Prof. Sandra C Buttigieg

Prof. Sandra C Buttigieg

Prof. Sandra C Buttigieg



Room 7
Block A, Level 1
Mater Dei Hospital
  +356 2340 1906
Sandra C. Buttigieg is Professor and Head of Department of Health Services Management (HSM), Faculty of Health Sciences, UOM. She is Consultant Public Health Medicine, Head-Clinical Performance Unit, and Chair-Patient Safety and Quality Improvement Team, Mater Dei Hospital. She is the outgoing Global-Representative-at-large of the American Academy of Management-HCM Division. She is Board Member-at-large and member of the Scientific Advisory Committee of the European Health Management Association. She lectures in HSM, Public Health, Family Medicine, Research Methodology and Evidence-based Health Research (EVBRES).

Professor Buttigieg strongly advocates inter-/trans-disciplinarity within HSM in practice/research. She believes that health organisations'/systems' performance as a macro-concept depends on policies, people and operating systems. Her research, therefore, focuses on, but also links, clinical performance management, quality of care, patient safety, organisational behaviour, SHRM, operations management/research; and policy issues (ageism, migrant health, One Health).

She authored/co-authored several articles in peer-reviewed international journals, and widely participated in international conferences, and congresses. She is on the Editorial Boards of PloS One, Health Services Management Research, International Journal of Human Resources Management, Journal of Health Organization and Management, and Frontiers Public Health. She is Frontiers Topic Editor: "Network for Evaluation of One Health (NEOH) Case Studies"; "Patient Safety: Delivering Cost-Contained, High Quality, Person-Centered, and Safe Healthcare" and "Health Service Management and Leadership: COVID-Style".

She is Fellow of two programmes of the Salzburg Global Seminar, related to health care, which were led by amongst others, past presidents of the Institute of Medicine, namely, Donald Berwick and Harvey Fineberg.

Professor Buttigieg has been visiting scholar in the US (JMU -Harrisonburg, VA), UK -University of Birmingham and Aston University, Birmingham, and Kuwait (Faculty of Allied Health Sciences, Kuwait University).

Professor Buttigieg participated in the EU-funded programmes: Horizon2020 - To REACH; COST Actions: CA17117: EVBRES; CA19113: Second Victims; CA 15222 "cost containment and quality of care (leader-WG 1); TD 1404 NEOH (co-leader-WG 3); IS 1402 “ Ageism (co-leader-WG 1); and IS 1103 “Adapting European Health Systems to Diversity" (country-coordinator).
  • Clinical performance and quality assurance in healthcare
  • Patient safety and clinical risk management
  • Organisational behavior, SHRM, SHRD
  • Research methods
  • Operations management/research (length of stay, readmissions, delayed discharges)
  • Health policy issues (ageism, migrant health, One Health)
  • Information technology in health care management

CASSAR, V., BEZZINA, F., FABRI, S. and BUTTIGIEG, S., 2020. Work Stress in the 21st Century: A Bibliometric Scan of the First 2 Decades of Research in This Millennium. The Psychologist-manager Journal, 23(2), pp. 47-75.

MACASSA, G., MCGRATH, C., TOMASELLI, G. and BUTTIGIEG, S.C., 2020. Corporate social responsibility and internal stakeholders’ health and well-being in Europe: a systematic descriptive review. Health promotion international, , pp. 1.

MARSTON, H.R., IVAN, L., FERNÁNDEZ-ARDÈVOL, M., ROSALES CLIMENT, A., GÓMEZ-LEÓN, M., BLANCHE, D., EARLE, S., KO, P., COLAS, S. and BILIR, B., 2020. COVID-19: Technology, Social Connections, Loneliness & Leisure Activities: An International Study Protocol. Frontiers in Sociology, 5, pp. 89.

MICALLEF, A., BUTTIGIEG, S.C., TOMASELLI, G. and GARG, L., 2020. Defining Delayed Discharges of Inpatients and Their Impact in Acute Hospital Care: A Scoping Review. International journal of health policy and management, .

TOMASELLI, G., BUTTIGIEG, S.C., ROSANO, A., CASSAR, M. and GRIMA, G., 2020. Person-Centered Care From a Relational Ethics Perspective for the Delivery of High Quality and Safe Healthcare: A Scoping Review. Frontiers in public health, 8, pp. 44.

TOMASELLI, G., GARG, L., GUPTA, V., XUEREB, P.A. and BUTTIGIEG, S.C., 2020. Corporate Social Responsibility Application in the Healthcare Sector: A Bibliometric Analysis and Synthesis. International Journal of Information Systems and Social Change (IJISSC), 11(1), pp. 11-23.

