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Managing Healthcare Service Ecosystems: Abstracting a Sustainability-Based View from Hospitalization at Home (HaH) Practices

Author

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  • Francesco Polese

    (Department of Business Sciences, Management and Innovation Systems, Salerno University, Via Giovanni Paolo II, 132, 84084 Fisciano, Italy)

  • Luca Carrubbo

    (Department of Medicine, Surgery and Dentistry, Salerno University, Via Giovanni Paolo II, 132, 84084 Fisciano, Italy)

  • Francesco Caputo

    (Department of Pharmacy, Salerno University, Via Giovanni Paolo II, 132, 84084 Fisciano, Italy)

  • Debora Sarno

    (Department of Management, Sapienza University of Rome, Via del Castro Laurenziano, 9, 00161 Rome, Italy)

Abstract

Sustainability seems to be a hot topic today upon which a paradigmatic transformation is going on; this affects many fields and sectors by revealing the significant implications for actors’ participation, such as in healthcare. Today, healthcare calls for renewing and increasing its own main processes of hospitalization, as inspired by the current new light of sustainability; hospitalization at home (HaH) practices allow for new forms of hospitalizations, which are much more adherent to the real needs of patients and caregivers. Studies in service dominant logic (S-D logic) on service ecosystems help us in understanding which are the dynamics that are shaping actual conditions in healthcare. With the aim of contributing to the challenging debate about the role of “sustainability for healthcare”, this manuscript proposes a conceptual framework for investigating healthcare domains through the interpretative lens provided by the service ecosystems view. Previous managerial contributions are analyzed in an attempt to emphasize the contact points between studies about service ecosystem and sustainability so as to outline the possible roadmaps for sustainability in the healthcare domain. The three dimensions of HaH—efficiency of healthcare service, effectiveness in resource usage, and patients’ satisfaction—have been identified as possible levers on which promoting healthcare processes inspired by sustainability principles and their relations with the three pillars of sustainability science—the economy, society, and environment—have been analyzed. The reflections herein are finally discussed for proposing possible future directions for research interested in promoting a sustainability-based healthcare management.

Suggested Citation

  • Francesco Polese & Luca Carrubbo & Francesco Caputo & Debora Sarno, 2018. "Managing Healthcare Service Ecosystems: Abstracting a Sustainability-Based View from Hospitalization at Home (HaH) Practices," Sustainability, MDPI, vol. 10(11), pages 1-15, October.
    • Handle: RePEc:gam:jsusta:v:10:y:2018:i:11:p:3951-:d:179271
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    3. Marialuisa Saviano & Sergio Barile & Francesco Caputo & Mattia Lettieri & Stefania Zanda, 2019. "From Rare to Neglected Diseases: A Sustainable and Inclusive Healthcare Perspective for Reframing the Orphan Drugs Issue," Sustainability, MDPI, vol. 11(5), pages 1-21, March.
    4. Pilar Ficapal-Cusí & Mihaela Enache-Zegheru & Joan Torrent-Sellens, 2020. "Linking Perceived Organizational Support, Affective Commitment, and Knowledge Sharing with Prosocial Organizational Behavior of Altruism and Civic Virtue," Sustainability, MDPI, vol. 12(24), pages 1-20, December.
    5. Luca Casali, Gian & Perano, Mirko, 2021. "Forty years of research on factors influencing ethical decision making: Establishing a future research agenda," Journal of Business Research, Elsevier, vol. 132(C), pages 614-630.
    6. Francesco Polese & Carmen Gallucci & Luca Carrubbo & Rosalia Santulli, 2021. "Predictive Maintenance as a Driver for Corporate Sustainability: Evidence from a Public-Private Co-Financed R&D Project," Sustainability, MDPI, vol. 13(11), pages 1-21, May.
    7. Agnieszka Bem & Rafał Siedlecki & Paweł Prędkiewicz & Patrizia Gazzola & Bożena Ryszawska & Paulina Ucieklak-Jeż, 2019. "Hospitals’ Financial Health in Rural and Urban Areas in Poland: Does It Ensure Sustainability?," Sustainability, MDPI, vol. 11(7), pages 1-17, April.
    8. Fiorella Pia Salvatore & Simone Fanelli, 2021. "The Healthcare Organization in COVID-19 Age: An Evaluation Framework for the Performance of a Telemonitoring Model," Sustainability, MDPI, vol. 13(22), pages 1-14, November.
    9. Vincenzo Basile & Francesca Loia & Nunzia Capobianco & Roberto Vona, 2023. "An ecosystems perspective on the reconversion of offshore platforms: Towards a multi‐level governance," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 30(4), pages 1615-1631, July.

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