The determinants of information transparency in public health. An empirical analysis in Italian hospital facilities

Journal title MECOSAN
Author/s Angelo Rosa, Angela Rella, Filippo Vitolla, Nicola Raimo
Publishing Year 2022 Issue 2022/122 Language Italian
Pages 15 P. 29-43 File size 0 KB
DOI 10.3280/mesa2022-122oa14616
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Information transparency is a particularly important element in the context of public health. In fact, there are important information asymmetries between health care consumers and providers which, in the Italian context, have prompted the legislator to intervene in order to guarantee a certain level of information transparency of hospital facilities. Despite this, public health institutions provide different levels of information.This study examines the level of information transparency of Italian hospital facilities and analyses the impact of determinants related to the organizational and governance structures. The results demonstrate a positive effect of the size and gender of the director general and a negative impact of complexity on the level of information transparency of hospital facilities.

Keywords: ; Transparency; Public Administration; Amministrazione Trasparente; Public health; Hospitals; Disclosure

  1. States. Accounting, Auditing & Accountability Journal, 20(2): 269-296. DOI: 10.1108/09513570710741028.
  2. Álvarez I.G., Prado‐Lorenzo J.M., & García-Sánchez I.M. (2011). Corporate social responsibility and innovation: A resource‐based theory. Management Decision, 49(10): 1709-1727. DOI: 10.1108/00251741111183843.
  3. Álvarez I.G., Sánchez I.G., & Domínguez L.R. (2009). La eficacia del gobierno corporativo y la divulgación de información en Internet. Investigaciones europeas de dirección y economía de la empresa, 15(1): 109-135.
  4. Angst C., Agarwal R., Gao G.G., Khuntia J., & McCullough J.S. (2014). Information technology and voluntary quality disclosure by hospitals. Decision Support Systems, 57: 367-375. DOI: 10.1016/J.DSS.2012.10.042.
  5. Barako D.G. (2007). Determinants of voluntary disclosures in Kenyan companies’ annual reports. African Journal of Business Management, 1(5). DOI: 10.5897/AJBM.9000203.
  6. Barako D.G., & Brown A.M. (2008). Corporate social reporting and board representation: evidence from the Kenyan banking sector. Journal of Management & Governance, 12(4): 309-324. DOI: 10.1007/S10997-008-9053-X.
  7. Bauhr M., & Grimes M. (2014). Indignation or resignation: The implications of transparency for societal accountability. Governance, 27(2): 291-320. DOI: 10.1111/GOVE.12033.
  8. Boesso G., & Kumar K. (2007). Drivers of corporate voluntary disclosure: A framework and empirical evidence from Italy and the United
  9. Bonsón E., & Escobar T. (2004). La difusión voluntaria de información financiera en Internet. Un análisis comparativo entre Estados Unidos, Europa del Este y la Unión Europea. Spanish Journal of Finance and Accounting/Revista Española de Financiación y Contabilidad, 33(123): 1063-1101. DOI: 10.1080/02102412.2004.10779539.
  10. Boscarino J.A., & Adams R.E. (2004). Public perceptions of quality care and provider profiling in New York: implications for improving quality care and public health. Journal of Public Health Management and Practice, 10(3): 241-250.
  11. Branco M.C., & Rodrigues L.L. (2008). Factors influencing social responsibility disclosure by Portuguese companies. Journal of business Ethics, 83(4): 685-701. DOI: 10.1007/S10551-007-9658-Z.
  12. Brusca I., Caperchione E., Cohen S., & Rossi F.M. (Eds.) (2015). Public sector accounting and auditing in Europe: The challenge of harmonization, pp. 1-278. Basingstoke: Palgrave Macmillan.
  13. Bushman R.M., & Smith A.J. (2001). Financial accounting information and corporate governance. Journal of accounting and Economics, 32(1-3): 237-333. DOI: 10.1016/S0165-4101(01)00027-1.
  14. Christianson J.B., Volmar K.M., Alexander J., & Scanlon D.P. (2010). A report card on provider report cards: current status of the health care transparency movement. Journal of general internal medicine, 25(11): 1235-1241. DOI: 10.1007/S11606-010-1438-2.
