HOSPITAL GOVERNANCE: A SYSTEMATIC REVIEW OF ITS CONCEPTUALIZATION AND EVOLUTION IN THE SCIENTIFIC LITERATURE

This study reviewed research published between 2020 and 2025 in the Scopus and Scielo databases, with the aim of analyzing the conceptualization and evolution of hospital governance in the scientific literature. Twelve relevant articles were selected and examined, considering criteria of relevance, methodological rigor, and timeliness. Hospital governance is presented as a constantly evolving concept, linked to the quality of care, transparency in management, accountability, and the participation of institutional stakeholders. The literature shows that, although common theoretical frameworks exist, the practical application of governance varies significantly depending on the political, social, and economic context of each health system. Furthermore, gaps in scientific production were identified in low- and middle-income regions, which limits the comparison of models. Factors influencing the evolution of the concept include the digitalization of processes, health policy reforms, and the incorporation of participatory governance models. It is concluded that strengthening hospital governance requires greater conceptual standardization, comparative research, and strategies that integrate clinical and administrative management to ensure more efficient, transparent, and sustainable hospital systems.