Speedboat or Tanker? Innovating in or outside the medical university hospital

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Creating innovation space outside the medical university center has clear advantages for rapid innovation (as they can move as a speedboat in stead of being part of a bigger, slow moving tanker), but also has clear disadvantages in dealing with complex external demands as well as hindering knowledge transfer between the outside IPU and other IPU's within the medical university center. My main question is: Should we develop IPU's within or outside the medical university center?