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Sustainability 2018, 10(10), 3548;

Monitoring Viability and Sustainability in Healthcare Organizations

Department of Pharmacy and Pharmanomics Interdepartmental Center, University of Salerno, 84084 Salerno, Italy
Department of Management Studies and Quantitative Methods, “Parthenope” University of Naples, 80132 Naples, Italy
Department of Political, Social and Communication Studies, University of Salerno, 84084 Salerno, Italy
Department of Economics, University of Foggia, 71121 Foggia, Italy
Unipegaso, 80132 Naples, Italy
Authors to whom correspondence should be addressed.
Received: 23 August 2018 / Revised: 27 September 2018 / Accepted: 29 September 2018 / Published: 3 October 2018
(This article belongs to the Special Issue Sustainability for Healthcare)
PDF [2771 KB, uploaded 9 October 2018]


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. View Full-Text
Keywords: healthcare organizations; control; viability; sustainability; systems monitoring healthcare organizations; control; viability; sustainability; systems monitoring

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Saviano, M.; Bassano, C.; Piciocchi, P.; Di Nauta, P.; Lettieri, M. Monitoring Viability and Sustainability in Healthcare Organizations. Sustainability 2018, 10, 3548.

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