IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v123y2014icp234-241.html
   My bibliography  Save this article

Civil society, third sector, and healthcare: The case of social cooperatives in Italy

Author

Listed:
  • Borzaga, Carlo
  • Fazzi, Luca

Abstract

In many European countries, the third sector is considered an actor able to improve both the efficiency and the efficacy of public healthcare systems afflicted by the crisis of the welfare state. Attributed to third-sector organizations is the role of a hybrid actor tasked with the professional supply of services, not for profit but rather for mutualistic purposes, and to serve the public interest. However, empirical evidence on the capacity of the third sector to pursue objectives of social inclusion in a phase of withdrawal by the public sector is almost entirely lacking in the European countries. The article describes the results of research on the transformation of the Italian healthcare system and on the emergence of a new third sector in Italy. The results of the inquiry highlight the strategies, characteristics, and governance processes which enable third-sector organizations operating in the healthcare sector to pursue objectives of inclusion, and to serve the needs of disadvantaged groups by assuming the form of social enterprises.

Suggested Citation

  • Borzaga, Carlo & Fazzi, Luca, 2014. "Civil society, third sector, and healthcare: The case of social cooperatives in Italy," Social Science & Medicine, Elsevier, vol. 123(C), pages 234-241.
    • Handle: RePEc:eee:socmed:v:123:y:2014:i:c:p:234-241
    DOI: 10.1016/j.socscimed.2014.10.001
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953614006236
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2014.10.001?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Doyle, Cathal & Patel, Preeti, 2008. "Civil society organisations and global health initiatives: Problems of legitimacy," Social Science & Medicine, Elsevier, vol. 66(9), pages 1928-1938, May.
    2. de Belvis, Antonio Giulio & Ferrè, Francesca & Specchia, Maria Lucia & Valerio, Luca & Fattore, Giovanni & Ricciardi, Walter, 2012. "The financial crisis in Italy: Implications for the healthcare sector," Health Policy, Elsevier, vol. 106(1), pages 10-16.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Carlo Borzaga & Silvia Sacchetti, 2015. "Why Social Enterprises Are Asking to Be Multi-stakeholder and Deliberative: An Explanation around the Costs of Exclusion," Euricse Working Papers 1575, Euricse (European Research Institute on Cooperative and Social Enterprises).
    2. Macaulay, Bobby & Mazzei, Micaela & Roy, Michael J. & Teasdale, Simon & Donaldson, Cam, 2018. "Differentiating the effect of social enterprise activities on health," Social Science & Medicine, Elsevier, vol. 200(C), pages 211-217.
    3. Andrea Signoretti & Silvia Sacchetti, 2020. "Lean HRM practices in work integration social enterprises: Moving towards social lean production. Evidence from Italian case studies," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 91(4), pages 545-563, December.
    4. Croft, Charlotte & Currie, Graeme, 2020. "Realizing policy aspirations of voluntary sector involvement in integrated care provision: Insights from the English National Health Service," Health Policy, Elsevier, vol. 124(5), pages 549-555.
    5. Poledrini Simone & Tortia Ermanno C., 2020. "Social Enterprises: Evolution of the Organizational Model and Application to the Italian Case," Entrepreneurship Research Journal, De Gruyter, vol. 10(4), pages 1-26, October.
    6. Alvaro S Almeida, 2016. "The Role Of Private Non-Profit Healthcare Organizations In Nhs Systems: Implications For The Portuguese Hospital Devolution Program," FEP Working Papers 577, Universidade do Porto, Faculdade de Economia do Porto.
    7. Marco Bellucci & Carmela Nitti & Chiara Chimirri & Luca Bagnoli, 2019. "Rendicontare l?impatto sociale. Metodologie, indicatori e tre casi di sperimentazione in Toscana," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2019(3), pages 166-187.
    8. Hermens, Niels & Verkooijen, Kirsten T. & Koelen, Maria A., 2019. "Associations between partnership characteristics and perceived success in Dutch sport-for-health partnerships," Sport Management Review, Elsevier, vol. 22(1), pages 142-152.
    9. Cecilia Santilli & Roberto Scaramuzzino, 2021. "Trajectories of Civil Society Leaders in Italy: Individual Careers, Organizational Structures, and Ideological Affiliations," SAGE Open, , vol. 11(4), pages 21582440211, December.
    10. Koray Aktaş & Gian Paolo Barbetta, 2023. "The Effect of Giving Credit to Social Enterprises: Evidence From Italy," Italian Economic Journal: A Continuation of Rivista Italiana degli Economisti and Giornale degli Economisti, Springer;Società Italiana degli Economisti (Italian Economic Association), vol. 9(1), pages 235-263, March.
    11. Alessandro Fedele & Raffaele Miniaci & Ermanno Tortia, 2022. "Strong client orientation, little leverage in nonprofit firms?," Small Business Economics, Springer, vol. 58(1), pages 541-563, January.
