This paper examines the impact of the internet usage and knowledge intensive activities on households’ healthcare expenditures Similarly, the paper aims to recognize and understand, from a value-creation perspective, the correlation between: internet access of households (IA), individuals frequently using the internet (IU), individuals searching on internet for health-related information (HI), payments made by households for healthcare (PHH), expressed as euro per inhabitant and employment in knowledge-intensive activities (KIA). The approach utilized in the present study consists of two steps. First, a theoretical framework was conducted to determine the existing relationship between major variables. Next, the Vector Autoregressive (VAR) approach was applied in a case study at European level to prove the three hypothesis we consider. By analyzing the connection between the major variables, a positive and long- lasting impulse response function was revealed, followed by an ascending trend. This suggests that a self-multiplying effect is being generated; and it reasonable to assume that the more individuals use the Internet, the more electronic acquisitions occur. We can thus reasonably conclude that the improvement of the internet usage and knowledge intensive activities on households’ healthcare expenditures process is strongly dependent on people’s capability. Improving IU and KIA is the new reading key in the decision-making process in health system approach.

Globalization age led to creation of new markets and to unveil new scenarios. This contingency highlighted the existence of a broader range of tourist offerings; a factor which, frequently, has undermined the most traditionally established destinations. The model of new destinations must not ignore the peculiarities of territories on they insist creating a unique amalgam and differentiating it from other neighboring or similar destinations. Due to this proliferation of factors that destabilize the governance of tourism management models in the public and private sector, it is necessary to start an analysis of government indicators that consider peculiar aspects of destination management in the era of globalization. For these reasons we conducted an analysis of the business-economic literature about the themes of tourism and governance in tourist destinations and we selected a set of indicators to describe, assess and control extended, slow and sustainable destinations. In this work, we want to illustrate a heuristic approach to build glocal destination based on the pillars of extended, slow and sustainable tourism. From the results of the literature analysis it will be possible to create a framework to build a tourist strategy in glocal destination management, useful to implementation of territorial tourism strategies for both institutional, public and private actors. The use of the key factors of the model could favor the insertion of new tourist routes respecting the cornerstones of the tourism ecosystem of sustainability.