ABSTRACT

Healthcare organizations differ from other organizations because of their fundamental mission to guarantee health protection to citizens, and therefore their management process is driven by different criteria. Historically, healthcare organizations have been shaped by the way in which healthcare has been provided, for example, the purpose of hospitals has changed over time from quarantine to clinical intervention. However, the approach to provision of healthcare is dependent on the country context. Healthcare organizations are required to combine a wide range of production factors to deliver health services differentiated according to individual health needs. University hospitals play a key role in the health systems since they are affected by the logics of both healthcare and innovation. Evidence-based healthcare imports explicit knowledge from research activities and incorporates it into practice, but it may underestimate the importance of implicit clinical knowledge.