Tracing Governance Evolution in Healthcare: A Longitudinal Study of NHS East Kent, UK and ASP Cosenza, Italy

T. Rashid () and M. Nardo ()
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T. Rashid: University of Calabria
M. Nardo: University of Calabria

Chapter 13 in The Expanding Horizons of Business and Management, Volume II, 2026, pp 311-332 from Palgrave Macmillan

Abstract: Abstract This research investigates revolution in the discourse of two distinct public health organizations, NHS East Kent, UK and ASP Cosenza, Italy, through sub-keyword and longitudinal keyword analysis of performance reports for eight years (2015–2022). To examine more conventional assessments of value creation, the study looks at how institutional efforts mark a shift in strategic priorities, administrative capacity, and public accountability. Patterns in themes within the text of reports are extracted and analysed using KH Coder. Sub-keyword clustering reveals major domains of interest, including digital innovation, sustainability, upskilling the workforce, and regulation. In contrast, a longitudinal trend analysis tracks their ongoing presence or absence over time. This comparative study underscores the communicative dimensions of public governance in healthcare, revealing how institutions market themselves, mitigate public expectations, and respond to reform mandates in narrative frames of meaning. This work provides nuanced recommendations to both scholars and policymakers concerning next steps.

Keywords: accountability; carbon emission; climate change; clinical records; compliance; digital transformation; digitalization; green transformation; health and safety; health systems; healthcare services; information system; innovation; redevelopment; sub-keyword analysis; sub-keyword clusters; sustainability; Technological innovation; technological innovation; training; training; training courses; waste management; waste reduction; websites (search for similar items in EconPapers)
Date: 2026
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Persistent link: https://EconPapers.repec.org/RePEc:pal:pscchp:978-3-032-26500-5_13

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DOI: 10.1007/978-3-032-26500-5_13

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