{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T06:07:42Z","timestamp":1789106862302,"version":"build-2803163510"},"reference-count":65,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Healthcare organizations often possess significant cultural assets, accumulated over long periods of activity or through mergers with other healthcare institutions. Several challenges have emerged in conserving and promoting this heritage, including the need for qualified staff, appropriate organizational models, and dedicated financial resources. This study aims to identify a governance model for managing the complex cultural heritage held by healthcare organizations, while always taking into account their primary mission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>To achieve this goal, the paper investigated the experiences of Unidade Local de Sa\u00f9de de S\u00e3o Jos\u00e9 in Lisbon (Portugal) and Azienda Unit\u00e0 Sanitaria Locale Toscana Centro in Florence (Italy). These case studies were selected because both entities are characterized by an extraordinary network of historical hospitals that form an integral part of the cultural heritage of their respective cities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The findings revealed that both case studies followed a similar evolutionary path and ultimately adopted the same governance model already identified in the existing literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This path could be established by other healthcare organizations with important cultural assets to achieve their dual mission\u2014providing healthcare services while simultaneously preserving and promoting their cultural heritage\u2014because of its total independence to national regulations or healthcare systems' organization. Significant steps by both cases toward the adoption of integrated partnership model suggests that this approach may represent the next stage in the evolution of governance models for cultural assets managed by HOS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1953572","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T05:30:22Z","timestamp":1789104622000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Governance models for cultural assets owned by public healthcare organizations: Italian and Portuguese experiences"],"prefix":"10.3389","volume":"14","author":[{"given":"Niccol\u00f2","family":"Persiani","sequence":"first","affiliation":[{"name":"Department of Experimental and Clinical Medicine, University of Florence","place":["Florence, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giancarlo","family":"Landini","sequence":"additional","affiliation":[{"name":"Fondazione Santa Maria Nuova","place":["Florence, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Jos\u00e9","sequence":"additional","affiliation":[{"name":"Nursing Department, Atl\u00e2ntica School of Health","place":["Barcarena, Portugal"]},{"name":"Health Sciences Research Unit of Nursing School, University of Coimbra","place":["Coimbra, Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"407","DOI":"10.4103\/0256-4947.83204","article-title":"Impact of accreditation on the quality of healthcare services: a systematic review of the literature","volume":"31","author":"Alkhenizan","year":"2011","journal-title":"Ann Saudi Med"},{"key":"B2","unstructured":"Internet\n          Universal Health Coverage"},{"key":"B3","doi-asserted-by":"publisher","first-page":"118365","DOI":"10.1016\/j.socscimed.2025.118365","article-title":"\u201cThey're not just fire pits, they're Sacred Fires\u201d: traditional healing spaces as sites of anticolonial resistance in a Toronto hospital","volume":"382","author":"Ambtman-Smith","year":"2025","journal-title":"Soc Sci Med"},{"key":"B4","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1080\/13527258.2011.651740","article-title":"Heritage, health and well-being: assessing the impact of a heritage focused intervention on health and well-being","volume":"19","author":"Ander","year":"2013","journal-title":"Int J Herit Stud"},{"key":"B5","first-page":"13","article-title":"From history to heritage \u2013 from heritage to identity: in search of concepts and models","volume-title":"Building a New Heritage: Tourism, Culture and Identity in the New Europe","author":"Ashworth","year":"1994"},{"key":"B6","first-page":"9","article-title":"Health care as heritage: an etic approach of inscribed elements on the lists of the UNESCO ICH convention","volume-title":"Traditional Medicine. 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