Ricerc@Sapienza

Among the numerous humankind problems, healthcare represents a key issue to manage. Various managing systems are implemented reflecting different views, approaches and the socio-economic conditions of the country (Glouberman and Mintzberg, 1996; Plsek & Wilson, 2001; Wendt, 2009; Swayne et al., 2012). However, a fundamental problem affects almost every healthcare system: managing the trade-off between the need to deliver effective healthcare services and the need to control expenses and to ensure the overall sustainability of the system (France et al., 2005).

Healthcare represents a key issue for management in every country. A fundamental problem affects almost every healthcare system: the trade-off between the need to deliver effective healthcare services and the need to control expenses and to ensure the overall sustainability of the system. This problem is a clear expression of management complexity in healthcare systems.