Health care service quality indicators were the most influential determinants of patient satisfaction across the studies. Among them, health providers' interpersonal care quality was the essential determinant of patient satisfaction. Sociodemographic characteristics were the most varied in the review. The strength and directions of associations with patient satisfaction were found inconsistent. Therefore, person-related characteristics should be considered to be the potential determinants and confounders simultaneously. The selected studies were not able to show all potential characteristics which may have had effects on satisfaction. There is a need for more studies on how cultural, behavioural, and socio-demographic differences affect patient satisfaction, using a standardised questionnaire.

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In recent years, both researches and practitioners have devoted attention to environmental sustainability of supply chain (SC), while firms have modified their marketing strategies highlighting green practices in productive and logistic processes among the features of their products. These behaviours move firms to require to their suppliers the adoption of green measures and practices to reduce environmental impacts within the entire SC. This paper presents the results of an exploratory case-based research on the SC of fresh chestnuts aimed to integrate environmental concepts in the value chain approach, with a concurrent evaluation of sustainability improvements and their economic impact. Within the value chain configuration, environmental KPIs are defined for the specific case study and a logistic environmental model is developed. Within the model, an evaluation of carbon footprint for this SC is proposed, along with its possible improvements. Results include the analysis of different improvement scenarios and their comparison.

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