  15. Craven B.M., & Marston C.L. (1999). Financial reporting on the Internet by leading UK companies. European Accounting Review, 8(2): 321-333. DOI: 10.1080/096381899336069.
  16. Davidson W.N., Xie B., Xu W., & Ning Y. (2007). The influence of executive age, career horizon and incentives on pre-turnover earnings management. Journal of management & Governance, 11(1): 45-60. DOI: 10.1007/S10997-007-9015-8.
  17. De Araujo J.F.F.E., & Tejedo-Romero F. (2016). Local government transparency index: determinants of municipalities’ rankings. International Journal of Public Sector Management, 29(4): 327-347. DOI: 10.1108/IJPSM-11-2015-0199.
  18. Farrar D.E., & Glauber R.R. (1967). Multicollinearity in regression analysis: the problem revisited. The Review of Economic and Statistics, 49(1): 92-107.
  19. Fiscella K., & Franks P. (1999). Influence of patient education on profiles of physician practices. Annals of internal medicine, 131(10): 745-751. DOI: 10.7326/0003-4819-131-10-199911160-00005.
  20. Frias‐Aceituno J.V., Rodriguez‐Ariza L., & Garcia‐Sanchez I.M. (2013). The role of the board in the dissemination of integrated corporate social reporting. Corporate social responsibility and environmental management, 20(4): 219-233. DOI: 10.1002/CSR.1294.
  21. Fung C.H., Lim Y.W., Mattke S., Damberg C., & Shekelle P.G. (2008). Systematic review: the evidence that publishing patient care performance data improves quality of care. Annals of internal medicine, 148(2): 111-123. DOI: 10.7326/0003-4819-148-2-200801150-00006.
  22. Gallagher T.H., Waterman A.D., Ebers A.G., Fraser V.J., & Levinson W. (2003). Patients’ and physicians’ attitudes regarding the disclosure of medical errors. Jama, 289(8): 1001-1007. DOI: 10.1001/JAMA.289.8.1001.
  23. Gamerschlag R., Möller K., & Verbeeten F. (2011). Determinants of voluntary CSR disclosure: empirical evidence from Germany. Review of Managerial Science, 5(2-3): 233-262. DOI: 10.1007/s11846-010-0052-3.
  24. García-Sánchez I.M., Raimo N., & Vitolla F. (2020). CEO power and integrated reporting. Meditari Accountancy Research, 29(4): 908-942. DOI: 10.1108/MEDAR-11-2019-0604.
  25. Gordon J., & Berhow S. (2009). University websites and dialogic features for building relationships with potential students. Public relations review, 35(2): 150-152. DOI: 10.1016/J.PUBREV.2008.11.003.
  26. Grossman S.J. (1981). The informational role of warranties and private disclosure about product quality. The Journal of Law and Economics, 24(3): 461-483.
  27. Harris K., & Buntin M. (2008). Choosing a health care provider: the role of quality information. Policy, 1(6): 1-25.
  28. Haveri A. (2006). Complexity in local government change: Limits to rational reforming. Public Management Review, 8(1): 31-46. DOI: 10.1080/14719030500518667.
  29. Heald D. (Ed.) Transparency: The Key to Better Governance?. Oxford, UK: Oxford University Press. Healy P.M., & Palepu K.G. (1993). The effect of firms’ financial disclosure strategies on stock prices. Accounting horizons, 7(1): 1.
  30. Healy P.M., & Palepu K.G. (2001). Information asymmetry, corporate disclosure, and the capital markets: A review of the empirical disclosure literature. Journal of accounting and economics, 31(1-3): 405-440. DOI: 10.1016/S0165-4101(01)00018-0.
  31. Healy P.M., Hutton A.P., & Palepu K.G. (1999). Stock performance and intermediation changes surrounding sustained increases in disclosure. Contemporary accounting research, 16(3): 485-520. DOI: 10.1111/J.1911-3846.1999.TB00592.X.
  32. Huang H.W., Rose-Green E., & Lee C.C. (2012). CEO age and financial reporting quality. Accounting Horizons, 26(4): 725-740. DOI: 10.2308/ACCH-50268.
  33. Jin G.Z. (2005). Competition and disclosure incentives: an empirical study of HMOs. Rand journal of Economics, 36(1): 93-112.
