This article synthesizes the cross-disciplinary literature on government transparency. It systematically reviews research addressing the topic of government transparency published between 1990 and 2015. The review uses 187 studies to address three questions: (1) What forms of transparency has the literature identified? (2) What outcomes does the literature attribute to transparency? and (3) How successful is transparency in achieving those goals? In addressing these questions, the authors review six interrelated types of transparency and nine governance-and citizen-related outcomes of transparency. Based on the findings of the analysis, the authors outline an agenda for future research on government transparency and its effects that calls for more systematically investigating the ways in which contextual conditions shape transparency outcomes, replicating studies with varying methodologies, investigating transparency in neglected countries, and paying greater attention to understudied claims of transparency such as improved decision making and management. Practitioner Points• Government transparency is no cure-all and does not always have positive outcomes. • Transparency is effective at achieving certain outcomes, such as increasing participation, improving financial management, and reducing corruption. • Transparency is less effective at engendering trust in and legitimacy of government. • Our analysis suggests that government transparency "works" under some conditions but not under others.What these conditions are needs further investigation.

BackgroundHealth care systems are gradually moving toward new models of care based on integrated care processes shared by different care givers and on an empowered role of the patient. Mobile technologies are assuming an emerging role in this scenario. This is particularly true in care processes where the patient has a particularly enhanced role, as is the case of cancer supportive care.ObjectiveThis paper aims to review existing studies on the actual role and use of mobile technology during the different stages of care processes, with particular reference to cancer supportive care.MethodsWe carried out a review of literature with the aim of identifying studies related to the use of mHealth in cancer care and cancer supportive care. The final sample size consists of 106 records.ResultsThere is scant literature concerning the use of mHealth in cancer supportive care. Looking more generally at cancer care, we found that mHealth is mainly used for self-management activities carried out by patients. The main tools used are mobile devices like mobile phones and tablets, but remote monitoring devices also play an important role. Text messaging technologies (short message service, SMS) have a minor role, with the exception of middle income countries where text messaging plays a major role. Telehealth technologies are still rarely used in cancer care processes. If we look at the different stages of health care processes, we can see that mHealth is mainly used during the treatment of patients, especially for self-management activities. It is also used for prevention and diagnosis, although to a lesser extent, whereas it appears rarely used for decision-making and follow-up activities.ConclusionsSince mHealth seems to be employed only for limited uses and during limited phases of the care process, it is unlikely that it can really contribute to the creation of new care models. This under-utilization may depend on many issues, including the need for it to be embedded into broader information systems. If the purpose of introducing mHealth is to promote the adoption of integrated care models, using mHealth should not be limited to some activities or to some phases of the health care process. Instead, there should be a higher degree of pervasiveness at all stages and in all health care delivery activities.

BackgroundRecent health care policies have supported the adoption of Information and Communication Technologies (ICT) but examples of failed ICT projects in this sector have highlighted the need for a greater understanding of the processes used to implement such innovations in complex organizations. This study examined the interaction of sociological and technological factors in the implementation of an Electronic Medical Record (EMR) system by a major national hospital. It aimed to obtain insights for managers planning such projects in the future and to examine the usefulness of Actor Network Theory (ANT) as a research tool in this context.MethodsCase study using documentary analysis, interviews and observations. Qualitative thematic analysis drawing on ANT.ResultsQualitative analyses revealed a complex network of interactions between organizational stakeholders and technology that helped to shape the system and influence its acceptance and adoption. The EMR clearly emerged as a central ‘actor’ within this network. The results illustrate how important it is to plan innovative and complex information systems with reference to (i) the expressed needs and involvement of different actors, starting from the initial introductory phase; (ii) promoting commitment to the system and adopting a participative approach; (iii) defining and resourcing new roles within the organization capable of supporting and sustaining the change and (iv) assessing system impacts in order to mobilize the network around a common goal.ConclusionsThe paper highlights the organizational, cultural, technological, and financial considerations that should be taken into account when planning strategies for the implementation of EMR systems in hospital settings. It also demonstrates how ANT may be usefully deployed in evaluating such projects.

