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Corruption has found very fertile ground in the health sector. Many studies demonstrate the negative relationship between sustainability and corruption. However, relatively little is known at this time about how to prevent corruption in healthcare organizations (HCOs), and thus to recover the important sustainability of the entire healthcare system. After noticing this gap in the literature, the authors’ aim in undertaking this study was twofold: first, to analyze the current state of knowledge about how Italian HCOs adopt corruption prevention plans in compliance with the National Plan issued by the National Anti-Corruption Authority; second, to identify some clusters of HCOs which represent different adoption patterns of corruption prevention interventions and to classify these HCOs. For these purposes, the authors studied 68 HCOs along 13 dimensions that characterized the corruption prevention plans. The empirical results showed that the HCOs were not fully compliant with the anti-corruption legislation. At the same time, the authors identified three clusters of HCOs with different patterns of anti-corruption prevention interventions. The clusters that adopted some specific interventions seemed to be more sustainable than others.

How can urban policies and planning approaches help in achieving a safer mobility and carbon reduction in the transport sector? The attention of planners and policy makers towards the promotion of sustainability and reduction of environmental impacts has grown in recent years. This paper investigates the role that Urban Planning plays in the long term towards a safer and climate friendlier mobility, highlighting the need for integrated approaches gathering spatial planning and mobility management. After a review of several urban policies and planning strategies, initiatives, and approaches, mainly based on the urban scale, the paper presents an urban regeneration case study leading to an increase of pedestrian accessibility at the neighborhood level. This can be seen as a support tool to foster sustainable, safe, and climate friendly mobility in cities. The results of the performed analysis show a dependency of accessibility from two different factors: the distribution of services and the capillarity of the soft mobility network, which can contribute to creating a more walkable space.

AbstractEmbedding sustainability in day‐to‐day operations necessitates employees' proactiveness beyond compliance with standardised management practices. Exchanging information on safety and environmental issues is acknowledged as a component of workers' proactive behaviours for sustainability embeddedness, which is hardly promoted by codified procedures. Accordingly, identifying leverages to stimulate information exchange is a primary objective for academics and practitioners. The study investigates drivers of information exchange on safety and environmental near misses by examining five situation‐related antecedents: rewards/reinforcements, organisational boundaries, social proactiveness, stakeholder salience and connectedness. The study relies on a mixed method approach, by combining social network analysis and a questionnaire survey conducted among four large Italian companies. The findings partially support the hypothesis of the study, highlighting rewards/reinforcements and connectedness as relevant antecedents of information exchange, while organisational boundaries only partially relate with information exchange. Surprisingly, stakeholder salience and social proactiveness do not emerge as significant drivers of information exchange. The study contributes to the debate on extra‐role pro‐sustainability behaviours and provides implications for managerial practice.

The optimization of a product’s whole life cycle has become a mandatory task for manufacturers seeking to deal with circular economy requirements while gaining competitiveness in the market. In order to achieve such a sustainability goal, alignment of production, distribution, and field service activities is needed. In the literature, numerous studies indicate the product–service system (PSS) approach as one of the most promising business models to combine the needs of manufacturers and customers in an efficient and effective manner. However, PSS solutions aimed at practically optimizing supply chain management have scarcely been addressed. In order to reduce this gap, the current study proposes a procedure based on the PSS Functional Matrix, the Screening Life Cycle Modelling (SLCM) method, and stock management theory to optimize aftermarket services based on market demand. A case study in the medical equipment sector, where market demand can fluctuate during the contract period, is presented. The analytical results show beneficial effects in terms of both costs and environmental impact, suggesting the need for further research to augment knowledge on PSS and supply chain management. In particular, the PSS allowed the company to customize the manufacturer’s business model, adapting the supply of aftermarket services to varying customer needs.

Nowadays, following the increased interest and need for the issue of sustainability, tourist destinations are called upon to promote sustainable tourism development through the implementation of investments and initiatives. Despite the investments by the destinations, how are these perceived by tourists and residents? Based on this, this paper aims to assess the perception of sustainable investments in a coastal area located in Tuscany, through the administration of a questionnaire among 750 people, including both tourists and house owners. The study adopted statistical logit and probit models to detect the perception of sustainable initiatives in relation to beach satisfaction. Moreover, this research developed a model for understanding if there are substantial differences in perception between Italian and foreign beach users and at the same time between residents/house owners and tourists. The findings reveal that those who perceive investments in sustainability are more than satisfied with beach and facilities. The model shows that foreigners and residents/house owners perceive sustainable investments implemented in the destination more than tourists and Italian respondents. This research can provide support to local operators and policymakers in defining the destination image in relation to sustainability.