TOMASELLI, G., GARG, L., GUPTA, V., XUEREB, P.A., BUTTIGIEG, S.C. and VASSALLO, P., 2020. Communicating Corporate Social Responsibility in Healthcare Through Digital and Traditional Tools: A Two-Country Analysis. Novel Theories and Applications of Global Information Resource Management. Hershey, PA, USA: IGI Global, pp. 184-208.

WILLIAMS, E.S., RATHERT, C. and BUTTIGIEG, S.C., 2020. The personal and professional consequences of physician burnout: a systematic review of the literature. Medical Care Research and Review, 77(5), pp. 371-386.

ABELA, L., PACE, A. and BUTTIGIEG, S.C., 2019. What affects length of hospital stay? A case study from Malta. Journal of health organization and management, 33(6), pp. 714-736.

BUTTIGIEG, S.C., AZZOPARDI, E. and CASSAR, V., 2019. The Mediating Role of Burnout in the Relationship between Perceived Patient-safe, Friendly Working Environment and Perceived Unsafe Performance in an Obstetric Unit. Advances in Healthcare Management, 18, pp. 99-118.

BUTTIGIEG, S.C., 2019. Innovation Strategies and Health System Guiding Principles to Address Equity and Sustainability in Responsible Innovation in Health Comment on "What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review". International journal of health policy and management, 8(9), pp. 570-572.

BUTTIGIEG, S.C., DEBONO, G.A. and GAUCI, D., 2019. Needs assessment for sexual health services development in a small European Union member state. Health services management research, 32(4), pp. 180-190.

BUTTIGIEG, S.C., TOMASELLI, G., BYERS, V., CASSAR, M., TJERBO, T. and ROSANO, A., 2019. Corporate social responsibility and person-centered care: a scoping review. Journal of Global Responsibility, 10(4), pp. 289-306.

ENGLAND, K. and BUTTIGIEG, S.C., 2019. The impact of demographic changes in Malta on health and the health system over the past two decades. In: N. AZZOPARDI MUSCAT, D. CAUCHI and T. MELILLO FENECH, eds, Public Health in Malta : 1999 - 2019 . Malta Association of Public Health Medicine, pp. 5.

MANNHEIM, I., SCHWARTZ, E., XI, W., BUTTIGIEG, S.C., MCDONNELL-NAUGHTON, M., WOUTERS, E.J. and VAN ZAALEN, Y., 2019. Inclusion of Older Adults in the Research and Design of Digital Technology. International Journal of Environmental Research and Public Health, 16(19), pp. 3718.

RUEGG, S., BUTTIGIEG, S.C., GOUTARD, F.L., BINOT, A., MORAND, S., THYS, S. and KEUNE, H., 2019. Concepts and Experiences in Framing, Integration and Evaluation of One Health and EcoHealth. Frontiers in veterinary science, 6, pp. 155.

SAO JOSE, J.M., AMADO, C.A., ILINCA, S., BUTTIGIEG, S.C. and LARSSON, A.T., 2019. Ageism in Health Care. The Gerontologist, 59(2), pp. e98–e108.

TEUMA CUSTO, P., TEUMA CUSTO, R. and BUTTIGIEG, S., 2019. The Relationship Between Safety Climate and Performance in Intensive Care Units: The Mediating Role of Managerial Safety Practices and Priority of Safety. Frontiers in Public Health, 7, pp. 302.

VAN HOOF, J., DIKKEN, J., BUTTIGIEG, S.C., VAN DEN HOVEN, RUDY FM, KROON, E. and MARSTON, H.R., 2019. Age-friendly cities in the Netherlands: An explorative study of facilitators and hindrances in the built environment and ageism in design. Indoor and Built Environment, 0(0), pp. 1-21.

BUTTIGIEG, S.C., ABELA, L. and PACE, A., 2018. Variables affecting hospital length of stay: A scoping review. Journal of Health Organization and Management, 32(3), pp. 463-493.

BUTTIGIEG, S.C., GAUCI, D., BEZZINA, F. and DEY, P.K., 2018. Post-surgery length of stay using multi-criteria decision-making tool. Journal of health organization and management, 32(4), pp. 514-531.

BUTTIGIEG, S.C., SAVIC, S., CAUCHI, D., LAUTIER, E., CANALI, M. and ARAGRANDE, M., 2018. Brucellosis Control in Malta and Serbia: A One Health Evaluation. Frontiers in Veterinary Science, 5, pp. 147.

CASSAR, V., BEZZINA, F. and BUTTIGIEG, S.C., 2018. Investigating the psychometric properties and assessment capabilities of the short version of the Health and Safety Executive’s Management Standards Indicator Tool. International Journal of Human Resources Management, .