Voluntary policy compliance is an important yet rarely studied topic in public administration. To address the paucity of research, this article proposes and empirically tests a conceptual framework that ties policy transparency and policy understanding to voluntary policy compliance intentions. The reasoning is that the extent to which citizens understand a policy contributes to their intentions to comply with that policy. Further, the authors argue that policy transparency indirectly influences voluntary policy compliance intentions through a positive effect on citizens' levels of policy understanding. To enhance the validity of the findings, the authors assess these relationships across two policy domains. The findings reflect an indirect positive effect of transparency on voluntary compliance occurring through policy understanding. However, this emerged only for one policy domain. These results suggest that the effects of policy transparency on policy understanding and voluntary policy compliance intentions may depend on the policy domain.Acknowledging these important gaps in transparency and compliance research, the objective of this article is to examine how government transparency shapes citizens' voluntary policy compliance. As we will explain in greater detail later, voluntary policy compliance can be understood as citizens' willingness to comply with a government request related to a particular policy. In addressing our research objective,

A common development observed during the COVID-19 pandemic is the renewed reliance on digital health technologies. Prior to the pandemic, the uptake of digital health technologies to directly strengthen public health systems had been unsatisfactory; however, a relentless acceleration took place within health care systems during the COVID-19 pandemic. Therefore, digital health technologies could not be prescinded from the organizational and institutional merits of the systems in which they were introduced. The Italian National Health Service is strongly decentralized, with the national government exercising general stewardship and regions responsible for the delivery of health care services. Together with the substantial lack of digital efforts previously, these institutional characteristics resulted in delays in the uptake of appropriate solutions, territorial differences, and issues in engaging the appropriate health care professionals during the pandemic. An in-depth analysis of the organizational context is instrumental in fully interpreting the contribution of digital health during the pandemic and providing the foundation for the digital reconstruction of what is to come after.

While transparency is viewed as a means of improving citizen understanding of public policies and eliciting policy support, there are few empirical assessments of these relationships. We address this gap in the literature using an experimental design. We predict that exposure to less detailed policy information improves policy understanding, and that this effect varies according to presentation format. Further, we predict that policy understanding will correspond to greater policy support. Using a nationally representative panel of US citizens we find that exposure to detailed policy information decreases policy understanding and that the effect varies by presentation format. In addition, policy understanding is negatively associated with policy support. These findings culminate in a positive indirect effect—increasing detail reduces understanding, which in turn is negatively associated with policy support. However, interestingly, policy support was highest among those who felt they understood the policy best, yet possessed the lowest levels of actual understanding.

Many countries refer to transparency not only as the right to access information, but also as a tool for enhancing government efficiency and accountability. However, the practice of transparency is still linked to the need to comply with legal obligations, not necessarily meeting citizens' needs. The purpose of this article is twofold: it measures the levels of transparency of governments and the needs of citizens for government information and consequently assesses whether there is a gap, offering recommendations for reducing it. This should contribute to reaching higher levels of useful rather than formal transparency and may help in facilitating government-constituent relations.

Any information disclosed by governments should serve the purpose it is meant to fulfill. This is an underlying pillar of transparency. Our article assesses whether the information citizens consider to be most relevant for interaction with the authorities is actually disclosed. Our research was conducted on the population of the 117 Italian provincial capitals. A sample of 500 Italian citizens were interviewed with the purpose of understanding which type of information they consider most relevant, given the choice of institutional, political, financial, and service delivery–related information. The results indicate that Italian provincial capitals currently fail to publish the information that citizens consider to be most relevant: Despite differences in opinions among users, the sample we analyzed tends to rate the importance of service-delivery transparency and financial transparency higher than institutional or political transparency, whereas most information disclosed by Italian provincial capitals is associated with data they are obliged to disclose in order to comply with transparency regulations.