Exit, Voice, and Loyalty in the Italian Public Health Service: Macroeconomic and Corporate Implications

The paper analyses how customers of public health organizations can express their dissatisfaction for the services offered to them. The main aim is to evaluate the effects that possible dissatisfaction of Italian public health service customers can have on public health organizations. We adopted the...

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Main Authors: Adelaide Ippolito, Cira Impagliazzo, Paola Zoccoli
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2013/292745
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author Adelaide Ippolito
Cira Impagliazzo
Paola Zoccoli
author_facet Adelaide Ippolito
Cira Impagliazzo
Paola Zoccoli
author_sort Adelaide Ippolito
collection DOAJ
description The paper analyses how customers of public health organizations can express their dissatisfaction for the services offered to them. The main aim is to evaluate the effects that possible dissatisfaction of Italian public health service customers can have on public health organizations. We adopted the methodological scheme developed by Hirschman with exit, voice, and loyalty, considering the macroeconomic and corporate implications that it causes for Italian public health organizations. The study investigated the effects developed by exit of the patients on the system of financing of local health authorities considering both the corporate level of analysis and the macroeconomic level. As a result, local health authority management is encouraged to pay greater attention to the exit phenomena through the adoption of tools that promote loyalty, such as the promotion of voice, even if exit is not promoting, at a macroeconomic level, considerable attention to this phenomenon.
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spelling doaj-art-fcd623c12c9140758322e414e36dccf12025-02-03T05:43:37ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/292745292745Exit, Voice, and Loyalty in the Italian Public Health Service: Macroeconomic and Corporate ImplicationsAdelaide Ippolito0Cira Impagliazzo1Paola Zoccoli2Research and Development Board, Federico II University Hospital, Via Sergio Pansini 5, 80131 Naples, ItalyDepartment of Studies and Business Research, University of Salerno, Via Giovanni Paolo II 132, 84084 Fisciano Salerno, ItalyDepartment of Studies and Business Research, University of Salerno, Via Giovanni Paolo II 132, 84084 Fisciano Salerno, ItalyThe paper analyses how customers of public health organizations can express their dissatisfaction for the services offered to them. The main aim is to evaluate the effects that possible dissatisfaction of Italian public health service customers can have on public health organizations. We adopted the methodological scheme developed by Hirschman with exit, voice, and loyalty, considering the macroeconomic and corporate implications that it causes for Italian public health organizations. The study investigated the effects developed by exit of the patients on the system of financing of local health authorities considering both the corporate level of analysis and the macroeconomic level. As a result, local health authority management is encouraged to pay greater attention to the exit phenomena through the adoption of tools that promote loyalty, such as the promotion of voice, even if exit is not promoting, at a macroeconomic level, considerable attention to this phenomenon.http://dx.doi.org/10.1155/2013/292745
spellingShingle Adelaide Ippolito
Cira Impagliazzo
Paola Zoccoli
Exit, Voice, and Loyalty in the Italian Public Health Service: Macroeconomic and Corporate Implications
The Scientific World Journal
title Exit, Voice, and Loyalty in the Italian Public Health Service: Macroeconomic and Corporate Implications
title_full Exit, Voice, and Loyalty in the Italian Public Health Service: Macroeconomic and Corporate Implications
title_fullStr Exit, Voice, and Loyalty in the Italian Public Health Service: Macroeconomic and Corporate Implications
title_full_unstemmed Exit, Voice, and Loyalty in the Italian Public Health Service: Macroeconomic and Corporate Implications
title_short Exit, Voice, and Loyalty in the Italian Public Health Service: Macroeconomic and Corporate Implications
title_sort exit voice and loyalty in the italian public health service macroeconomic and corporate implications
url http://dx.doi.org/10.1155/2013/292745
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AT ciraimpagliazzo exitvoiceandloyaltyintheitalianpublichealthservicemacroeconomicandcorporateimplications
AT paolazoccoli exitvoiceandloyaltyintheitalianpublichealthservicemacroeconomicandcorporateimplications