The digitalization of the National Health Service in the prism of ?variable speed? between technological progress and administrative innovation

In Italy, the digital transformation process of public administrations is still unfinished today. The difficulty of implementation is given by a high-speed scientific and technological progress compared to the slow pace of regulations and public administrations to implement the changes. In fact, there are many risks in the digital transition process: the vulnerability of systems, fertile ground for hacker attacks; inadequate protection of users' privacy with consequent dispersion of sensitive data; the exclusion from the use of the services of fragile categories (such as the elderly, the indigent or the disabled). Hence, the danger of increasing social inequalities which are already very marked in our country. All this also applies to the health sector in which the transition to digital is even more difficult due to the big-organization and delicacy of the protected asset. The need to transfer public health services from the real world to the virtual one has undergone a strong acceleration with the Covid-19 pandemic, during which digital inadequacy was revealed in all its drama in the complex operation to contain the infection. The strengthening of the multiannual budget by Europe and the consequent N.R.R.P of the State represent an unprecedented opportunity to create an innovative, inclusive, equitable and sustainable Health System based on Digital Public Health. However, in order for the N.R.R.P is not a Book of Dreams but a real Plan for development and growth, it is necessary to use the huge appropriations for a profound and structural administrative reorganization in order to make effective that right to ?good administration? engraved in art. 41 of the Charter of Fundamental Rights of the European Union and obtain, in this way, benefits in terms of health protection and the safeguarding of public budgets.