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FrancoAngeli Journals

Saggi

No. 128 (2023)

The challenge of sustainability in knowledge-intensive public organizations. A model for integrating ESG logics within the corporate strategies of healthcare organizations

DOI
https://doi.org/10.3280/mesa2023-128oa18591
Submitted
ottobre 2, 2024
Published
2024-11-28

Abstract

Despite the substantial resources used to deliver its services and the impact generated at the environmental, social, and governance levels, the healthcare sector seems to need more interest in considering sustainability as a strategic asset functional to the survival and competitive development of the organization.
For this reason, through the elaboration of the “ESG Process Map”, 13 areas of action and 25 key themes specific to healthcare KIPOs were defined in order to enable the organizations under examination to identify the essential elements that help them to more consciously and responsibly direct the decisions and strategies to be undertaken with a view to sustainability. In addition, through the use of Social Network Analysis (SNA), the alignment between the contents of the Map and the 2030 Agenda Goals was assessed to understand the extent to which the health sector can contribute to the pursuit of the SDGs.
Such a process map lends itself to be easily adaptable to other sectors of the economy, given the simplicity and flexibility of the tool.

References

  1. Abell A., Oxbrow N. (2001). Competing with knowledge: The information professional in the knowledge management age. London: Facet Publishing.
  2. Alvesson M. (1993). Organizations as rhetoric: knowledge-intensive firms and the struggle with ambiguity. Journal of Management Studies, 30 (6): 997-1015. DOI: 10.1111/j.1467-6486.1993.tb00476.x.
  3. Alvesson M. (2004). Knowledge Work and Knowledge-intensive Firms. Oxford: Oxford University Press.
  4. Apuzzo L. (2018), Bilancio sociale nelle aziende sanitarie, -- testo disponibile al sito: https://www.nurse24.it/specializzazioni/management-universita-area-forense/bilancio-sociale-aziende-sanitarie.html, 19/03/2024.
  5. ASviS (2020). Salute e non solo sanità: come orientare gli investimenti in sanità in ottica di sviluppo sostenibile, -- testo disponibile al sito: https://asvis.it/public/asvis2/files/Approfondimenti/PositionPaperGdLGoal3.pdf, 28/12/2022.
  6. Baccarini M., Castellini M., Guercini A.M., Vagnoni E. (2008). La rappresentazione del Capitale Intellettuale nelle organizzazioni Sanitarie. Agenzia Sanitaria e Sociale regionale, Regione Emilia-Romagna, Dossier 164, testo disponibile al sito: -- https://assr.regione.emilia-romagna.it/pubblicazioni/dossier/doss164/@@download/publicationFile/doss164.pdf, 21/04/2022.
  7. Baptista Nunes M., Annansingh F., Eaglestone B., Wakefield R. (2006). Knowledge management issues in knowledge-intensive SMEs. Journal of Documentation, 62(1): 101-119. DOI: 10.1108/00220410610642075.
  8. Benbya H. (2008). Knowledge Management: Systems Implementation: Lessons from the Silicon Valley. Oxford: Chandos Publishing.
  9. Benedettini O. (2022). Green Servitization in the Single-Use Medical Device Industry: How Device OEMs Create Supply Chain Circularity through Reprocessing. Sustainability, 14(19), 12670. DOI: 10.3390/su141912670.
  10. Berry L.L., Bendapudi N. (2007). Health Care: A Fertile Field for Service Research. Journal of Service Research, 10(2): 111-122. DOI: 10.1177/1094670507306682.
  11. Boone T. (2012). Organizing for sustainability: Exploratory analysis of the healthcare industry. In: Boone T., Jayaraman V., Ganeshan R. (a cura di). Sustainable Supply Chains. International Series in Operations Research & Management Science, 174: 37-48. New York: Springer.
