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Rural Healthcare Enterprises in the Vortex of COVID-19: The Impact of Public Policies on the Internal and External Environment

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  • Nikolaos Apostolopoulos

    (Department of Management Science and Technology, University of the Peloponnese, 22100 Tripoli, Greece)

  • Sotiris Apostolopoulos

    (Department of Accounting and Finance, University of the Peloponnese, 24100 Kalamata, Greece
    Department of Economics and Business, Neapolis University Pafos, Pafos 8042, Cyprus)

  • Ilias Makris

    (Department of Accounting and Finance, University of the Peloponnese, 24100 Kalamata, Greece)

  • Stavros Stavroyiannis

    (Department of Accounting and Finance, University of the Peloponnese, 24100 Kalamata, Greece)

Abstract

The public policies implemented in order to contain the spread of COVID-19 in the community have created issues both in the internal and the external environments of the Greek rural healthcare enterprises. This study aimed to investigate the full extent of the issues (internal and external) caused by the public policies. Regarding the external factors, we examined the state, the local authorities, the financial institutions, the social stakeholders and the citizens. Regarding the internal factors, we focused on turnover, liquidity, working conditions, internal changes related to patient care and the implementation of protective measures. A qualitative research was conducted among twelve rural healthcare business owners in the form of semi-structured interviews. The research was conducted in the fall of 2020 during the second phase of COVID-19. The research showed that these enterprises were severely impacted by the government’s public policies. Local authorities were not involved due to lack of competence. The business owners were unwilling to support their enterprises via bank lending. During the first phase of COVID-19, citizens postponed nonessential medical examinations, causing a reduction in these enterprises’ turnover. As a result, in the following periods, these enterprises faced liquidity problems. However, they developed social objectives and implemented protective measures for their employees and patients. The present study contributes to the mapping of the factors affecting the internal and external environments of rural healthcare enterprises along with the public policies developed in times of prolonged crisis. These kinds of data are crucial to the business world and government officials voting on social policies. One cannot rule out the possibility of a new financial or health crisis; the findings of this study can prove to be a useful tool in the process of decision making.

Suggested Citation

  • Nikolaos Apostolopoulos & Sotiris Apostolopoulos & Ilias Makris & Stavros Stavroyiannis, 2021. "Rural Healthcare Enterprises in the Vortex of COVID-19: The Impact of Public Policies on the Internal and External Environment," Administrative Sciences, MDPI, vol. 11(3), pages 1-14, August.
    • Handle: RePEc:gam:jadmsc:v:11:y:2021:i:3:p:82-:d:613816
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    References listed on IDEAS

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    1. Sandy Q. Qu & John Dumay, 2011. "The qualitative research interview," Qualitative Research in Accounting & Management, Emerald Group Publishing Limited, vol. 8(3), pages 238-264, August.
    2. Clouston, Sean A.P. & Natale, Ginny & Link, Bruce G., 2021. "Socioeconomic inequalities in the spread of coronavirus-19 in the United States: A examination of the emergence of social inequalities," Social Science & Medicine, Elsevier, vol. 268(C).
    3. Haya Al-Dajani & Hammad Akbar & Sara Carter & Eleanor Shaw, 2019. "Defying contextual embeddedness: evidence from displaced women entrepreneurs in Jordan," Entrepreneurship & Regional Development, Taylor & Francis Journals, vol. 31(3-4), pages 198-212, March.
    4. Govindan, Kannan & Mina, Hassan & Alavi, Behrouz, 2020. "A decision support system for demand management in healthcare supply chains considering the epidemic outbreaks: A case study of coronavirus disease 2019 (COVID-19)," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 138(C).
    5. Ancuța Lucaci & Carmen Nastase, 2020. "European Rural Businesses During The Covid-19 Pandemic: Designing Initiatives For Current And Future Development," Book chapters-LUMEN Proceedings, in: Carmen NĂSTASE (ed.), 16th Economic International Conference NCOE 4.0 2020, edition 1, volume 13, chapter 38, pages 419-429, Editura Lumen.
    6. Sofia Vasilopoulou & Daphne Halikiopoulou & Theofanis Exadaktylos, 2014. "Greece in Crisis: Austerity, Populism and the Politics of Blame," Journal of Common Market Studies, Wiley Blackwell, vol. 52(2), pages 388-402, March.
    7. Owain David Williams, 2020. "COVID-19 and Private Health: Market and Governance Failure," Development, Palgrave Macmillan;Society for International Deveopment, vol. 63(2), pages 181-190, December.
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    1. Antonietta Cosentino & Paola Paoloni, 2021. "Women’s Skills and Aptitudes as Drivers of Organizational Resilience: An Italian Case Study," Administrative Sciences, MDPI, vol. 11(4), pages 1-18, November.

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