Prof. Sandra C Buttigieg

Prof. Sandra C Buttigieg

Prof. Sandra C Buttigieg


Associate Professor

Room 7
Block A, Level 1
Mater Dei Hospital
  +356 2340 1906
Sandra C. Buttigieg is Associate Professor and Head of Department of Health Services Management (HSM), Faculty of Health Sciences, UOM, and Honorary Senior Research Fellow, HSMC, University of Birmingham, UK. She is Consultant Public Health Medicine, Head-Clinical Performance Unit, and member-Patient Safety and Quality Improvement Team, Mater Dei Hospital. She lectures in HSM, Public Health, Family Medicine, Research Methodology and Evidence-based Management.

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, health information technology, organisational behaviour, 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 the International Journal of Human Resources Management, Journal of Health Organization and Management, and Frontiers in Public Health. She is currently also Guest Associate Editor for Frontiers Veterinary Science, and Frontiers Topic Editor: Network for Evaluation of One Health (NEOH) – Case Studies. She is a member of the research committee of the Health Care Management Division, American Academy of Management; and co-chair of special interest group, within the European Health Management Association on ‘best practices in health care management’. She reviews extensively for numerous peer-reviewed journals in health care, management and psychology.

She was visiting scholar at - James Madison University, Aston University UK, Kuwait University, and guest speaker in various international events. 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 participates in the EU-funded programmes: Horizon2020 - To REACH; COST Actions: 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).
  • Performance management in health care (KPIs, hospital dashboards, team/unit/hospital performance)
  • Quality of health care and patient safety. Use of LFA, AHP, QFD and Six Sigma for quality improvement initiatives
  • Health policy issues (ageism, migrant health, One Health)
  • Organisational behaviour (leadership, teams, stress, psychological contract, social support, engagement)
  • Human resources management and development
  • Operations management/research (length of stay, readmissions, delayed discharges)
  • Information technology in health care management

Buttigieg, S.C., Abela, L. & Pace, A. 2018, "Variables affecting hospital length of stay: A scoping review", Journal of Health Organization and Management, .

Cassar, V., Bezzina, F. & 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, .

Jakovljevic, M.M., Netz, Y., Buttigieg, S.C., Adany, R., Laaser, U. & 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, vol. 14, no. 1, pp. 30.

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. & Häsler, B. 2018, "A Systems Approach to Evaluate One Health Initiatives", Frontiers in Veterinary Science, vol. 5, pp. 23.

Buttigieg, S.C. & Connor, P.M. 2017, Migrant Integration Policy Index Health Strand: Country Report Malta. , International Organisation for Migration, Brussels.

Buttigieg, S.C., Grech, K.E. & Azzopardi-Muscat, N. 2017, "Malta: Reform of the medical profession and reversal of brain drain in Malta: A success story" in Health Systems Improvement Across the Globe: Success Stories from 60 Countries, eds. J. Braithwaite, R. Mannion, Y. Matsuyama, P. Shekelle, S. Whittaker & S. Al-Adawi, CRC Press, , pp. 199-204.

Buttigieg, S.C. & van Hoof, J. 2017, "The conceptualization of value in the value proposition of new health technologies", International Journal of Health Policy and Management, vol. 6.

Buttigieg, S.C., Pace, A. & Rathert, C. 2017, "Hospital performance dashboards: A literature review", Journal of Health Organization and Management, vol. 31, no. 3, pp. 385-406.

Cassar, V., Bezzina, F. & 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, vol. 38, no. 5, pp. 646-661.

Pace, A. & 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, vol. 31, no. 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. & Kock, R. 2017, "Roadmap to a One Health agenda 2030", CAB Reviews, vol. 12, no. 14.

Rosano, A., Dauvrin, M., Buttigieg, S.C., Ronda, E., Tafforeau, J. & Dias, S. 2017, "Migrant's access to preventive health services in five EU countries", BMC health services research, vol. 17, no. 1, pp. 588.

Ruegg, S., McMahon, B.J., Haesler, B., Esposito, R., Nielsen, L.R., Speranza, C.I., Ehlinger, T., Peyre, M., Aragrande, M., Zinsstag, J., Davies, P., Mihalca, A.D., Buttigieg, S.C., Rushton, J., Carmo, L.-.P., De Meneghi, D., Canali, M., Filippitzi, M.E., Goutard, F.L., Ilieski, V., MiliAeviA, D., O'Shea, H., Radeski, M., Kock, R., Staines, A. & Lindberg, A. 2017, "A blueprint to evaluate One Health", Frontiers in Public Health, vol. 5.

São José, José Manuel Sousa, Amado, C.A.F., Ilinca, S., Buttigieg, S.C. & Taghizadeh Larsson, A. 2017, "Ageism in health care: A systematic review of operational definitions and inductive conceptualizations", The Gerontologist, vol. The American Society of Gerontology Online, pp. gnx020.

