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Peer-Reviewed Publication
Health Serv Manage Res2026;9514848261461237.June 30, 2026Journal Article

Sustainability accounting and reporting adoption across Italian public healthcare system: What role of the institutional pressures?

Elisa Guidotti1, Nora Annesi2, Fabio Iannone3
1Essential Levels of Care (LEA), Regional Health Services, and Healthcare Organizations Monitoring Department, Italian National Agency for Regional Health Services (AGENAS), Rome, Italy.
2Department of Business, Law, Economics and Consumer Behaviour, IULM University, Milan, Italy.
3Interdisciplinary Research Center on Sustainability and Climate, Sant'Anna School of Advanced Studies, Pisa, Italy.

Abstract

Background: This paper aims to understand whether and how the Italian healthcare context has embraced sustainability accounting and reporting practices. Specifically, it investigates if the sector has developed institutional pressures that drive public healthcare organisations toward the adoption of sustainability disclosure.Methods: The researchers employed document analysis as a qualitative rese…

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