Fondazione GRINS
Growing Resilient,
Inclusive and Sustainable
Galleria Ugo Bassi 1, 40121, Bologna, IT
C.F/P.IVA 91451720378
Finanziato dal Piano Nazionale di Ripresa e Resilienza (PNRR), Missione 4 (Infrastruttura e ricerca), Componente 2 (Dalla Ricerca all’Impresa), Investimento 1.3 (Partnership Estese), Tematica 9 (Sostenibilità economica e finanziaria di sistemi e territori).



Open Access
This paper investigates the effect of broadband internet diffusion on patient mobility in Italy’s decentralized healthcare system.
Using comprehensive provincial-level data from 2013 to 2019 on broadband coverage and hospital-based oncological procedures, we examine how improved internet access affects patients’ decisions to seek treatment outside their region or province of residence.
We find that increased broadband availability significantly reduces patient mobility for cancer care, particularly for complex conditions with lower survival rates, such as pancreatic and lung cancer. The effect is more pronounced among younger patients and those residing in the South of Italy, where perceptions of local care quality are poorer.
By contrast, the impact is weaker among older patients and individuals traveling from Central Italy.
Our findings suggest that enhanced digital connectivity lowers information frictions, enabling patients to better evaluate local healthcare options and thereby avoid some unnecessary cross-regional mobility.
This paper contributes to two strands of the literature: the role of information in healthcare markets and the broader effects of internet infrastructure on health-related decision-making.
Overall, the results underscore the importance of policies for digital inclusion in mitigating regional healthcare disparities and improving patient decision-making.
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AKNOWLEDGEMENTS
We would like to thank Paolo Berta, Sara Muzzì, Tommaso Oliviero and seminar participants at the University of Milano-Bicocca and participants at the 2024 AIES (29th Annual Conference of the Italian Health Economics Association), 2025 SIEP (37th Annual Conferenza of the Italian Society of Public Economics). Carla Guerriero acknowledge funding from the European Union’s Next Generation EU program under the GRINS - Growing Resilient, Inclusive, and Sustainable Project (GRINS PE00000018 – CUP E63C2200214000) and PPRIN-2022 PNRR ”The value of scientific production for patient care in Academic Health Science Centres” (Project Code: P2022RF38Y; CUP: E53D23016650001).
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