Abstract

This study aims to explore the different forms of corporate governance in the health sector, how they interact, and analyze the emerging research trend through a systematic literature review (SLR) in the period 2015-2019. The Scopus and ISI Web of Science databases were used to select the 167 articles analyzed. The coverage of corporate governance research was centred on adapting the PRISMA analysis, highlighting the environment which corporate governance belongs to and analysis of the co-occurrence of the keywords used in the studies. Through Grounded theory, a conceptual model was developed, emphasizing the main attributes that influence governance at the macro-, meso- and micro-levels, in the health area, and raising a future agenda for future research in this area: (1) quality of health care, (2) corporate social responsibility in health, (3) health risk management and (4) global health governance. The results of this research aim to guide governments towards emerging regulatory trends, warning about the risks of the impact of corporate governance on health, or the lack of it, on the quality of services. Analysis of the quality of health care is intrinsically related to the environment, although this aspect has received little attention from researchers.

Highlights

  • Recent decades have witnessed increased development of policies to cope with institutional conflicts arising from actions which, directly or indirectly, affect the health sector

  • This study aims to explore the different forms of corporate governance in the health sector, how they interact, and analyze the emerging research trend through a systematic literature review (SLR) in the period 2015-2019

  • Institutions are constantly faced with managing the expectations of a society increasingly alert to the health and environmental risks associated with economic development (Wilshusen & MacDonald, 2017) and it is widely recognized that the conventional relationship between environmental concerns and companies has been opened one of opposition for a long time and that a change in direction towards new perspectives has been called for (Adams, 2008)

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Summary

Introduction

Recent decades have witnessed increased development of policies to cope with institutional conflicts arising from actions which, directly or indirectly, affect the health sector. The effects of environmental changes on health represent serious challenges to gains in global health and are likely to become increasingly prevalent in the second half of this century. Those strong tendencies are caused by highly inefficient and unsustainable patterns of resource consumption and technological development, together with population growth. Institutions are constantly faced with managing the expectations of a society increasingly alert to the health and environmental risks associated with economic development (Wilshusen & MacDonald, 2017) and it is widely recognized that the conventional relationship between environmental concerns and companies has been opened one of opposition for a long time and that a change in direction towards new perspectives has been called for (Adams, 2008)

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