Internal Auditing in Italian National Healthcare Service. Evidence from two regional cases: Veneto and Emilia-Romagna

Journal title MECOSAN
Author/s Cecilia Langella, Ilaria Elisa Vannini, Milena Marciacano, Niccolò Persiani
Publishing Year 2023 Issue 2022/123
Language Italian Pages 21 P. 7-27 File size 0 KB
DOI 10.3280/mesa2022-123oa15580
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In the last decade, legislation on accounting harmonization and external audit readiness made public healthcare organizations devote increasing attention to the development of Internal Control Systems. Internal Auditing function (henceforth, IA) was frequently established and regarded as an opportunity to systematize and provide assurance upon the whole Internal Control System. This study is aimed at analyzing how the IA function has been implemented and developed in the Italian National Health Service. The empirical analysis relies on case study methodology and presents two of the most relevant experiences settled respectively in the Regional Health Services of Veneto and Emilia-Romagna. The study examines and compares: IA roles, types of audit, IA process, organizational variables, and internal auditors characteristics. Results show the existence of two distinct implementation modes, highly influenced by contextual factors, but also characterized by interesting similarities. These findings may provide a useful reference point for the establishment and implementation of the IA function in other regions.

Keywords: ; Internal Auditing; Internal Control Systems; Public healthcare organizations; Case studies; Veneto Region; Emilia-Romagna Region

  • Se pretendi di avere tutto sotto controllo significa che non stai andando abbastanza veloce: l'esperienza dell'Audit sulle prestazioni in regime di Libera Professione nella Regione Veneto Elena Cantù, Michela Castellan, Enrico De Gaspari, Monica Gennari, Cecilia Langella, Isabella Ruzza, Roberto Tiffi, in MECOSAN 128/2024 pp.161
    DOI: 10.3280/mesa2023-128oa18597

Cecilia Langella, Ilaria Elisa Vannini, Milena Marciacano, Niccolò Persiani, L’Internal Auditing nel Servizio Sanitario Nazionale: l’esperienza della Regione Veneto e della Regione Emilia-Romagna in "MECOSAN" 123/2022, pp 7-27, DOI: 10.3280/mesa2022-123oa15580