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Civil society, third sector, and healthcare: The case of social cooperatives in Italy

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  • Borzaga, Carlo
  • Fazzi, Luca

Abstract

In many European countries, the third sector is considered an actor able to improve both the efficiency and the efficacy of public healthcare systems afflicted by the crisis of the welfare state. Attributed to third-sector organizations is the role of a hybrid actor tasked with the professional supply of services, not for profit but rather for mutualistic purposes, and to serve the public interest. However, empirical evidence on the capacity of the third sector to pursue objectives of social inclusion in a phase of withdrawal by the public sector is almost entirely lacking in the European countries. The article describes the results of research on the transformation of the Italian healthcare system and on the emergence of a new third sector in Italy. The results of the inquiry highlight the strategies, characteristics, and governance processes which enable third-sector organizations operating in the healthcare sector to pursue objectives of inclusion, and to serve the needs of disadvantaged groups by assuming the form of social enterprises.

Suggested Citation

  • Borzaga, Carlo & Fazzi, Luca, 2014. "Civil society, third sector, and healthcare: The case of social cooperatives in Italy," Social Science & Medicine, Elsevier, vol. 123(C), pages 234-241.
    • Handle: RePEc:eee:socmed:v:123:y:2014:i:c:p:234-241
    DOI: 10.1016/j.socscimed.2014.10.001
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    References listed on IDEAS

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    1. Doyle, Cathal & Patel, Preeti, 2008. "Civil society organisations and global health initiatives: Problems of legitimacy," Social Science & Medicine, Elsevier, vol. 66(9), pages 1928-1938, May.
    2. de Belvis, Antonio Giulio & Ferrè, Francesca & Specchia, Maria Lucia & Valerio, Luca & Fattore, Giovanni & Ricciardi, Walter, 2012. "The financial crisis in Italy: Implications for the healthcare sector," Health Policy, Elsevier, vol. 106(1), pages 10-16.
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    1. Carlo Borzaga & Silvia Sacchetti, 2015. "Why Social Enterprises Are Asking to Be Multi-stakeholder and Deliberative: An Explanation around the Costs of Exclusion," Euricse Working Papers 1575, Euricse (European Research Institute on Cooperative and Social Enterprises).
    2. Macaulay, Bobby & Mazzei, Micaela & Roy, Michael J. & Teasdale, Simon & Donaldson, Cam, 2018. "Differentiating the effect of social enterprise activities on health," Social Science & Medicine, Elsevier, vol. 200(C), pages 211-217.
    3. Andrea Signoretti & Silvia Sacchetti, 2020. "Lean HRM practices in work integration social enterprises: Moving towards social lean production. Evidence from Italian case studies," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 91(4), pages 545-563, December.
    4. Croft, Charlotte & Currie, Graeme, 2020. "Realizing policy aspirations of voluntary sector involvement in integrated care provision: Insights from the English National Health Service," Health Policy, Elsevier, vol. 124(5), pages 549-555.
    5. Poledrini Simone & Tortia Ermanno C., 2020. "Social Enterprises: Evolution of the Organizational Model and Application to the Italian Case," Entrepreneurship Research Journal, De Gruyter, vol. 10(4), pages 1-26, October.
    6. Alvaro S Almeida, 2016. "The Role Of Private Non-Profit Healthcare Organizations In Nhs Systems: Implications For The Portuguese Hospital Devolution Program," FEP Working Papers 577, Universidade do Porto, Faculdade de Economia do Porto.
    7. Marco Bellucci & Carmela Nitti & Chiara Chimirri & Luca Bagnoli, 2019. "Rendicontare l?impatto sociale. Metodologie, indicatori e tre casi di sperimentazione in Toscana," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2019(3), pages 166-187.
    8. Hermens, Niels & Verkooijen, Kirsten T. & Koelen, Maria A., 2019. "Associations between partnership characteristics and perceived success in Dutch sport-for-health partnerships," Sport Management Review, Elsevier, vol. 22(1), pages 142-152.
    9. Cecilia Santilli & Roberto Scaramuzzino, 2021. "Trajectories of Civil Society Leaders in Italy: Individual Careers, Organizational Structures, and Ideological Affiliations," SAGE Open, , vol. 11(4), pages 21582440211, December.
    10. Koray Aktaş & Gian Paolo Barbetta, 2023. "The Effect of Giving Credit to Social Enterprises: Evidence From Italy," Italian Economic Journal: A Continuation of Rivista Italiana degli Economisti and Giornale degli Economisti, Springer;Società Italiana degli Economisti (Italian Economic Association), vol. 9(1), pages 235-263, March.
    11. Alessandro Fedele & Raffaele Miniaci & Ermanno Tortia, 2022. "Strong client orientation, little leverage in nonprofit firms?," Small Business Economics, Springer, vol. 58(1), pages 541-563, January.
    12. Caló, Francesca & Roy, Michael James & Donaldson, Cam & Teasdale, Simon & Baglioni, Simone, 2019. "Exploring the contribution of social enterprise to health and social care: A realist evaluation," Social Science & Medicine, Elsevier, vol. 222(C), pages 154-161.

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