CASSAR, V., BEZZINA, F. and BUTTIGIEG, S.C., 2018. Investigating the psychometric properties and assessment capabilities of the short version of the Health and Safety Executive’s Management Standards Indicator Tool.

GARG, L., GUPTA, V., TOMASELLI, G., XUEREB, P.A., BUTTIGIEG, S.C. and VASSALLO, P., 2018. Healthcare Systems and Corporate Social Responsibility Communication: A Comparative Analysis Between Malta and India. Journal of Global Information Management, 26(4), pp. 52-66.

GRIMA, S., SPITERI, J.V., JAKOVLJEVIC, M., CAMILLERI, C. and BUTTIGIEG, S.C., 2018. High Out-of-Pocket Health Spending in Countries With a Mediterranean Connection. Frontiers in Public Health, 6, pp. 145.

JAKOVLJEVIC, M.M., NETZ, Y., BUTTIGIEG, S.C., ADANY, R., LAASER, U. and VARJACIC, M., 2018. Population aging and migration–history and UN forecasts in the EU-28 and its east and south near neighborhood–one century perspective 1950–2050 . Globalization and Health, 14(1), pp. 30.

JAKOVLJEVIC, M., CAMILLERI, C., RANCIC, N., GRIMA, S., JURISEVIC, M., GRECH, K. and BUTTIGIEG, S.C., 2018. Cold War Legacy in Public and Private Health Spending in Europe. Frontiers in public health, 6, pp. 215-215.

RUEGG, S.R., NIELSEN, L.R., BUTTIGIEG, S.C., SANTA, M., ARAGRANDE, M., CANALI, M., EHLINGER, T., CHANTZIARAS, I., BORIANI, E., RADESKI, M., BRUCE, M., QUEENAN, K. and HäSLER, B., 2018. A Systems Approach to Evaluate One Health Initiatives. Frontiers in Veterinary Science, 5, pp. 23.

VAN ZAALEN, Y.,   MCDONNELL, M., MIKOLAJ, B., BUTTIGIEG, S.C., REQUENA HERNANDEZ, M.C. and HOLTKAMP, F., 2018. Technology implementation in delivery of healthcare to older people: how can the least voiced in society be heard? Journal of Enabling Technologies, 12(2), pp. 76-90.

BUTTIGIEG, S.C. and CONNOR, P.M., 2017. Migrant Integration Policy Index Health Strand: Country Report Malta. Brussels: International Organisation for Migration.

BUTTIGIEG, S.C., GRECH, K.E. and AZZOPARDI-MUSCAT, N., 2017. Malta: Reform of the medical profession and reversal of brain drain in Malta: A success story. In: J. BRAITHWAITE, R. MANNION, Y. MATSUYAMA, P. SHEKELLE, S. WHITTAKER and S. AL-ADAWI, eds, Health Systems Improvement Across the Globe: Success Stories from 60 Countries. CRC Press, pp. 199-204.

BUTTIGIEG, S.C. and VAN HOOF, J., 2017. The conceptualization of value in the value proposition of new health technologies. International Journal of Health Policy and Management, 7(2), pp. 186-188.

BUTTIGIEG, S.C., PACE, A. and RATHERT, C., 2017. Hospital performance dashboards: A literature review. Journal of Health Organization and Management, 31(3), pp. 385-406.

CASSAR, V., BEZZINA, F. and BUTTIGIEG, S.C., 2017. The relationship between transformational leadership and work attitudes: Comparing mediating influences of social identity and the psychological contract. Leadership & Organization Development Journal, 38(5), pp. 646-661.

PACE, A. and BUTTIGIEG, S.C., 2017. Can hospital dashboards provide visibility of information from bedside to board? A case study approach. Journal of Health Organization and Management, 31(2), pp. 142-161.

QUEENAN, K., GARNIER, J., ROSENBAUM NIELSEN, L., BUTTIGIEG, S.C., DE MENEGHI, D., HOLMBERG, M., ZINSSTAG, J., RÜEGG, S., HÄSLER, B. and KOCK, R., 2017. Roadmap to a One Health agenda 2030. CAB Reviews, 12(14),.

ROSANO, A., DAUVRIN, M., BUTTIGIEG, S.C., RONDA, E., TAFFOREAU, J. and DIAS, S., 2017. Migrant's access to preventive health services in five EU countries. BMC health services research, 17(1), pp. 588.