  34. Khodadadi V., Khazami S., & Aflatooni A. (2010). The effect of corporate governance structure on the extent of voluntary disclosure in Iran. Business Intelligence Journal, 3(2): 151-164.
  35. Kim O., & Verrecchia R.E. (1994). Market liquidity and volume around earnings announcements. Journal of accounting and economics, 17(1-2): 41-67. DOI: 10.1016/0165-4101(94)90004-3.
  36. Leuz C. (2007). Was the Sarbanes-Oxley Act of 2002 really this costly? A discussion of evidence from event returns and going-private decisions. Journal of Accounting and Economics, 44(1-2): 146-165. DOI: 10.1016/J.JACCECO.2007.06.001.
  37. Lim S., Matolcsy Z., & Chow D. (2007). The association between board composition and different types of voluntary disclosure. European
  38. Accounting Review, 16(3): 555-583. DOI: 10.1080/09638180701507155.
  39. Lindenauer P.K., Remus D., Roman S., Rothberg M.B., Benjamin E.M., Ma A., & Bratzler D.W. (2007). Public reporting and pay for performance in hospital quality improvement. New England Journal of Medicine, 356(5): 486-496. DOI: 10.1056/NEJMsa064964.
  40. Lone E.J., Ali A., & Khan I. (2016). Corporate governance and corporate social responsibility disclosure: evidence from Pakistan. Corporate Governance: The international journal of business in society, 125: 601-615. DOI: 10.1108/CG-05-2016-0100.
  41. Marston C., & Polei A. (2004). Corporate reporting on the Internet by German companies. International journal of Accounting Information systems, 5(3): 285-311. DOI: 10.1016/J.ACCINF.2004.02.009.
  42. Myers J. (1990). Variance inflation factor analysis: Interpretation and understanding. Lawrence Erlbaum: Hillsdale, NJ.
  43. Nicolò G., Ricciardelli A, Raimo N., & Vitolla F. (2021). Visual disclosure through integrated reporting. Management Decision, 60(4): 976-994. DOI: 10.1108/MD-01-2021-0034.
  44. Oyelere P., Laswad F., & Fisher R. (2003). Determinants of internet financial reporting by New Zealand companies. Journal of International Financial Management & Accounting, 14(1): 26-63. DOI: 10.1111/1467-646X.00089.
  45. Park H., & Blenkinsopp J. (2011). The roles of transparency and trust in the relationship between corruption and citizen satisfaction. International Review of Administrative Sciences, 77(2): 254-274. DOI: 10.1177/0020852311399230.
  46. Piotrowski S.J., & Van Ryzin G.G. (2007). Citizen attitudes toward transparency in local government. The American review of public administration, 37(3): 306-323. DOI: 10.1177/0275074006296777.
  47. Prado-Lorenzo J.M., & García-Sánchez I.M. (2010). The role of the board of directors in disseminating relevant information on greenhouse gases. Journal of business ethics, 97(3): 391-424. DOI: 10.1007/S10551-010-0515-0.
  48. Raimo N., Vitolla F., Marrone A., & Rubino M. (2020). The role of ownership structure in integrated reporting policies. Business Strategy and the Environment, 29(6): 2238-2250. DOI: 10.1002/BSE.2498.
  49. Raimo N., Zito M., & Caragnano A. (2019). Does national culture affect integrated reporting quality? A focus on GLOBE dimensions. In: 9th International Symposium on Natural Resources Management, May 31st, 2019, Zaječar, Serbia, pp. 383-392.
  50. Reverte C. (2009). Determinants of corporate social responsibility disclosure ratings by Spanish listed firms. Journal of business ethics, 88(2): 351-366. DOI: 10.1007/S10551-008-9968-9.
  51. Richard S.A., Rawal S., & Martin D.K. (2005). Patients’ views about cardiac report cards: a qualitative study. The Canadian journal of cardiology, 21(11): 943-947.
  52. Riley J.G. (1979). Testing the educational screening hypothesis. Journal of Political Economy, 87(5, Part 2): S227-S252.
  53. Roberts A. (2006, January). Dashed expectations: Governmental adaptation to transparency rules. In: Proceedings-British Academy (135: 107). Oxford University Press Inc.
