This unit fits in the expansion of analytical perspectives and in the development of the critical sensitivity of the students regarding the understanding of the issues directly related to the strategic, tactical and operational management of health units and services. Its academic development will focus on exploring the organizational principles and policies that guide decision making, also highlighting the importance of health systems sustainability. The dynamics of the quality of the Portuguese health system will be also analyzed and also a reflection will be made on the factors influencing the market competitiveness.