TOMASELLI,  ., GARG, L., GUPTA, V., XUEREB, P., BUTTIGIEG, S.C. and VASSALLO, P., 2017. Healthcare Systems and Corporate Social Responsibility Communication: A Comparative Analysis between Malta and India. Journal of Global Information Management, 26(4),.

AZZOPARDI-MUSCAT, N., FUNK, T., BUTTIGIEG, S.C., GRECH, K.E. and BRAND, H., 2016. Policy challenges and reforms in small EU member state health systems: A narrative literature review. The European Journal of Public Health, 26(6), pp. 916.

BUTTIGIEG, S.C., 2016. Current challenges of ageing and ageism with a focus on healthcare and long-term care. Gerontol Geriatr Res, 2(3), pp. 1016.

BUTTIGIEG, S.C., GAUCI, D. and DEY, P.K., 2016. The boundaryless hospital through risk management approach: A case study of the A&E unit of a tertiary-care hospital in Malta. In: H. ALBACH, H. MEFFERT, A. PINKWART, R. REICHWALD and W. VON EIFF, eds, Boundaryless hospital: Rethink and redefine health care management. Berlin, Germany: Springer, pp. 183-199.

BUTTIGIEG, S.C., GRIMA, S. and CAMILLERI, C., 2016. Commentary: Comparison of historical medical spending patterns among the BRICS and G7. Frontiers in Pharmacology, 7, pp. 213.

BUTTIGIEG, S.C., SCHUETZ, M. and BEZZINA, F., 2016. Value chains of public and private health-care services in a small EU island state: A SWOT analysis. Frontiers in Public Health, Journal of Health Economics, 4, pp. 201.

BUTTIGIEG, S.C., GAUCI, D. and DEY, P., 2016. Continuous quality improvement in a Maltese hospital using logical framework analysis. Journal of Health Organization and Management, 30(7), pp. 1026-1046.

BUTTIGIEG, S.C., PRASANTA, D. and GAUCI, D., 2016. Business process management in health care: Current challenges and future prospects. Dove Medical Press Ltd.

BUTTIGIEG, S.C., DEY, P.K. and CASSAR, M.R., 2016. Combined quality function deployment and logical framework analysis to improve quality of emergency care in Malta. International Journal of Health Care Quality Assurance, 29(2), pp. 123-140.

ROSANO, A., BUTTIGIEG, S.C., DAUVRIN, M., DIAS, S., RONDA, E. and TAFFOREAU, J., 2016. Access to preventive health services of migrants in five EU countries. The European Journal of Public Health, 26(suppl_1), pp. ckw171.030.

TOMASELLI, G., MELIA, M., GARG, L., GUPTA, V., XUEREB, P. and BUTTIGIEG, S.C., 2016. Digital and traditional tools for communicating corporate social responsibility: A literature review. International Journal of Business Data Communications and Networking (IJBDCN), 12(2), pp. 1-15.

BUTTIGIEG, S.C., GAUCI, D., 2015. Health care innovation across health systems. In: S.K. GURTNER S., ed, Challenges and opportunities in health care management. Cham, Germany: Springer International Publishing Switzerland, pp. 47-59.

BUTTIGIEG, S.C., CACHIA, D. and GAUCI, D., 2015. Stress, burnout and coping strategies in the emergency and intensive care hospital departments. In: C.R. HOPKINS, ed, Job stress. Business issues, competition and entrepreneurship, Nova science, pp. 49-82.

BUTTIGIEG, S.C., RATHERT, C. and VON EIFF, W., 2015. Concluding remarks: Best practices across international boundaries. In: S.C. BUTTIGIEG, C. RATHERT and W. VON EIFF, eds, International best practices in health care management. Bingley, UK: Emerald, pp. 253-255.

BUTTIGIEG, S.C., DEY, P.K. and GAUCI, D., 2015. Using a risk management framework to address the concept of a “Boundaryless hospital, EHMA Annual Conference: "Evidence-Based Management: Better Decisions, Better Healthcare"
2015, European Health Management Association (EHMA).

BUTTIGIEG, S.C., VON EIFF, W., FARRUGIA, P. and VON EIFF, M.C., 2015. Process optimization in the emergency department by the use of point-of-care-testing (POCT) in life-threatening conditions : comparative best practice examples from Germany and Malta. Advances in Health Care Management, 17, pp. 195-209.

BUTTIGIEG, S., RATHERT, C., D'AUNNO, T.A. and SAVAGE, G.T., 2015. International research in health care management : its need in the 21st century, methodological challenges, ethical issues, pitfalls, and practicalities. Advances in Health Care Management, 17, pp. 3-22.

BUTTIGIEG, S., RATHERT, C. and VON EIFF, W., eds, 2015. International Best Practices in Health Care Management. Volume 17 edn. UK: Emerald Group Publishing Limited.