  54. Rossi F.M., Nicolò G., & Polcini P.T. (2018). New trends in intellectual capital reporting: Exploring online intellectual capital disclosure in Italian universities. Journal of Intellectual Capital, 19(4): 814-835. DOI: 10.1108/JIC-09-2017-0119.
  55. Sangiorgi D., & Siboni B. (2017). The disclosure of intellectual capital in Italian universities: What has been done and what should be done. Journal of intellectual capital, 18(2): 354-372. DOI: 10.1108/JIC-09-2016-0088.
  56. Sharif M., & Rashid K. (2014). Corporate governance and corporate social responsibility (CSR) reporting: an empirical evidence from commercial banks (CB) of Pakistan. Quality & Quantity, 48(5): 2501-2521. DOI: 10.1007/S11135-013-9903-8.
  57. Sofaer S., Crofton C., Goldstein E., Hoy E., & Crabb J. (2005). What do consumers want to know about the quality of care in hospitals?. Health services research, 40(6p2): 2018-2036. DOI: 10.1111/J.1475-6773.2005.00473.X.
  58. Spranca M., Kanouse D.E., Elliott M., Short P.F., Farley D.O., & Hays R.D. (2000). Do consumer reports of health plan quality affect health plan selection?. Health services research, 35(5 Pt 1): 933.
  59. Styles A.K., & Tennyson M. (2007). The accessibility of financial reporting of US municipalities on the Internet. Journal of Public Budgeting, Accounting & Financial Management, 19(1): 56-92. DOI: 10.1108/JPBAFM-19-01-2007-B003.
  60. Tagesson T., Blank V., Broberg P., & Collin S.O. (2009). What explains the extent and content of social and environmental disclosures on corporate websites: a study of social and environmental reporting in Swedish listed corporations. Corporate social responsibility and environmental management, 16(6): 352-364. DOI: 10.1002/CSR.194.
  61. Tamimi N., & Sebastianelli R. (2017). Transparency among S&P 500 companies: An analysis of ESG disclosure scores. Management Decision, 55(8): 1660-1680. DOI: 10.1108/MD-01-2017-0018.
  62. Tavares A.F., & da Cruz N.F. (2020). Explaining the transparency of local government websites through a political market framework. Government Information Quarterly, 37(3), 101249. DOI: 10.1016/J.GIQ.2017.08.005.
  63. Tejedo-Romero F., & de Araújo J.F.F.E. (2018). Determinants of local governments’ transparency in times of crisis: evidence from municipality-level panel data. Administration & society, 50(4): 527-554. DOI: 10.1177/0095399715607288.
  64. Troy C., Smith K.G., & Domino M.A. (2011). CEO demographics and accounting fraud: Who is more likely to rationalize illegal acts?. Strategic Organization, 9(4): 259-282. DOI: 10.1177/1476127011421534.
  65. Vitolla F., Raimo N., Rubino M., & Garegnani G.M. (2021). Do cultural differences impact ethical issues? Exploring the relationship between national culture and quality of code of ethics. Journal of International Management, 27(1), 100823. DOI: 10.1016/J.INTMAN.2021.100823.
  66. Vitolla F., Raimo N., Rubino M., & Garzoni A. (2019). How pressure from stakeholders affects integrated reporting quality. Corporate Social Responsibility and Environmental Management, 26(6): 1591-1606. DOI: 10.1002/CSR.1850.
  67. Vitolla F., Raimo N., Rubino M., & Garzoni A. (2020a). The determinants of integrated reporting quality in financial institutions. Corporate Governance: The International Journal of Business in Society, 20(3): 429-444. DOI. 10.1108/CG-07-2019-0202.
  68. Vitolla F., Rubino M., & Raimo N. (2020b). Gli effetti della cultura nazionale sulla qualità della disclosure del capitale intellettuale nel contesto dell’Integrated Reporting. Management Control, 1: 137-160.

Angelo Rosa, Angela Rella, Filippo Vitolla, Nicola Raimo, Le determinanti della trasparenza informativa nella sanità pubblica. Un’analisi empirica nelle strutture ospedaliere i in "MECOSAN" 122/2022, pp 29-43, DOI: 10.3280/mesa2022-122oa14616