DTA

Corso Ordinario Secondo Livello

MEZZANOTTE, GIULIA

etd-11022023-124700

From Innovation to Integration: A Case Study of Digital Health Technologies in the Trentino Healthcare System

Cl. Sc. Sociali - Scienze Economiche

SCIENZE ECONOMICHE E MANAGERIALI - SCIENZE ECONOMICHE E MANAGERIALI

relatore Prof. TENUCCI, ANDREA
Relatore Prof. TURCHETTI, GIUSEPPE
Presidente Prof. IRALDO, FABIO
Membro Dott.ssa CANTARELLI, PAOLA
Membro Prof. CINQUINI, LINO
Membro Prof. MONETA, ALESSIO
Membro Prof. TESTA, FRANCESCO
Membro Prof.ssa VIRGILLITO, MARIA ENRICA

• Digital health
• Digital health technologies
• Digital therapeutics
• DTx
• Innovation

27/11/2023;

parziale

Background: Healthcare systems are challenged by the rise of chronic diseases, ageing population, and scarcity of healthcare professionals. Digital Health Technologies (DHTs), including Digital Therapeutics (DTx), create new opportunities for innovative healthcare policy and delivery. While the diffusion of DHTs advances from pilots to full-scale implementation in some EU countries, specific regulation for adoption at scale by the Italian National Health Service (NHS) is still missing. <br>Purpose: This study aims to explore a possible model of care in which DHTs and DTx complement and support education, prevention, and care delivery of the Italian NHS. This research focuses on the case study of Trentino healthcare system, building on a local institutional framework that fosters the uptake of the research and innovation in clinical practice and processes.<br>Method: The study adopted insider action research methods, as the scholar conducts research within their organisation context, allowing to combine theory and practice to find a practical solution to a real problem. <br>Results: A model of care that guides the integration of DHTs and DTx in clinical practice in the specific context of the Trentino healthcare system was developed. The integration of DHTs has been explored according to five key attributes: i) the identification of patient’ needs and risk levels, ii) the specification of healthcare professionals’ involvement, iii) suitable medical specialties, iv) the integration into care as usual, and v) governance mechanisms. Finally, the model has been applied to a specific DHT intended for local implementation and developed within the Trentino innovation ecosystem. <br>Conclusion: This study analyses the dynamic interplay between the advancements in DHTs and their regulatory integration in the Trentino health system, while considering the evolving institutional landscape in Italy. Future steps include further detailing of the model and engaging in discussion with political authorities driving its possible implementation within the local healthcare system.

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