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The context of the health care industry, at national level, is characterized by successive National Health Service (NHS) reforms. These reforms have not achieved their goals so far, but have already contributed to further aggravate the management system.

In fact, a number of inefficiencies at both structural and operational level still remain, namely: i) difficult access to public care services; ii) unequal distribution; iii) limited human resources; and iv) excessive weight of pharmaceuticals on the total cost structure, gradually leading to the deterioration of the HNS financial component, as shown by the significant increase in public expenditure and reported high deficits.

Many reforms have been implemented to solve these inefficiencies, aiming at the “entrepreneurialization” of health care units management. These units will, therefore, need to implement a set of management instruments, in order to meet the challenges resulting from their “entrepreneurialization”, namely by ensuring:

  • A more strategic health care management, focused on the “health care beneficiary”;
  • Leadership and Human Resource Management, in a more demanding environment in which there is a greater multicultural reference and mobility of people;
  • Fine-tuning organizational structures to the new environment and changing the ways of working, achieving greater flexibility, accountability and recognition;
  • An efficient operations management,in order to obtain potential productivity gains associated with management optimization and resources logistics;
  • Improved access to information and quality of process  management (information systems optimization).

Furthermore, and as regards to the private sector, huge investments have been made by major Portuguese financial groups, covering both the construction of new hospitals and participation in the management of public hospitals.

Leadership Business Consulting has developed methodologies designed for the health industry, particularly at private level, that meet the challenges the industry is facing, while implementing projects that support the efficiency increase of organizational and operational health care units.