Minister of health:
•Popultation age
•Chronical pacients
•Budget cuts
Director
of Hospital
•Request for more autonomy
•Too much constraints in the
procedures
•Too much bureaucracy
•Economic constraints
•Revenues: public funds (shrinking),
insurance (shrinking), private cunstomers (negligible)
Physician
•Ask for better working conditions
•More participation (freedom to
choose, medical criteria, avoid recurrence)
Pacient
•Waiting lists
•Don’t have time to go to hospital (ask
for convenience)