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Environmental sustainability in European public healthcare: Could it just be a matter of leadership?
Open accessAbstract
Purpose: – The purpose of this paper is to enlarge the debate concerning the influence of leadership on environmental sustainability implementation in European public healthcare organisations. Design/methodology/approach: – This paper is a viewpoint. It is based on preliminary analysis of European standards dedicated to environmental sustainability and their spread across Europe in public healthcare organisations. Viewpoints concerning leadership are then discussed and asserted. Findings: – This paper found a limited implementation of standards such as Green Public Procurement criteria, Eco-Management and Audit Scheme and ISO 14001 in public healthcare. Some clues indicate that the lack of implementation is related to leadership and management commitment. Originality/value: – For the first time, this paper investigates relationships between leadership and environmental sustainability in European public healthcare opening further avenues of research on the subject.
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In the citing paper
“Large corporations have been identified as influential drivers of GPP (Chiarini & Vagnoni, 2016;Michelsen & de Boer, 2009;Rosell, 2021;Testa et al., 2012Testa et al., , 2016)).”
From Green public procurement as an effective way for sustainable development: A systematic literature review and bibliometric analysis (2025) · cites this paper as Chiarini & Vagnoni, 2016
In the citing paper
“Further contributions include works by Chiarini, Opoku and Vagnoni (University of Ferrara, University College London) in Journal of Cleaner Production (Chiarini & Vagnoni, 2016), which focus on sustainable procurement practises in public healthcare”
From Green public procurement as an effective way for sustainable development: A systematic literature review and bibliometric analysis (2025) · cites this paper as Chiarini & Vagnoni, 2016
In the citing paper
“EMAS/ISO 14001, information and training initiatives, awareness of technicalities Chiarini and Vagnoni (2016), Testa et al. (2012, 2016)”
From Green public procurement as an effective way for sustainable development: A systematic literature review and bibliometric analysis (2025) · cites this paper as Chiarini and Vagnoni (2016)
In the citing paper
“Large size Chiarini and Vagnoni (2016), Michelsen and de Boer (2009), Rosell (2021), Testa et al. (2012, 2016)”
From Green public procurement as an effective way for sustainable development: A systematic literature review and bibliometric analysis (2025) · cites this paper as Chiarini and Vagnoni (2016)
Citations
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References 10 · Cited by 48
Research works printed but not linked: 10
- Block, L.A. and Manning, L.J. (2007), “A systemic approach to developing frontline leaders in healthcare”, Leadership in Health Services , Vol. 20 No. 2, pp. 85-96. · DOI
- Chiarini, A. (2013a), “Differences between Six sigma applications in manufacturing and the service industry”, International Journal of Productivity and Quality Management , Vol. 12 No. 3, pp. 345-360. · DOI
- Chiarini, A. (2013b), “A comparison between companies’ implementation of Six Sigma and ISO 13053 requirements: a first investigation from Europe”, International Journal of Process Management and Benchmarking , Vol. 3 No. 2, pp. 154-172. · DOI
- Chiarini, A. (2014a), “Sustainable manufacturing-greening processes using specific Lean Production tools: an empirical observation from European motorcycle component manufacturers”, Journal of Cleaner Production , Vol. 85 No. 15, pp. 226-233. doi: 10.1016/j.jclepro.2014.07.080. · DOI
- Chiarini, A. (2014b), “Strategies for developing an environmentally sustainable supply chain: differences between manufacturing and service sectors”, Business Strategy and the Environment , Vol. 23 No. 7, pp. 493-504. · DOI
- Eisenbeiss, S.A. (2012), “Re-thinking ethical leadership: an interdisciplinary integrative approach”, The Leadership Quarterly , Vol. 23 No. 5, pp. 791-808. · DOI · Paper page
- (EC) No. 1221/2009 of the European Parliament and of the Council of 25 November 2009 on the voluntary participation by organisations in a Community eco-management and audit scheme (EMAS)", Official Journal of the European Union, L 342 , Vol. 52 No. 1. doi: 10.3000/17252555.L_2009.342.eng. · DOI
- Metcalf, L. and Benn, S. (2013), “Leadership for sustainability: an evolution of leadership ability”, Journal of Business Ethics , Vol. 112 No. 3, pp. 369-384. · DOI
- Strand, R. (2014), “Strategic leadership of corporate sustainability”, Journal of Business Ethics , Vol. 123 No. 4, pp. 687-706. · DOI
- Vagnoni, E. (2001), “Social reporting in european health care organizations: an analysis of practices”, Third Asian Pacific Interdisciplinary Research in Accounting Conference, University of Adelaide, Adelaide, July, pp. 15-17.
Metadata
- Authors
- Chiarini, A., & Vagnoni, E.
- Affiliations
- University of Ferrara (IT)
- Venue
- Leadership in Health Services
- Publisher
- Emerald
- Published
- 2016-02-01
- Volume
- 29
- Issue
- 1
- Pages
- 2-8
- ISSN
- 1366-0756 (ISSN-L)
- 1751-1879
- OpenAlex
- W2297897950
- Cited by
- 48
- References
- 10
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 7 · 2023: 6 · 2022: 7 · 2021: 4 · 2020: 4 · 2019: 3 · 2018: 1 · 2017: 4
- FWCI
- 5.55
- Type
- journal article
- Language
- en
- Open access
- green
- www.emerald.com
- Licence
- Locations
- Leadership in health services (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion, other-oa)
- Topics
- Social Sciences › Business, Management and Accounting › Marketing › Environmental Sustainability in Business
- Physical Sciences › Engineering › Architecture › Healthcare Facilities Design and Sustainability
- Social Sciences › Business, Management and Accounting › Strategy and Management › Quality and Management Systems
- Keywords
- environmental sustainability, leadership, management commitment, green public procurement, EMAS, ISO 14001, European healthcare
- MeSH terms
- Environmental Health, Europe, Health Facilities, Humans, Leadership
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Cite CoChat for the checks on this page, and the paper for its own findings.
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- CoChat. (2026). Citation check: Environmental sustainability in European public healthcare: Could it just be a matter of leadership? https://app.cochat.ai/papers/10.1108/lhs-10-2015-0035
- The paper
- Chiarini, A., & Vagnoni, E. (2016). Environmental sustainability in European public healthcare: Could it just be a matter of leadership? Leadership in Health Services. https://doi.org/10.1108/lhs-10-2015-0035
