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FrancoAngeli Journals

Saggi

No. 127 (2023)

Internal Auditing in Italian National Healthcare Service. Evidence from two regional cases: Veneto and Emilia-Romagna

DOI
https://doi.org/10.3280/mesa2023-127oa17872
Submitted
maggio 30, 2024
Published
2024-06-28

Abstract

In the last decade, legislation on accounting harmonization and external audit readiness made public healthcare organizations devote increasing attention to the development of Internal Control Systems. Internal Auditing function (henceforth, IA) was frequently established and regarded as an opportunity to systematize and provide assurance upon the whole Internal Control System. This study is aimed at analyzing how the IA function has been implemented and developed in the Italian National Health Service. The empirical analysis relies on case study methodology and presents two of the most relevant experiences settled respectively in the Regional Health Services of Veneto and Emilia-Romagna. The study examines and compares: IA roles, types of audit, IA process, organizational variables, and internal auditors characteristics. Results show the existence of two distinct
implementation modes, highly influenced by contextual factors, but also characterized by interesting similarities.
These findings may provide a useful reference point for the establishment and implementation of the IA function in other regions.

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