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A study of private hospitals in Brazil - The challenge of rising healthcare costs contributes to problems of access and quality in medical and hospital services. Hospitals are currently constantly striving to improve their performance. Innovativeness, also known as innovation capacity, has been highlighted as an important ally in this mission. Achieving these objectives requires precise analysis and planning. The aim of this study was to find out whether the perception of innovativeness among managers of private hospitals in Brazil is related to the performance of these healthcare organisations. These results made it possible to reflect on managerial aspects that are essential for improving performance in these organisations, especially in relation to technical efficiency and organisational innovativeness (OI) and perceived innovativeness of the firm (PFI), in order to improve the desired health outcomes for the population.