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Materiali per la ricerca e l'approfondimento

No. 126 (2023)

Ecological transition and Public- Private Partnership. The “Siena Teaching Hospital” case

DOI
https://doi.org/10.3280/mesa2023-126oa17477
Submitted
marzo 14, 2024
Published
2024-04-24

Abstract

Energy requalification and the reduction of consumption in the Public Administration are central objectives in today’s political agendas. Despite this centrality, difficulties arise in implementing this agenda, given the complexity of the transition interventions. Public-private partnerships can play a key role in addressing this complexity as a model of a long-term collaboration between the public and private sectors that combines the former’s interests and the latter’s resources and expertise. The contribution is based on evidence from the Siena Teaching Hospital (Aou Senese), which has recently launched a 16-year partnership to optimise energy performance and reduce the facility’s environmental footprint. The initiative is part of a broader project aimed at improving hospital sustainability.
Among the first goals achieved is the ISO 50001:2018 certification, an international standard that establishes the requirements for an Energy Management System. Distinctive elements of the initiative are the establishment of a public-private control government committee, the continuous monitoring of the planned timetables, the definition of the development guidelines of the operation, as well as the dissemination of a participatory approach throughout the hospital on the issues of energy efficiency and sustainability.

References

  1. AGENAS (2023). Valutazione Multidimensionale delle Aziende Ospedaliere 2021: Miglior azienda ospedaliera. -- https://www.agenas.gov.it/comunicazione/primo-piano/2240-evento-agenas-modello-di-valutazione-multidimensionale-della-performance-manageriale-nelle-aziende-ospedaliere.
  2. Barretta A.D., Ruggiero P., Busco C. (2008). Trust in Project Financing: an Italian Health Care Example. Public Money & Management, 28(3): 179-184.
  3. Barretta A.D., Ruggiero P. (2008). Ex-ante evaluation of PFIs within the Italian Health-care sector: what is the basis for this PPP?. Health Policy, 88: 15-24.
  4. Barretta A.D., Ruggiero P. (2018). PFIs Involving Multiple Public Partners: A Case Study from the Italian Health Care Sector. Public Money & Management, 38(7): 519-526.
  5. Borgonovi E., Marsilio M., Musì F. (2006). Relazioni pubblico privato: Condizioni per la competitività. Milano: Egea.
  6. Centauri F., Mazzocato P., Villa S., Marsilio M. (2018). System-wide lean implementation in health care: A multiple case study. Health ServIces Management Resesearch, 31(2): 60-73.
  7. Commissione delle Comunità Europee (2004). Libro Verde relativo ai partenariati pubblico–privati ed al diritto comunitario degli appalti pubblici e delle concessioni. Bruxelles, 30(04).
  8. Commissione permanente 10a – Senato della Repubblica (2024). Documento conclusivo dell’indagine conoscitiva sulla ristrutturazione edilizia e l’ammodernamento tecnologico del patrimonio sanitario pubblico, anche nel quadro della missione 6 del PNRR (DOC. XVII, n. 2). -- https://www.senato.it/japp/bgt/showdoc/19/SommComm/0/1408750/index.html?part=doc_dc-allegato_a:2.
  9. D’Andreamatteo A., Ianni L., Rangone A., Paolone F., Sargiacomo M. (2019). Institutional pressures, isomorphic changes and key agents in the transfer of knowledge of Lean in Healthcare. Business Process Management Journal, 25(1): 164-184.
  10. Dirindin N., Caruso E. (2019). Salute ed economia. Questioni di economia e politica sanitaria. Bologna: il Mulino.
  11. Hellowell M. (2018). Public Private Partnerships and the Quality and Efficiency of Healthcare Services. In: Vecchi V., Hellowell M. (eds). Public-Private Partnerships in Health. London: Palgrave Macmillan, Cham. Doi: 10.1007/978-3-319-69563-1_1.
  12. Johansen F., Loorbach D., Stoopendaal A. (2018). Exploring a transition in Dutch healthcare. Journal of Health Organization and Management, 32(7): 875-890. DOI: 10.1108/JHOM-07-2018-0185.
  13. Longo C. (2022). I contratti pubblici e l’Agenda 2030, tra criteri ambientali e criteri sociali. Napoli: Edizione Scientifiche Italiane. -- https://www.anticorruzione.it/documents/91439/126610/Anac+-+Il+sustainable+pubblic+procurement-+worki ng+paper+n.9.pdf/9931aa74-c561-f336-c7b7-35a12a77ebc-c?t=1680689043177.
  14. Vecchi V., Casalini F., Cusumano N., Leone V.M. (2021). Public Private Partnerships: Principles for Sustainable Contracts. London: Palgrave Macmillan. DOI: 10.1007/978-3-030-65435-1.
  15. Zangrandi A., Butera D. (2009). Collaborazioni pubblico-privato in sanità e sperimentazioni gestionali: Un’analisi empirica. Mecosan, 129.

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