...Andreia Pasqualini Blass; Sergio E. Gouvea da Costa; Edson Pinheiro de Lima; Lilian Adriana Borges Purpose This paper aims to propose a new framework to define relevant and meaningful indicators for monitoring and assessing environmental performance to improve health-care systems and operations...

... goal incongruence. Based on a discussion of the state of the art of PMM, this paper aims to provide research guidelines for building a PMM system through a reference framework, and to identify major design challenges. Design/methodology/approach At a macro level, the evolution of research...