ICT in medicine: rethinking of the administrative control procedures

The employment of ICT in medicine, by limiting physical contacts, imposes a redefinition of the doctor-patient relationship and, consequently, a rethinking of the administrative control procedures.
The technological infrastructures, developed to guarantee the interoperability of health databases and the electronic health record, may be exploited to help developing risk predictive algorithms in the pre-investigation phase. This way, controls and inspections could be planned to focus on the cases that show a higher potential for deviation from the regulatory provisions, in accordance with the proportionality principle. Setting out in advance clear and transparent objectives and criteria for administrative controls should encourage synergy and cooperation between the parties involved in the control relationship, with the effect of limiting coercive and repressive measures, enhancing compliance, and discouraging defensive attitudes and misleading behaviour.