CASSAR, V., BRINER, R.B. and BUTTIGIEG, S.C., 2015. What's in a broken promissory obligation? Developing and testing a multiple component form measure of psychological contract breach. The International Journal of Human Resource Management, 27(5), pp. 567-26.

CASSAR, V. and BUTTIGIEG, S.C., 2015. Psychological contract breach, organizational justice and emotional well-being. Personnel Review, 44(2), pp. 217-235.

GARG, L., GUPTA, V., XUEREB, P., BUTTIGIEG, S. and VASSALLO, P., 2015. Traditional vs. interactive technologies for corporate social responsibility communication in health care: a study in Malta and India, 22nd EurOMA International Annual Conference (EurOMA 2015), June 26-July 1, 2015 at Neuchâtel, Switzerland, CSR-03. 2015, EurOMA.

AZZOPARDI MUSCAT, N., GRECH, K. and BUTTIGIEG, S.C., 2014. Challenges and policy concerns for health systems in small European states. The European Journal of Public Health, 24(suppl_2), pp. cku163-097.

De Freitas C, García-Ramirez M, Aambø A, Buttigieg SC. La transformación de las políticas sanitarias mediante la implicación de los usuarios inmigrantes: lecciones aprendidas de tres países europeos. Psychosocial Intervention. 2014;23(2):105-13.

DE FREITAS, C., GARCIA-RAMIREZ, M., AAMBO, A. and BUTTIGIEG, S.C., 2014. Transforming health policies through migrant user involvement : lessons learnt from three European countries.

MANGION, M. and BUTTIGIEG, S.C., 2014. Multi-type childhood maltreatment: associations with health risk behaviours and mental health problems in adolescence. Journal of Children's Services, 9(3), pp. 191-206.

BUTTIGIEG, S.C., CASSAR, V. and SCULLY, J.W., 2013. From words to action : visibility of management in supporting interdisciplinary team working in an acute rehabilitative geriatric hospital. Journal of Health Organization and Management, 27(5), pp. 618-645.

BUTTIGIEG, S.C. and WEST, M.A., 2013. Senior management leadership, social support, job design and stressor-to-strain relationships in hospital practice. Journal of Health Organization and Management, 27(2), pp. 171-192.

CASSAR, V. and BUTTIGIEG, S., 2013. An examination of the relationship between authentic leadership and psychological well-being and the mediating role of meaningfulness at work.

CASSAR, V., BUTTIGIEG, S. and BRINER, R.B., 2013. Causal explanations of psychological contract breach characteristics. The Psychologist-Manager Journal, 16(2), pp. 85-106.

SCULLY, J.W., BUTTIGIEG, S.C., FULLARD, A., SHAW, D. and GREGSON, M., 2013. The role of SHRM in turning tacit knowledge into explicit knowledge: a cross-national study of the UK and Malta. The International Journal of Human Resource Management, 24(12), pp. 2299-2320.

BUTTIGIEG, S.C., 2012. Benchmarking and Performance Management in Health Care. Benchmarking: An International Journal, 15(6), pp. 693-722.

BUTTIGIEG, S.C., 2012. Achieving optimal performance in hospital practice: The relationship to leadership, teamwork and stress (Mar 27, 2012). Saarbrücken, Germany: LAP LAMBERT Academic Publishing GmbH & Co. KG.

BUTTIGIEG, S.C. and GUILLAUME, Y.R.F., 2012. Asymmetric curvilinear effects of gender dissimilarity on work productivity, 72nd Annual Meeting of the American Academy of Management: The Informal Economy 2012, American Academy of Management.

BUTTIGIEG, S., TOWNSEND ROCCHICCIOLI, J. and ELLUL, M.L., 2012. Maternal awareness of health promotion, parental and preschool childhood obesity. Malta Medical Journal, 24(1), pp. 9-15.

BUTTIGIEG, S.C., WEST, M.A. and DAWSON, J.F., 2011. Well-structured teams and the buffering of hospital employees from stress. Health Services Management Research, 24(4), pp. 203-212.

  • DOC6040 - Understanding Research Philosophy and Approaches to Theory Development
  • DOC6048 - Validity and Reliability in Quantitative and Qualitative Research
  • HSM5107 - Research Methods, Epidemiology and Statistics in Health Studies
  • HSM5109 - Organizational Behaviour, Human Resources Management and Operations Management
  • HSM5110 - Financial Management and Health Economics
  • HSM5113 - Designing Effective and Efficient Health Systems
  • PHL5111 - Sociology of Health and Illness