Using Information and Communication Technology in Home Care for Communication between Patients, Family Members, and Healthcare Professionals: A Systematic Review. Int J Telemed Appl, 2013: 461829. DOI: 10.1155/2013/46182
  25. Luff P., Heath C., Kuzuoka H., Hindmarsh J., Yamazaki K., Oyama S. (2003). Fractured ecologies: creating environments for collaboration. Human Computer Interaction, 18(1-2): 51-84. DOI: 10.1207/S15327051HCI1812_
  26. Lupton D. (2013). The digitally engaged patient: self-monitoring and selfcare in the digital era. Social Theory and Health, 11: 256-270.
  27. Lupton D. (2016). Towards critical digital health studies: reflections on two decades of research in health and the way forward. Health, 20(1): 49-61. DOI: 10.1177/136345931561194
  28. MacKenzie D., Wajcman J. (1999). The Social Shaping of Technology. Buckingham, Philadelphia: Open University Press.
  29. Marmot M. (2004). The Status Syndrome. How Social Standing Affects Our Health and Longevity. New York: Holt Paperbacks.
  30. Mascagni G. (2010). Salute e disuguaglianze in Europa. Processi sociali e meccanismi individuali in azione. Firenze: Firenze University Press.
  31. Mascagni G. (2015). Percorsi di vita e di salute. Un’analisi sociologica delle terze età. Roma: Carocci.
  32. Matusitz J., Breen G.-M. (2007). Telemedicine: its effects on health communication. Health Communication and New Information Technologies, 21(1): 73-83. DOI: 10.1080/1041023070128343
  33. May C., Ellis N.T. (2001). When protocols fail: technical evaluation, biomedical knowledge and the social production of facts about a telemedicine clinic. Social Science and Medicine, 53(8): 989-1002.
  34. May C., Gask L., Atkinson T., Ellis N., Mair F., Esmail A. (2001). Resisting and promoting new technologies in clinical practice: The case of telepsychiatry. Social Science and Medicine, 52(12): 1889-1901.
  35. McAuley A. (2014). Digital health interventions: widening access or widening inequalities?. Public Health, 128(12): 1118-1120.
  36. Miller E.A. (2003). The technical and interpersonal aspects of telemedicine: effects on doctor-patient communication. J Telemed Telecare, 9(1):1-7. DOI: 10.1258/13576330332115961
  37. Miller E.A. (2010). Telemedicine and the Provider-Patient Relationship: What We Know So Far. Testo disponibile al sito: http://nuffieldbioethics.org/wp-content/uploads/Miller-E-2010-Evidence-review-Telemedicine-and-the-Provider-Patient-Relationship-what-we-know-so-far.pdf (29/09/2020).
  38. Mol A., Law J. (1994). Regions, Networks and Fluids: Anaemia and Social Topology. Social Studies of Science, 24(4): 641-671. DOI: 10.1177/03063127940240040
  39. Neri S. (2013). Le politiche sanitarie nell’era della riforma permanente. In: Vicarelli G., a cura di, Cura e salute. Prospettive sociologiche. Roma: Carocci.
  40. Norman C., Skinner H. (2006). eHealth Literacy: Essential Skills for Consumer Health in a Networked World. J. Med Internet Res, 8(2): e9.
  41. Paci M. (1989). Pubblico e privato nei moderni sistemi di welfare. Napoli: Liguori.
  42. Pavolini E., Vicarelli G. (2012). Is Decentralization Good for Your Health? Transformations in the Italian NHS. Current Sociology, 60(4): 472-488. DOI: 10.1177/001139211243833
  43. Schulz P.J., Nakamoto K. (2013). Patient behavior and the benefits of artificial intelligence: the perils of “dangerous” literacy and illusory patient empowerment. Patient Education & Counseling, 92(2): 223-228.
  44. Solar O., Irwin A. (2010). A conceptual framework for action on the social determinants of health. Social Determinants of Health. Geneva: WHO Commission on Social Determinants of Health.
  45. Sen-Crowe B., Sutherland M., McKenney M., Elkbuli A. (2020). A Closer Look Into Global Hospital Beds Capacity and Resource Shortages During the Covid-19 Pandemic. The Journal of surgical research, 260: 56-63.
  46. Spinsanti S. (2016). La medicina vestita di narrazione. Roma: Il Pensiero Scientifico Editore.
  47. Suchman, L. Blomberg J., Orr J., Trigg R. (1999). Reconstructing technologies as social practice. American Behavioural Scientist, 43(3): 392-408. DOI: 10.1177/00027642990430030
  48. Titmuss R. (1958). Essays on the Welfare State. London: Allen & Unwin (trad. it.: Saggi sul welfare state. Roma: Edizioni Lavoro, 1986).
  49. Van Dijk J.A. (2005). The deepening divide: Inequality in the information society. Thousand Oaks CA: Sage Publications.
  50. Vecchiato T. (2018). Se questo è welfare: una costituente per le politiche sociali. Studi Zancan. Politiche e servizi alle persone, 2(8): 7-14.
  51. Whitten P., Sypher B.D., Patterson J.D. (2000). Transcending the Technology of Telemedicine: An Analysis of Telemedicine in North Carolina. Health Communication, 12(2): 109-135. DOI: 10.1207/S15327027HC1202_
  52. Wild C., Narath M. (2005). Evaluating and planning ICUs: methods and approaches to differentiate between need and demand. Health Policy, March, 71(3): 289-301.
  53. Zhou X., Snoswell C.L., Harding L.E., Bambling M., Edirippulige S., Bai X., Smith A.C. (2020). The role of telehealth in reducing the mental health burden from Covid-19. Telemed J E Health, 26(4): 377-379.
  54. Zuiderent T., Berg M., Winthereik B.R. (2003). Talking about distributed communication and medicine: on bringing together remote and local actors. Human-Computer Interaction, 18: 171-181. DOI: 10.1207/S15327051HCI1812_
  55. Zwijsen S.A., Niemeijer A.R., Hertogh C. (2011). Ethics of using assistive technology in the care for community-dwelling elderly people: An overview of the literature. Aging & Mental Health, 15: 419-427. DOI: 10.1080/13607863.2010.54366
  56. Bateson G. (1976). Verso un’ecologia della mente. Milano: Adelphi.
  57. Berger P.L., Luckmann T. (1967). The Social Construction of Reality. London: Penguin Books.
  58. Binkin N., Michieletto F., Salmaso S., Russo F. (2020). Lombardia e Veneto: due approcci a confronto. Scienza in Rete. -- Testo disponibile al sito: https://www.scienzainrete.it (18/04/2020).

Carlo Botrugno, Sandra Gallerini, Giulia Mascagni, Covid-19, Innovazione Tecnologica e i nuovi scenari dell’assistenza (a distanza) in "SALUTE E SOCIETÀ" 2/2021, pp 40-58, DOI: 10.3280/SES2021-002004