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Hospitals have valuable resources but are have facedsignificant changes over recentdecades.The adoption of principles that drive the strategic development of business models as innovation is imperative in these institutions. This research study aims to articulate a conceptual review of business models, innovation, and sustainability transition in the context of health business. It proposes a model for future applications in hospitals. This proposed model emphasizes the relations that arise under the multiple-level perspective. It also addresses the evolution of the concepts of business models and innovation that might contribute to the sustainability transition movement once new sociotechnical systems get space in these organizations. The main results of this conceptual review are the multiple depictions of internal and external elements that mutually interact to describe the dynamics of transitions. In the landscape level, elements such as ecological modernization and corporate social responsibility interact with elements of the regime level-legal, technological, and efficiency aspects-and with the niche's aspects, represented by transitions from low to high quality and efficiency in services. This proposed model is justified by the lack of studies that address the sustainability transition models in hospitals and by its potential of adaption to particular contexts. healthcare field help to describe, to analyze, to manage, and to communicate: (i) the value proposition of the hospital for their patients and the other stakeholders; (ii) the ways in which the organization creates and provides this value;and (iii) the economic value required to keep or to regenerate the environmental, technical, and legal capital, jointly with the strategies of their organizational boundaries. The business models address the innovative [6], preventive, and continuous application of strategies that improve the efficiency while reducing the risks to the environment and tosociety [7] to promote economic benefits [8].Although mosthospitals organize their strategic plans and make them clear, the sustainability goals in these plans are not usually detailed. They hinder the dissemination of how sustainability can be pursued, and they impede these organizations from the adoption of the necessary changes to perform sustainability transitions [9].Sustainability transitions are changes in socio-technological systems that involve at least three structural levels: the technological niches (micro level) of innovation, the regime space(meso level) where business models are designed and performed, and the wide landscape (macro level) where hard and soft innovations are adopted, tested, accepted, or rejected by society. According to Geels [10], for transitions among socio-technological systems to occur, it is necessary to evaluate them from the Multiple Level Perspective (MLP). These transitions only make sense through the analysis of the relationships among the different social actors within each conceptual level [11].The MLP proposed and revised b...

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Este trabalho propõe-se a significar o termo "Novas Economias", trazendo elementos teóricos e empíricos para alicerçar a discussão e a construção desse conceito. A discussão inicia-se pela proposição de cinco dimensões que são apresentadas como norteadoras do conceito de Novas Economias: i) competitividade; ii) empreendedorismo; iii) sustentabilidade; iv) inovação; e v) orientação ao mercado. Em seguida apresenta-se um survey realizado com 120 empresas instaladas no Estado do Rio Grande do Sul. Esta pesquisa visou medir o quanto as empresas consideram-se preparadas para competir nas Novas Economias. Os resultados evidenciam indícios significantes de que as empresas consultadas percebem a importância das dimensões propostas, inclusive julgando-se preparadas para atuar à luz desse conceito.

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