  12. Borgatti S.P., Everett M.G., Freeman L.C. (2002). Ucinet for Windows: Software for social network analysis, Analytic Technologies, -- testo disponibile al sito: http://www.analytictech.com/, 23/04/2023.
  13. Bos-Nehles A., Bondarouk T., Nijenhuis K. (2017). Innovative work behaviour in knowledge-intensive public sector organizations: the 3case of supervisors in the Netherlands fire services. The International Journal of Human Resource Management, 28(2): 379-398. DOI: 10.1080/09585192.2016.1244894.
  14. Bosco F., Di Gerio C., Fiorani G. (2022). Integration of the Intellectual Capital in the Healthcare Organizations: The Case of the Lazio Region Local Health Units. In: 17th IFKAD – Knowledge Drivers for Resilience and Transformation, 1033-1046.
  15. Bosco F., Di Gerio C., Fiorani G., Stola G. (2024). How to manage sustainability in healthcare organizations? A processing map to include the ESG strategy. Journal of Public Budgeting, Accounting & Financial Management. DOI: 10.1108/JPBAFM-04-2023-0065.
  16. Braithwaite J., Zurynski Y., Ludlow K., Holt J., Augustsson H., Campbell M. (2019). Towards sustainable healthcare system performance in the 21st century in high-income countries: a protocol for a systematic review of the grey literature. BMJ Open, 9(1), e025892. DOI: 10.1136/bmjopen-2018-025892.
  17. Brown J.S., Duguid P. (1998). Organizing Knowledge. California Management Review, 40(3): 90-111. DOI: 10.2307/41165945.
  18. Cimprich A., Santillán‐Saldivar J., Thiel C.L., Sonnemann G., Young S.B. (2019). Potential for industrial ecology to support healthcare sustainability: scoping review of a fragmented literature and conceptual framework for future research. Journal of Industrial Ecology, 23(6): 1344-1352. DOI: 10.1111/jiec.12921.
  19. Comito F. (2021). La tutela dei dati personali in ambito di assistenza sanitaria e sociosanitaria. Amministrazione in Cammino. Rivista elettronica di diritto pubblico, di diritto dell’economia e di scienza dell’amministrazione, 1-15.
  20. Deng P. (2008). Applying a Market-Based Approach to the Development of a Sharing-Enabled KM Model for Knowledge-Intensive Small
  21. Firms. Information Systems Management, 25(2): 174-187. DOI: 10.1080/10580530801941389.
  22. Denora D. (2022). Articolo 32 Costituzione: tutela della salute diritto fondamentale. Informazione Fiscale, -- testo disponibile al sito: https://www.informazionefiscale.it/Diritto-alla-salute-spiegazione-articolo-32-Costituzione?srsltid=AfmBOoqaN5Bfrs4bAnwe-pJk7VqLbbTPRN1uLmh-1NC-yLy8IhYvtCFF, 26/06/2023.
  23. Eiriz V., Figueiredo J.A. (2005). Quality evaluation in health care services based on customer‐provider relationships. International Journal of Health Care Quality Assurance, 18 (6): 404-412. DOI: 10.1108/09526860510619408.
  24. Flick, G.M. (2010). La salute nella Costituzione italiana. In: FNOMCeO, Federazione Nazionale Ordini Medici Chirurghi e Odontoiatri (a cura di). Centenario della Costituzione degli Ordini dei Medici. Cento anni di professione al servizio del Paese, 13-35. Roma: Health Communication.
  25. Fiorani G., Di Gerio C., Rossi N., Bosco F. (2022). The Role of Intellectual Capital in the Healthcare Sector: The Case of the Local Health Units of Rome. International Journal of Business and Management, 17(12): 24-31. DOI: 10.5539/ijbm.v17n12p24.
  26. Fischer M. (2014). Fit for the future? A new approach in the debate about what makes healthcare systems really sustainable. Sustainability, 7(1): 294-312. DOI: 10.3390/su7010294.
  27. Fruitman M. (2004). Sustainability of health care in Canada. Canadian Medical Association Journal, 170(11): 1646-1647. DOI: 10.1503/cmaj.1040426.
