Salta al menu principale di navigazione Salta al contenuto principale Salta al piè di pagina del sito

Articles

V. 16 N. 1 (2026)

Artificial Intelligence and the Transformation of Management Models: Governance Challenges and Sustainability Opportunities in Healthcare Organizations

DOI
https://doi.org/10.3280/riss2026oa22250
Inviata
marzo 15, 2026
Pubblicato
2026-06-19

Abstract

The article examines artificial intelligence as a driver of management model transformation in healthcare organizations. It analyzes how AI influences strategic planning, operational coordination, resource allocation, performance monitoring, and decision support. Particular attention is paid to governance conditions, including data governance, accountability, transparency, workforce readiness, and institutional oversight. The article argues that AI contributes to sustainable organizational development only when embedded in coherent management models supported by responsible governance. A conceptual framework linking AI capabilities, governance conditions, transformation processes, organizational outcomes, and sustainability outcomes is proposed.

Riferimenti bibliografici

  1. Almyranti, M., Sutherland, E., Ash, N., & Eiszele, S. (2024). Artificial intelligence and the health workforce: Perspectives from medical associations on AI in health (OECD Artificial Intelligence Papers No. 28). OECD Publishing. Doi: 10.1787/9a31d8af-en.
  2. Bignami, E., Darhour, L. J., & Bellini, V. (2025). Sustainable AI in medicine: Navigating innovation, challenges, and environmental impact. Health Economics Review, 15(1), 110. Doi: 10.1186/s13561-025-00704-w.
  3. Bodnari, A., & Travis, J. (2025). Scaling enterprise AI in healthcare: The role of governance in risk mitigation frameworks. npj Digital Medicine, 8, 272. Doi: 10.1038/s41746-025-01700-4.
  4. Cresswell, K., Williams, R., Dungey, S., Anderson, S., Bernabeu, M. O., Mozaffar, H., Yang, X., Sai, V., Bea, S., & Eason, S. (2025). A mixed methods formative evaluation of the United Kingdom National Health Service Artificial Intelligence Lab. npj Digital Medicine, 8, 448. Doi: 10.1038/s41746-025-01805-w.
  5. Durlach, P., Fournier, R., Gottlich, J., Markwell, T., McManus, J., Merrill, A., & Rhew, D. (2024). The AI maturity roadmap: A framework for effective and sustainable AI in health care. NEJM AI, 1(4). Doi: 10.1056/AI-S2400177.
  6. El Arab, R. A., & Al Moosa, O. A. A. (2025). Systematic review of cost effectiveness and budget impact of artificial intelligence in healthcare. npj Digital Medicine, 8, 548. Doi: 10.1038/s41746-025-01722-y.
  7. Fiske, A., Radhuber, I. M., Willem, T., Buyx, A., Celi, L. A., & McLennan, S. (2025). Climate change and health: The next challenge of ethical AI. The Lancet Global Health, 13(7), e1314-e1320. Doi: 10.1016/S2214-109X(25)00124-X.
  8. Hassan, M., Borycki, E. M., & Kushniruk, A. W. (2025). Artificial intelligence governance framework for healthcare. Healthcare Management Forum, 38(2), 125-130. Doi: 10.1177/08404704241291226.
  9. Kim, J. Y., Hasan, A., Kueper, J., Tang, T., Hayes, C., Fine, B., Balu, S., & Sendak, M. (2025). Establishing organizational AI governance in healthcare: A case study in Canada. npj Digital Medicine, 8, 522. Doi: 10.1038/s41746-025-01909-3.
  10. Mahajan, A., & Powell, D. (2025). Transforming healthcare delivery with conversational AI platforms. npj Digital Medicine, 8, 581. Doi: 10.1038/s41746-025-01968-6.
  11. National Institute of Standards and Technology (2023). Artificial intelligence risk management framework (AI RMF 1.0) (NIST AI 100-1). U.S. Department of Commerce. Doi: 10.6028/NIST.AI.100-1.
  12. OECD (2025a). Digital and AI skills in health occupations: What do we know about new demand? (OECD Artificial Intelligence Papers No. 36). OECD Publishing. Doi: 10.1787/5fbd42ab-en.
  13. OECD (2025b). Governing with artificial intelligence: The state of play and way forward in core government functions. OECD Publishing. Doi: 10.1787/795de142-en.
  14. OECD (2026a). AI in healthcare. In Progress in implementing the European Union coordinated plan on artificial intelligence (Volume 2): Uptake in high-impact sectors. OECD Publishing. Doi: 10.1787/3ac96d41-en.
  15. OECD (2026b). Scaling artificial intelligence in health. OECD Publishing. Doi: 10.1787/a436e12d-en.
  16. Panteli, D., Adib, K., Buttigieg, S., Goiana-da-Silva, F., Ladewig, K., Azzopardi-Muscat, N., Figueras, J., Novillo-Ortiz, D., & McKee, M. (2025). Artificial intelligence in public health: Promises, challenges, and an agenda for policy makers and public health institutions. The Lancet Public Health, 10(5), e428-e432. Doi: 10.1016/S2468-2667(25)00036-2.
  17. Papagiannidis, E., Mikalef, P., & Conboy, K. (2025). Responsible artificial intelligence governance: A review and research framework. The Journal of Strategic Information Systems, 34(2), 101885. Doi: 10.1016/j.jsis.2024.101885.
  18. Saenz, A. D., Mass General Brigham AI Governance Committee, Centi, A., Ting, D., You, J. G., Landman, A., ... Mishuris, R. G. (2024). Establishing responsible use of AI guidelines: A comprehensive case study for healthcare institutions. npj Digital Medicine, 7, 348. Doi: 10.1038/s41746-024-01300-8.
  19. Stetson, P. D., Choy, J., Summerville, N., Baldwin-Medsker, A., Mak, J., Chatterjee, A., Kim, K., Kumar, C., Samedy, P., Halperin, J., Voigt, L., Jee, J., Fraser, J., Connor, M., Harper, R., Evard, R., ... Offodile, A. C., 2nd. (2025). Responsible Artificial Intelligence governance in oncology. npj Digital Medicine, 8, 407. Doi: 10.1038/s41746-025-01794-w.
  20. Vardas, E. P., Marketou, M., & Vardas, P. E. (2025). Medicine, healthcare and the AI Act: Gaps, challenges and future implications. European Heart Journal – Digital Health, 6(4), 833-839. Doi: 10.1093/ehjdh/ztaf041.
  21. Wells, B. J., Nguyen, H. M., McWilliams, A., Pallini, M., Bovi, A., Kuzma, A., Kramer, J., Chou, S.-H., Hetherington, T., Corn, P., Taylor, Y. J., Cuison, A., Gagen, M., Isreal, M., & FAIR-AI Consortium. (2025). A practical framework for appropriate implementation and review of artificial intelligence (FAIR-AI) in healthcare. npj Digital Medicine, 8(1), 514. Doi: 10.1038/s41746-025-01900-y.
  22. World Health Organization (2021). Ethics and governance of artificial intelligence for health: WHO guidance. World Health Organization.
  23. World Health Organization (2024). Framework for resilient and sustainable health systems in the WHO European Region 2025-2030. WHO Regional Office for Europe.
  24. World Health Organization (2025a). Artificial intelligence is reshaping health systems: State of readiness across the WHO European Region. WHO Regional Office for Europe.
  25. World Health Organization (2025b). Health data governance in the age of artificial intelligence: Policy imperatives for the WHO European Region. WHO Regional Office for Europe.