caa a22 4500 605483523 CHVBK 20210128100431.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s10551-014-2275-8 doi (NATIONALLICENCE)springer-10.1007/s10551-014-2275-8 Proactive Environmental Strategies in Healthcare Organisations: Drivers and Barriers in Italy [Elektronische Daten] [Marta Pinzone, Emanuele Lettieri, Cristina Masella] This study sheds new light on why healthcare organisations are having difficulty responding to the growing pressure from stakeholders to proactively address their responsibility to deliver high-quality services without harming the environment. Basing our work on past research on stakeholder pressure and environmental barriers, we conceptualise and empirically test the effect of the interplay between stakeholder pressure and internal barriers on healthcare organisations' adoption of proactive environmental strategies (PESs). To test the proposed hypotheses, a survey was carried out among medical directors of Italian healthcare organisations in 2012. Our results show that the lack of commitment to environmental issues within the organisation represents the main barrier to healthcare organisations' implementing PESs. Furthermore, the difficulties in evaluating the impacts of advanced environmental practices negatively moderate the influence of stakeholders on developing PESs. Our findings contribute to extending previous knowledge on PESs in two ways: (i) focusing on the healthcare sector, our study investigates the phenomenon in a research context that has been largely overlooked in the sustainability literature; and (ii) cross-cutting previous research on stakeholder pressure and internal barriers, the study conceptualises and tests a more complete framework for understanding the adoption of PESs. Springer Science+Business Media Dordrecht, 2014 Pro-active environmental strategy nationallicence Stakeholder nationallicence Barrier nationallicence Healthcare nationallicence Italy nationallicence Pinzone Marta Dipartimento di Ingegneria Gestionale, Politecnico di Milano, Via Lambruschini 4/b, 20156, Milan, Italy aut Lettieri Emanuele Dipartimento di Ingegneria Gestionale, Politecnico di Milano, Via Lambruschini 4/b, 20156, Milan, Italy aut Masella Cristina Dipartimento di Ingegneria Gestionale, Politecnico di Milano, Via Lambruschini 4/b, 20156, Milan, Italy aut Journal of Business Ethics Springer Netherlands 131/1(2015-09-01), 183-197 0167-4544 131:1<183 2015 131 10551 https://doi.org/10.1007/s10551-014-2275-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10551-014-2275-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pinzone Marta Dipartimento di Ingegneria Gestionale, Politecnico di Milano, Via Lambruschini 4/b, 20156, Milan, Italy aut NATIONALLICENCE 700 1- Lettieri Emanuele Dipartimento di Ingegneria Gestionale, Politecnico di Milano, Via Lambruschini 4/b, 20156, Milan, Italy aut NATIONALLICENCE 700 1- Masella Cristina Dipartimento di Ingegneria Gestionale, Politecnico di Milano, Via Lambruschini 4/b, 20156, Milan, Italy aut NATIONALLICENCE 773 0- Journal of Business Ethics Springer Netherlands 131/1(2015-09-01), 183-197 0167-4544 131:1<183 2015 131 10551