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Monitoring Viability and Sustainability in Healthcare Organizations

Author

Listed:
  • Marialuisa Saviano

    () (Department of Pharmacy and Pharmanomics Interdepartmental Center, University of Salerno, 84084 Salerno, Italy)

  • Clara Bassano

    () (Department of Management Studies and Quantitative Methods, “Parthenope” University of Naples, 80132 Naples, Italy)

  • Paolo Piciocchi

    () (Department of Political, Social and Communication Studies, University of Salerno, 84084 Salerno, Italy)

  • Primiano Di Nauta

    () (Department of Economics, University of Foggia, 71121 Foggia, Italy)

  • Mattia Lettieri

    () (Unipegaso, 80132 Naples, Italy)

Abstract

The paper aims to advocate the incorporating of the sustainability perspective into the management control system of healthcare organizations. The study is based on two main premises: (1) the evolution of business models towards a wide perspective of the sustainability approach; (2) the evolution of control systems in healthcare organizations towards a control-based approach to monitor the effectiveness and efficiency of the service targeted primarily to cut costs and expenses. Our methodology is developed at theoretical and conceptual level starting from: (1) a literature review on the issue, highlighting main trends and gaps and (2) the adoption of the Viable Systems Approach (VSA) as a conceptual framework oriented to integrate a wide variety of stakeholder perspectives and interests into the business model. Our findings lead us to introduce the Systems Viability Monitoring Model for Sustainability as a potential reference framework to build healthcare management control systems in which the notion of ‘systems viability,’ as defined by VSA, becomes a bridging concept by means of which the sustainability perspective can be incorporated into the management control system of healthcare organizations.

Suggested Citation

  • Marialuisa Saviano & Clara Bassano & Paolo Piciocchi & Primiano Di Nauta & Mattia Lettieri, 2018. "Monitoring Viability and Sustainability in Healthcare Organizations," Sustainability, MDPI, Open Access Journal, vol. 10(10), pages 1-23, October.
  • Handle: RePEc:gam:jsusta:v:10:y:2018:i:10:p:3548-:d:173531
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    References listed on IDEAS

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    1. Marco Morelli & Francesca Lecci, 2014. "Management control systems (MCS) change and the impact of top management characteristics: the case of healthcare organisations," Metrika: International Journal for Theoretical and Applied Statistics, Springer, vol. 24(3), pages 267-298, January.
    2. Paola M. A. Paniccia & Luna Leoni & Silvia Baiocco, 2017. "Interpreting Sustainability through Co-Evolution: Evidence from Religious Accommodations in Rome," Sustainability, MDPI, Open Access Journal, vol. 9(12), pages 1-19, December.
    3. Sergio Barile & Bernardino Quattrociocchi & Mario Calabrese & Francesca Iandolo, 2018. "Sustainability and the Viable Systems Approach: Opportunities and Issues for the Governance of the Territory," Sustainability, MDPI, Open Access Journal, vol. 10(3), pages 1-17, March.
    4. Tonino Pencarelli & Mara Cerquetti & Simone Splendiani, 2016. "The sustainable management of museums: an Italian perspective," Tourism and Hospitality Management, University of Rijeka, Faculty of Tourism and Hospitality Management, vol. 22(1), pages 29-46, May.
    5. Ted London & Stuart L Hart, 2004. "Reinventing strategies for emerging markets: beyond the transnational model," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 35(5), pages 350-370, September.
    6. Robert B. Gibson, 2006. "Beyond The Pillars: Sustainability Assessment As A Framework For Effective Integration Of Social, Economic And Ecological Considerations In Significant Decision-Making," Journal of Environmental Assessment Policy and Management (JEAPM), World Scientific Publishing Co. Pte. Ltd., vol. 8(03), pages 259-280.
    7. King, Robyn & Clarkson, Peter, 2015. "Management control system design, ownership, and performance in professional service organisations," Accounting, Organizations and Society, Elsevier, vol. 45(C), pages 24-39.
    8. Barile, Sergio & Saviano, Marialuisa & Polese, Francesco, 2014. "Information asymmetry and co-creation in health care services," Australasian marketing journal, Elsevier, vol. 22(3), pages 205-217.
    9. Alfonso Siano & Francesca Conte & Sara Amabile & Agostino Vollero & Paolo Piciocchi, 2016. "Communicating Sustainability: An Operational Model for Evaluating Corporate Websites," Sustainability, MDPI, Open Access Journal, vol. 8(9), pages 1-16, September.
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    Citations

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    Cited by:

    1. Giuseppe Russo & Andrea Moretta Tartaglione & Ylenia Cavacece, 2019. "Empowering Patients to Co-Create a Sustainable Healthcare Value," Sustainability, MDPI, Open Access Journal, vol. 11(5), pages 1-20, March.
    2. 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, Open Access Journal, vol. 11(5), pages 1-21, March.
    3. Francesca Conte & Pierluigi Vitale & Agostino Vollero & Alfonso Siano, 2018. "Designing a Data Visualization Dashboard for Managing the Sustainability Communication of Healthcare Organizations on Facebook," Sustainability, MDPI, Open Access Journal, vol. 10(12), pages 1-14, November.
    4. Francesca Iandolo & Pietro Vito & Irene Fulco & Francesca Loia, 2018. "From Health Technology Assessment to Health Technology Sustainability," Sustainability, MDPI, Open Access Journal, vol. 10(12), pages 1-22, December.
    5. 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, Open Access Journal, vol. 10(11), pages 1-15, October.

    More about this item

    Keywords

    healthcare organizations; control; viability; sustainability; systems monitoring;

    JEL classification:

    • Q - Agricultural and Natural Resource Economics; Environmental and Ecological Economics
    • Q0 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - General
    • Q2 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Renewable Resources and Conservation
    • Q3 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Nonrenewable Resources and Conservation
    • Q5 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics
    • Q56 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Environment and Development; Environment and Trade; Sustainability; Environmental Accounts and Accounting; Environmental Equity; Population Growth
    • O13 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Agriculture; Natural Resources; Environment; Other Primary Products

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