  28. Greenwood D.J. (2009). Are Research Universities Knowledge-Intensive Learning Organizations? In: Jemielniak D., Kociatkiewicz J. (a cura di). Handbook of Research on Knowledge-Intensive Organizations, 1-18. Pennsylvania: IGI Global.
  29. Grossi G., Kallio K.M., Sargiacomo M., Skoog M. (2020). Accounting, performance management systems and accountability changes in knowledge-intensive public organizations: A literature review and research agenda. Accounting, Auditing & Accountability Journal, 33(1): 256-280. DOI: 10.1108/AAAJ-02-2019-3869.
  30. Gruen R.L., Elliott J.H., Nolan M.L., Lawton P.D., Parkhill A., McLaren C.J., Lavis J.N. (2008). Sustainability science: an integrated approach for health-programme planning. The Lancet, 372(9649): 1579-1589. DOI: 10.1016/S0140-6736(08)61659-1.
  31. Ichijo K., Nonaka I.A. (2007). Knowledge Creation and Management: New Challenges for Managers. Oxford: Oxford University Press.
  32. Kumbani L.C., Chirwa E., Malata A., Odland J.Ø., Bjune G. (2012). Do Malawian women critically assess the quality of care? A qualitative study on women’s perceptions of perinatal care at a district hospital in Malawi. Reproductive health, 9(30): 1-14. DOI: 10.1186/1742-4755-9-30.
  33. Le Blanc D. (2015). Towards Integration at Last? The Sustainable Development Goals as a Network of Targets. Sustainable Development, 23(3): 176-187. DOI: 10.1002/sd.1582.
  34. Lifvergren S., Huzzard T., Docherty P. (2008). A development coalition for sustainability in healthcare. In: Docherty P., Kira M., Shani A.R. (a cura di). Creating Sustainable Work Systems: Developing social sustainability, 193-211. London: Routledge.
  35. Jenssen J.I., Nybakk E. (2009). Inter-organizational innovation promoters in small, knowledge-intensive firms. International Journal of Innovation Management, 13(3): 441-466. DOI: 10.1142/S1363919609002376.
  36. MacNeill A.J., McGain F., Sherman J.D. (2021). Planetary health care: a framework for sustainable health systems. The Lancet Planetary Health, 5(2): 66-68. DOI: 10.1016/S2542-5196(21)00005-X.
  37. Makani J., Marche S. (2010). Towards a typology of knowledge-intensive organizations: determinant factors. Knowledge Management Research & Practice, 8(3): 265-277. DOI: 10.1057/kmrp.2010.13.
  38. Mas-Machuca M. (2014). The role of leadership: The challenge of knowledge management and learning in knowledge-intensive organizations. International Journal of Educational Leadership and Management, 2(1): 97-116. DOI: 10.4471/ijelm.2014.10.
  39. Mohrman S.A., Shani A.B.R. (2011). Organizing for Sustainability. Bingley: Emerald Group Publishing Limited.
  40. Mortimer F., Isherwood J., Wilkinson A., Vaux E. (2018). Sustainability in quality improvement: redefining value. Future Healthcare Journal, 5(2): 88-93. DOI: 10.7861/futurehosp.5-2-88.
  41. Nonaka I., Takeuchi H. (1995). The Knowledge-creating Company: How Japanese Companies Create the Dynamics of Innovation. Oxford: Oxford University Press.
  42. Ostrom A.L., Parasuraman A., Bowen D.E., Patrício L., Voss C.A. (2015). Service research priorities in a rapidly changing context. Journal of Service Research, 18(2): 127-159. DOI: 10.1177/1094670515576315.
  43. Otte E., Rousseau R. (2002). Social network analysis: a powerful strategy, also for the information sciences. Journal of information Science, 28(6): 441-453. DOI: 10.1177/016555150202800601.
  44. Paccaud F. (1993). Controle de la qualité des soins: aspects épidémiologiques. Schweizerische Medizinische Wochenschrift, 123(7): 254-260.
  45. Pedrini M., Zaccone M.C., Bona F., Catozzella A., Picozzi A., Monolo G., Occhipinti M., Pedrazzini S., Strada A. (2023). Sostenibilità in sanità. Milano: EDUCatt.
  46. Pereno A., Eriksson D. (2020). A multi-stakeholder perspective on sustainable healthcare: From 2030 onwards. Futures, 122, 102605. DOI: 10.1016/j.futures.2020.102605.
