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FrancoAngeli Journals

Materiali per la ricerca e l'approfondimento

No. 132 (2024)

The transition towards digital integrated information systems: The case of ASL Napoli 1 Centro

DOI
https://doi.org/10.3280/mesa2024-132oa20693
Submitted
luglio 21, 2025
Published
2025-10-31

Abstract

The transition toward integrated digital information systems represents a strategic lever for the structural transformation of the healthcare sector. The integration between hospital and primary care platforms enables more effective management of clinical data, greater continuity of care, and more transparent, value-oriented governance. However, the transition toward highly digitalized processes is not without its complexities: it requires a profound rethinking of organizational architectures, transformative leadership, and a balance between process standardization and personalized care.

This paper analyzes the experience of a large local health authority, ASL Napoli 1 Centro, regarding the on going digital transition process. In many respects, this experience can be considered a success, which, according to the authors, was determined by four key factors: the approach adopted in managing the relationship between integration and differentiation of information systems, the direct involvement of strategic management, the crucial role of the control system, and the management of relationships with suppliers.
Learning about this experience and paying attention to these four factors can be useful in understanding and better managing digital transition processes in large public healthcare organizations.

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