Italian healthcare organizations facing new dimensions: changes in governance structure

Anna Romiti, Mario Vecchio, Chiara Milani and Gino Sartor ()
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Anna Romiti: University of Florence
Mario Vecchio: University of Florence
Chiara Milani: University of Florence
Gino Sartor: University of Florence

Journal of Management & Governance, 2023, vol. 27, issue 3, No 10, 893-921

Abstract: Abstract Private and public organizations facing merger processes may consider reconfiguring the size, composition, and mechanisms used by the strategic apex. In Italian local health organizations (LHOs), the strategic apex had to face challenges arising from an increase in size and its impacts on different governance areas. The aim of this study is to highlight the role of the top management team in shaping the conditions of governance, and link these conditions to certain internal and external characteristics of the specific LHO and to the behavior and vision of the CEO. The study used qualitative techniques to examine the cases of three of the largest Italian LHOs that had undergone merger processes in recent years. The results show how changes in the organizational size impact the structure and mechanisms of the strategic apex. In particular, this study identifies three main governance strategies.

Keywords: Strategic apex; Corporate headquarters; Public healthcare organization; Merger; Governance areas; Corporate governance (search for similar items in EconPapers)
Date: 2023
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DOI: 10.1007/s10997-021-09618-1

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