  47. Pichler P.P., Jaccard I.S., Weisz U., Weisz H. (2019). International comparison of health care carbon footprints. Environmental Research Letters, 14(6): 1-19. DOI: 10.1088/1748-9326/ab19e1.
  48. Pluye P., Potvin L., Denis J.L. (2004). Making public health programs last: conceptualizing sustainability. Evaluation and Program Planning, 27(2): 121-133. DOI: 10.1016/j.evalprogplan.2004.01.001.
  49. Ramirez B., West D.J., Costell, M.M. (2013). Development of a culture of sustainability in health care organizations. Journal of Health Organization and Management, 27(5): 665-672. DOI: 10.1108/JHOM-11-2012-0226.
  50. Rebba V. (2012). Evoluzione dei sistemi sanitari tra sostenibilità e promozione della qualità: alcune esperienze internazionali. Politiche sanitarie, 13(3): 127-128.
  51. Richards G.S., Duxbury L. (2015). Work-Group Knowledge Acquisition in Knowledge Intensive Public-Sector Organizations: An Exploratory Study. Journal of Public Administration Research and Theory, 25(4): 1247-1277. DOI: 10.1093/jopart/muu034.
  52. Robertson M., Swan J. (1998). Modes of Organizing in an Expert Consultancy: A Case Study of Knowledge, Power and Egos. Organization, 5(4): 543-564. DOI: 10.1177/135050849854006.
  53. Sheehan N.T. (2002). Reputation as a Driver in Knowledge-Intensive Service Firms: An Exploratory Study of the Relationship between Reputation and Value Creation in Petroleum Exploration Units. Norwegian School of Management, Department of Strategy.
  54. Starbuck W.H. (1992). Learning by knowledge-intensive firms. Journal of Management Studies, 29(6): 713-740, DOI: 10.1111/j.1467-6486.1992.tb00686.x.
  55. Starbuck W.H. (1993). Keeping a Butterfly and an Elephant in a House of Cards: The Elements of Exceptional Success. Journal of Management Studies, 30(6): 885-921.
  56. Stefanini A., Zanichelli A. (2002). Società e politica: là dove nasce e muore la salute. I piani per la Salute in Emilia-Romagna: una cornice concettuale. Salute e Società, 73-94.
  57. Lloyd T., Sveiby K.E. (1987). Managing Knowhow: Add Value by Valuing Creativity. London: Bloomsbury.
  58. Swart J., Kinnie N. (2003). Sharing knowledge in knowledge-intensive firms. Human Resource Management Journal, 13(2): 60-75. DOI: 10.1111/j.1748-8583.2003.tb00091.x.
  59. Ulhøi J.P., Ulhøi B.P. (2009). Beyond Climate Focus and Disciplinary Myopia. The Roles and Responsibilities of Hospitals and Healthcare Professionals. International Journal of Environmental Research and Public Health, 6(3): 1204-1214. DOI: 10.3390/ijerph6031204.
  60. UN (1948). Universal Declaration of Human Rights, -- testo disponibile al sito: https://www.un.org/sites/un2.un.org/files/2021/03/udhr.pdf, 10/01/2023.
  61. Ungaro V., Guglielmetti Mugion R., Renzi M.F., Di Pietro L., Bisceglia F. (2024). Sostenibilità e qualità dei dispositivi medici: una sintesi bibliometrica della letteratura. L’aziendalismo crea valore! Il ruolo dell’accademia nelle sfide della società, dell’economia e delle istituzioni. Conferenza Nazionale AIDEA, Salerno.
  62. Wasserman S., Faust K. (1994). Social Network Analysis: Methods and Applications. Cambridge: Cambridge University Press.
  63. Weisz U., Haas W., Pelikan J.M., Schmied H. (2011). Sustainable Hospitals: A Socio-Ecological Approach. GAIA – Ecological Perspectives for Science and Society, 20(3): 191-198. DOI: 10.14512/gaia.20.3.10.
  64. WEF (2020). Measuring Stakeholder Capitalism: Towards Common Metrics and Consistent Reporting of Sustainable Value Creation, -- testo disponibile al sito: https://www.weforum.org/reports/measuring-stakeholder-capitalism-towards-common-metrics-and-consistent-reporting-of-sustainable-value-creation, 05/01/2023.

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