Hospital Foundation: A SWOT Analysis (Report‪)‬

1. Introduction Throughout these last decades there have been profound changes in the role of Public Administration in the health sector. According to Majone, we are experiencing a paradigm change between the positive state--intervenetionist --and the regulatory state [1,2]. The traditional functions involving production and distribution of goods and services have been progressively substituted by functions in the area of financing, services and regulation. Even though, presently, there is a clear separation of these functions to avoid any incompatibility and there is a tendency to reinforce the regulatory role of the state. According to Rosanvallon [3], this evolution involves reinforcement in the competencies of local administration - with the decentralization of the competencies, with non public organisations taking on the public services and the de-bureaucratization and rationalization of the management of the main public services. The health sector is a good example of this reformation process.