Table 2 SWOT institutional decentralization

Knowledge of local needs

88%

Less technical knowledge in the healthcare field at local level

84%

National debate on healthcare decentralization

80%

Strong inequalities

80%

Representation of the population

80%

Less autonomy of the hospital compared to local authorities

80%

Greater responsibility at local level

72%

Weakening of the role of central administration

72%

Generalized dissemination of information

72%

Increase in management bureaucracy

72%

Local debate on healthcare decentralization

60%

Strong role of metropolitan areas

52%

Knowledge of the territory

40%

Lack of staff competence

40%

Democratization

52%

Inability to achieve ministerial objectives

40%