Purpose The purpose of this paper is to investigate the role of intellectual capital (IC) in promoting the sustainable development (SD) program of the Emilia-Romagna Health Service. The contributions of the following assets were investigated: leadership and competences, culture, performance measurement and incentives systems, social capital and technologies. Design/methodology/approach The case study was conducted following a hierarchical approach: perceptions of the regional directorate of public and social health, the general directors and healthcare professionals of the regional health system (the setting) were analyzed through interviews, focus groups and documentation in order to investigate: the emerging definition of SD within the setting; the role of IC, if any, in the achievement of the regional SD goals. Findings SD culture did not expand at the operative level because of the lack of involvement of healthcare professionals in a permanent dialogue for sustainability. Sustainability projects were not systematic which restricted the development of staff awareness of sustainability issues. Social capital enabled environmental projects and medical projects that increased patients’ involvement in disease management. Technology could help the shift toward sustainability, but it requires consideration of tangible and intangible costs for its successful adoption. SD performance measurement and incentives were in their infancy and cost accounting continues to dominate the healthcare sustainability debate. Research limitations/implications Despite the low number of healthcare professionals involved in the focus groups, the paper represents one of the first attempts to frame their perceptions on SD implementation in healthcare. Practical implications Regional institutions should consider new ways of enacting SD which should be more inclusive of healthcare professionals. The establishment of a permanent interdisciplinary dialogue on sustainability would develop human, social and structural capital for sustainability. Healthcare organizations should monitor the environmental and social effects of their operations to enact their primary mission: the promotion of health. Originality/value The paper contributes to theory development related to the role of IC for SD in the public sector context and, in particular, in the healthcare sector where evidence is currently limited.

No abstract

Purpose – This paper aims to outline the current status of the implementation of sustainability practices in the context of Italian public universities, highlighting the strengths and gaps. Design/methodology/approach – Based on a qualitative approach, an exploratory study design has been outlined using the model of Glavič and Lukman (2007) focusing on the Deming Cycle. The Plan–Do–Check–Act components of the model were used as a framework for collecting and analyzing data from the official Web sites and other related Web pages of Italian universities. Findings – The results of this exploratory study allow one to depict a university system addressing the challenge posed by international agendas in a fragmented way, even if many universities are showing a strong commitment to the sustainability challenge. Sustainability is mainly detected at the “Do” dimension, when referring to training programs and research projects associated to the sustainability issue. Research limitations/implications – Limitations of the data collection method are addressed when the timeliness of update of Web sources and the different emphases that universities can put on Internet disclosure are considered. However, the study contributes to the debate on sustainability by providing findings at a national level, which were derived from the official Web sites of Italian public universities. Furthermore, the study could have implications for policy makers and universities’ decision makers. Practical implications – The study points out the importance of managing the sustainability process in all its phases (planning, activities, monitoring, further actions), and highlights the elements that are relevant for measuring and monitoring the process of implementation of sustainability in the specific context of higher education. Social implications – The paper can contribute to increase the academics’ awareness of the sustainability actions, and stimulate them to fill the gaps. Originality/value – This study explores sustainability issue in the Italian university system, and it is based on a Web-based method of data collection, whereas other contributions are based on case studies.

No abstract

Community pharmacies have recently been asked to contribute to sustainable healthcare systems through active participation in an integrated model of care and by playing a major educational role for environmental conservation. Therefore, dramatic changes in their institutional context have led to increasing competition in the drugs retail sector and a shift toward a service-oriented business. These factors urge rethinking of the business model of these hybrid organizations, which combine a profit-oriented, social, and more recently addressed, environmental identity. This paper aims at discussing a sustainable business model (SBM) that could allow community pharmacies to contribute to public health through pharmacists’ current role and development of that role. The effects of the COVID-19 pandemic suggest that human health should be at the center of the sustainable development agenda; the pandemic raises questions about the traditional role of community pharmacies, such as extending patient-oriented services. The SBM for community pharmacies represents an opportunity to enhance their role among the healthcare workforce, especially in a time of global pandemics. In addition, the SBM can support community pharmacies to integrate sustainability in day-to-day pharmacy practice, although it should be customized based on the contextual characteristics of the business and on differences between countries, such as health policies and regulations.