Healthcare Knowledge Ecosystems: Value creation and attractiveness through clinical research. The AOUP Case

This study analyzes the strategic role of public healthcare organizations in pro-moting clinical research, through a case study of the Pisan University Hospital (AOUP). Using a qualitative methodolo-gy based on interviews and institutional data, the dual role of AOUP is highlighted ‒both in coordinating competitive projects and in managing sponsored clinical stud-ies, whether for-profit or non-profit. The results show a progressive consolidation of the organization’s scientific, regulatory, and managerial capacities, enhancing its appeal as a research partner. The integration of healthcare, education, and research emerges as an enabling factor for generating value, innovation, and institutional relationships. The study offers insights for defining sustainable models of research governance within healthcare organizations