An original methodology for the Water Footprint Assessment (WFA) of a Product for the wine-making industry sector is presented, with a particular focus on the evaluation procedure of the grey water. Results obtained with the proposed methodology are also presented for an Italian case study. The product was analyzed using a life-cycle approach, with the aim of studying the water volumes of each phase according to the newly-released ISO 14046 international standard. The functional unit chosen in this study is the common 0.75 liter wine bottle. An in-house software (V.I.V.A.) was implemented with the goal of accounting for all the contributions in a cradle-to-grave approach. At this stage, however, minor water volumes associated with some foreground and background processes are not assessed. The evaluation procedure was applied to a case study and green, blue, and grey water volumes were computed. Primary data were collected for a red wine produced by an Umbrian wine-making company. Results are in accordance with global average water footprint values from literature, showing a total WF of 632.2 L/bottle, with the major contribution (98.3%) given by green water, and minor contributions (1.2% and 0.5%) given by grey and blue water, respectively. A particular effort was dedicated to the definition of an improved methodology for the assessment of the virtual water volume required to dilute the load of pollutants on the environment below some reference level (Grey WF). The improved methodology was elaborated to assure the completeness of the water footprint assessment and to overcome some limitations of the reference approach. As a result, the overall WF can increase up to 3% in the most conservative hypotheses.

Current industrial production is driven by increasing globalization, which has led to a steady increase in production volumes and complexity of products aimed at the pursuit of meeting the needs of customers. In this context, one of the main tools in the management of customer value is Lean Manufacturing or Production, though it is considered primarily as a set of tools to reduce the total cost of the resources needed to achieve such needs. This philosophy has recently been enriched in the literature with case studies that link Lean Management (LM) with the improvement of environmental sustainability. The consequence is an expansion of the Computer Integrated Manufacturing (CIM); indeed, CIM, currently, combining and integrating the key business functions (e.g., business, engineering, manufacturing, and information management) with a view of the life cycle, does not highlight the strategic role of the environmental aspects. In order to deal with the increasingly rapid environmental degradation that is reflected in society, in terms of both economy and quality of life, Industrial Ecology (IE) introduced a new paradigm of principles and instruments of analysis and decision support (e.g., Life Cycle Assessment—LCA, Social Life Cycle Assessment -SLCA, Material Flow Account—MFA, etc.) that can be considered as the main basis for integrating the environmental aspects in each strategy, design, production, final product, and end of life management, through the re-engineering of processes and activities towards the development of an eco-industrial system. This paper presents the preliminary observations based on a analysis of both theories (LM-IE) and provides a possible assessment of the key factors relevant to their integration in a “lean environmental management”, highlighting both positives (lights) and possible barriers (shadows).

To contribute to small and medium enterprises (SMEs) sustainable transition into the circular economy, the study proposes the activation of organizational learning (OL) processes – denoted here as multi-level knowledge creation, transfer, and retention processes – as a key phase in introducing circular business models (CBMs) at SME and supply chain (SC) level. The research employs a mixed-method approach, using the focus group methodology to identify contextual elements impacting on CBM-related OL processes, and a survey-based evaluation to single out the most frequently used OL processes inside Italian construction SMEs. As main result, a CBM-oriented OL multi-level model offers a fine-grained understanding of contextual elements acting mutually as barriers and drivers for OL processes, as possible OL dynamics among them. The multi-level culture construct – composed of external stakeholders’, SC stakeholders’, and organizational culture – identify the key element to activate CBM-oriented OL processes. Main implications are related to the identification of cultural, structural, regulatory, and process contextual elements across the external, SC, and organizational levels, and their interrelation with applicable intraorganizational and interorganizational learning processes. The proposed model would contribute to an improved implementation of transitioning into the circular economy utilizing sustainable business models in the construction SMEs.