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Assessing the Impact of Digital Technologies in Long-Term
Care Organizations: A Systematic Literature Review
Marco Di Martino , Gabriele Palozzi, Antonio Chirico, Gianluca Antonucci
Pages - 31 - 53 | Revised - 30-09-2025 | Published - 31-10-2025
Published in Special Issue of 3rd Business Research & Management (BRM) Conference: Towards A More Sustainable World (SIBRM13)
MORE INFORMATION
KEYWORDS
Digitalization, Measurement, Performance, Long-term Care.
ABSTRACT
The long-term care (LTC) sector has been significantly influenced by the digital transformation of healthcare (WHO, 2024). However, standardized frameworks for evaluating the impact of digital health technologies (DHTs) on the performance and sustainability of LTC organizations remain underdeveloped (Kruse et al., 2017; Jacob et al., 2023).
This study conducts a systematic literature review to analyze existing measurement approaches, identify key variables, and highlight research gaps. Findings indicate that digitalization is increasingly recognized as a means to enhance both care quality and organizational efficiency, yet no comprehensive system to assess its impact on sustainability and care quality currently exists. The analysis identifies the degree of digitalization as the primary independent variable and quality of care as the main dependent variable, while highlighting sustainabilityboth economic and organizationalas a crucial yet underexplored variable. Notably, the literature review reveals a striking paucity of research contributions from the field of economic and management sciences, underscoring the need for interdisciplinary approaches.
To address these gaps, this study proposes a conceptual framework that integrates key variables, dimensions, indicators, and measurement tools for systematically evaluating the impact of digitalization in LTC organizations. The findings also emphasize the need for further researchparticularly from economic and management perspectivesto develop standardized indicators and robust measurement methodologies that can empower policymakers and LTC administrators to optimize digital transformation strategies for long-term sustainability.
This study conducts a systematic literature review to analyze existing measurement approaches, identify key variables, and highlight research gaps. Findings indicate that digitalization is increasingly recognized as a means to enhance both care quality and organizational efficiency, yet no comprehensive system to assess its impact on sustainability and care quality currently exists. The analysis identifies the degree of digitalization as the primary independent variable and quality of care as the main dependent variable, while highlighting sustainabilityboth economic and organizationalas a crucial yet underexplored variable. Notably, the literature review reveals a striking paucity of research contributions from the field of economic and management sciences, underscoring the need for interdisciplinary approaches.
To address these gaps, this study proposes a conceptual framework that integrates key variables, dimensions, indicators, and measurement tools for systematically evaluating the impact of digitalization in LTC organizations. The findings also emphasize the need for further researchparticularly from economic and management perspectivesto develop standardized indicators and robust measurement methodologies that can empower policymakers and LTC administrators to optimize digital transformation strategies for long-term sustainability.
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Dr. Marco Di Martino
Faculty of Economics /Department of Management and Law, Tor Vergata University of Rome, Rome, 00133 - Italy
dimartino85@gmail.com
Dr. Gabriele Palozzi
Ministry of Economy and Finance
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Tor Vergata University of Rome, Faculty of Economics /Department of Management and Law, Rome, 00133 - Italy
&
Tor Vergata University of Rome, Faculty of Economics /Department of Management and Law, Rome, 00133 - Italy
Dr. Antonio Chirico
Faculty of Economics /Department of Management and Law, Tor Vergata University of Rome, Rome, 00133 - Italy
Dr. Gianluca Antonucci
Faculty of Economics, Department of Management and Business Administration, "G. d'Annunzio" University of Chieti-Pescara, Pescara, 65127 - Italy
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