Tomaselli,  ., Garg, L., Gupta, V., Xuereb, P., Buttigieg, S.C. & Vassallo, P. 2017, "Healthcare Systems and Corporate Social Responsibility Communication: A Comparative Analysis between Malta and India", Journal of Global Information Management, vol. 26, no. 4.

Azzopardi-Muscat, N., Funk, T., Buttigieg, S.C., Grech, K.E. & Brand, H. 2016, "Policy challenges and reforms in small EU member state health systems: A narrative literature review", The European Journal of Public Health, vol. 26, no. 6, pp. 916.

Buttigieg, S.C., Gauci, D. & 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 Boundaryless hospital: Rethink and redefine health care management, eds. H. Albach, H. Meffert, A. Pinkwart, R. Reichwald & W. von Eiff, Springer, Berlin, Germany, pp. 183-199.

Buttigieg, S.C., Schuetz, M. & 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, vol. 4, pp. 201.

Buttigieg, S.C., Gauci, D. & Dey, P. 2016, "Continuous quality improvement in a Maltese hospital using logical framework analysis", Journal of Health Organization and Management, vol. 30, no. 7, pp. 1026-1046.

Buttigieg, S.C., Dey, P.K. & 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, vol. 29, no. 2, pp. 123-140.

Buttigieg, S., Prasanta, D. & Gauci, D. 2016, "Business process management in health care: Current challenges and future prospects", Innovation and Entrepreneurship in Health, [Online], .

Tomaselli, G., Melia, M., Garg, L., Gupta, V., Xuereb, P. & 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), vol. 12, no. 2, pp. 1-15.

Buttigieg S.C., G.D. 2015, "Health care innovation across health systems" in Challenges and opportunities in health care management., ed. S.K. Gurtner S., Springer, , pp. 47-59.

Buttigieg, S.C., Rathert, C. & von Eiff, W. 2015, "Preface. International best practices in health care management." in International best practices in health care management., eds. S.C. Buttigieg, C. Rathert & W. von Eiff, Emerald, , pp. xvii.

Buttigieg, S.C., von Eiff, W., Farrugia, P. & 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, vol. 17, pp. 195-209.

Buttigieg, S., Rathert, C., D'Aunno, T.A. & 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, vol. 17, pp. 3-22.

Cassar, V., Briner, R.B. & 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, vol. 27, no. 5, pp. 567-26.

Cassar, V. & Buttigieg, S.C. 2015, "Psychological contract breach, organizational justice and emotional well-being", Personnel Review, vol. 44, no. 2, pp. 217-235.

Garg, L., Gupta, V., Xuereb, P., Buttigieg, S. & Vassallo, P. 2015, "Traditional vs. interactive technologies for corporate social responsibility communication in health care: a study in Malta and India", EurOMA, .

de Freitas, C., Garcia-Ramirez, M., Aambo, A. & Buttigieg, S. 2014, "Transforming health policies through migrant user involvement : lessons learnt from three European countries", .

Mangion, M. & C. Buttigieg, S. 2014, "Multi-type childhood maltreatment: associations with health risk behaviours and mental health problems in adolescence", Journal of Children's Services, vol. 9, no. 3, pp. 191-206.

Buttigieg, S.C. & 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, vol. 27, no. 2, pp. 171-192.

Buttigieg, S., Cassar, V. & Scully, J.W. 2013, From words to action : visibility of management in supporting interdisciplinary team working in an acute rehabilitative geriatric hospital

Sandra C. Buttigieg, Vincent Cassar, Judy W. Scully Publication date 2013/9/2 Journal Journal of health organization and management Volume 27 Issue 5 Pages 618-645
, Emerald Group Publishing Limited.

Cassar, V. & 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. & Briner, R.B. 2013, "Causal explanations of psychological contract breach characteristics", .

Scully, J.W., Buttigieg, S.C., Fullard, A., Shaw, D. & 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, vol. 24, no. 12, pp. 2299-2320.

Buttigieg, S.C. 2012, "Benchmarking and Performance Management in Health Care", Benchmarking: An International Journal, vol. 15, no. 6, pp. 693-722.

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

Buttigieg, S.C. & Guillaume, Y.R.F. 2012, "Asymmetric curvilinear effects of gender dissimilarity on work productivity", American Academy of Management, Boston, Massachusetts.

Buttigieg, S.C., West, M.A. & Dawson, J.F. 2011, "Well-structured teams and the buffering of hospital employees from stress", Health Services Management Research, vol. 24, no. 4, pp. 203-212.

  • HSM5108 - Introduction to Health Systems Management
  • HSM5111 - Advanced Health Systems Management
  • HSM5112 - Governance and Performance and Quality Management