    12. Caló, Francesca & Roy, Michael James & Donaldson, Cam & Teasdale, Simon & Baglioni, Simone, 2019. "Exploring the contribution of social enterprise to health and social care: A realist evaluation," Social Science & Medicine, Elsevier, vol. 222(C), pages 154-161.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Guccio, C. & Pignataro, G. & Vidoli, F., 2024. "It never rains but it pours: Austerity and mortality rate in peripheral areas," Economics & Human Biology, Elsevier, vol. 54(C).
    2. Cinzia Di Novi & Anna Marenzi & Dino Rizzi, 2018. "Do healthcare tax credits help poor-health individuals on low incomes?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(2), pages 293-307, March.
    3. Khawla Loubani & Rachel Kizony & Uzi Milman & Naomi Schreuer, 2021. "Hybrid Tele and In-Clinic Occupation Based Intervention to Improve Women’s Daily Participation after Breast Cancer: A Pilot Randomized Controlled Trial," IJERPH, MDPI, vol. 18(11), pages 1-15, June.
    4. Di Novi, C. & Piacenza, M. & Robone, S. & Turati, G., 2015. "How does fiscal decentralization affect within-regional disparities in well-being? Evidence from health inequalities in Italy," Health, Econometrics and Data Group (HEDG) Working Papers 15/23, HEDG, c/o Department of Economics, University of York.
    5. Clemens, Timo & Michelsen, Kai & Commers, Matt & Garel, Pascal & Dowdeswell, Barrie & Brand, Helmut, 2014. "European hospital reforms in times of crisis: Aligning cost containment needs with plans for structural redesign?," Health Policy, Elsevier, vol. 117(1), pages 6-14.
    6. Dickson-Gomez, Julia & Corbett, A. Michelle & Bodnar, Gloria & Rodriguez, Karla & Guevara, Carmen E., 2010. "Resources and obstacles to developing and implementing a structural intervention to prevent HIV in San Salvador, El Salvador," Social Science & Medicine, Elsevier, vol. 70(3), pages 351-359, February.
    7. Christin Seifert & Edeltraud Guenther, 2020. "Who cares?—Stakeholder relevance for voluntary environmental management in hospitals," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 27(4), pages 1786-1799, July.
    8. Cirulli, Vanessa & Marini, Giorgia, 2023. "Are austerity measures really distressing? Evidence from Italy," Economics & Human Biology, Elsevier, vol. 49(C).
    9. Domenico Raucci & Manuela Paolini, 2022. "Informazioni budgetarie e prospettive di Behavioral Management Accounting nelle aziende sanitarie pubbliche italiane," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2022(2), pages 117-139.
    10. Tavares, Lara Patrício & Zantomio, Francesca, 2017. "Inequity in healthcare use among older people after 2008: The case of southern European countries," Health Policy, Elsevier, vol. 121(10), pages 1063-1071.
    11. Di Novi, Cinzia & Piacenza, Massimiliano & Robone, Silvana & Turati, Gilberto, 2019. "Does fiscal decentralization affect regional disparities in health? Quasi-experimental evidence from Italy," Regional Science and Urban Economics, Elsevier, vol. 78(C).
    12. De Matteis, Domenico & Ishizaka, Alessio & Resce, Giuliano, 2019. "The ‘postcode lottery’ of the Italian public health bill analysed with the hierarchy Stochastic Multiobjective Acceptability Analysis," Socio-Economic Planning Sciences, Elsevier, vol. 68(C).
    13. Spicer, Neil & Harmer, Andrew & Aleshkina, Julia & Bogdan, Daryna & Chkhatarashvili, Ketevan & Murzalieva, Gulgun & Rukhadze, Natia & Samiev, Arnol & Walt, Gill, 2011. "Circus monkeys or change agents? Civil society advocacy for HIV/AIDS in adverse policy environments," Social Science & Medicine, Elsevier, vol. 73(12), pages 1748-1755.
    14. Mauro, Marianna & Maresso, Anna & Guglielmo, Annamaria, 2017. "Health decentralization at a dead-end: towards new recovery plans for Italian hospitals," LSE Research Online Documents on Economics 74066, London School of Economics and Political Science, LSE Library.
    15. Friel, Sharon & Townsend, Belinda & Fisher, Matthew & Harris, Patrick & Freeman, Toby & Baum, Fran, 2021. "Power and the people's health," Social Science & Medicine, Elsevier, vol. 282(C).
    16. Danilo Braun Santos & Wesley Mendes-Da-Silva & Jill M. Norvilitis & Philippe Protin & Luciana Onusic, 2022. "Parents Influence Responsible Credit Use in Young Adults: Empirical Evidence from the United States, France, and Brazil," Journal of Family and Economic Issues, Springer, vol. 43(2), pages 368-383, June.
    17. Loris Tramite & Rosa Caterina Marmo & Roberta Giordana & Rocco Palumbo, 2017. "I nuovi Livelli Essenziali di Assistenza (L.E.A.) tra economicit? ed appropriatezza: un?analisi sperimentale," MECOSAN, FrancoAngeli Editore, vol. 2017(101), pages 51-74.
    18. Giovanni Piumatti, 2020. "Longitudinal Trends in Self-Rated Health During Times of Economic Uncertainty in Italy," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 148(2), pages 599-633, April.
    19. Katharina Hauck & Xiaohui Zhang, 2016. "Heterogeneity in the Effect of Common Shocks on Healthcare Expenditure Growth," Health Economics, John Wiley & Sons, Ltd., vol. 25(9), pages 1090-1103, September.
    20. Paolo Mariani & Rosa Falotico & Biancamaria Zavanella & Mauro Mussini, 2014. "Outsourcing in the Italian NHS: a Measure of Mismatch Between Private And Public Operators," Symphonya. Emerging Issues in Management, Niccolò Cusano University, issue 1 Global .

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:123:y:2014:i:c:p:234-241. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.