small size category (86%), with simply structured management teams, that is, without the basic management bodies of the other groups, where, given the lack of advisory bodies at their disposal (fewer than 4), decision- making is centralized.
Group 4, made up of 19 hospitals, is characterized by its correlation with the negative side of the first axis. These hospitals are the ones that can be said to engage in strategies relating to human resources management and marketing. They have performance assessment systems and stuff promotion schemes. the various groups of professionals within these hospitals undergo training in technical skills specific to their job category, health care management skills, and issues relating to quality and patient care. Also, the clinical and nursing divisions are deeply involved in the management of human resources.
With respect to marketing strategies in these Centers,various marketing techniques, such as positioning techniques (the facility itself or the services it offers), diversification and continuous analysis of the services (product) range and market quota and segmentation analysis are used. These centers are also characterized by their use of communication tools, such as the design of a corporate image and involvement in health education and information activities. Finally, it is worth mentioning in relation to this group the high level of commitment on the part of management towards boosting quality practices.