ABSTRACT
Changes in population age distribution and lifestyle require that these institutions undergo modifications, in order to meet the current demands of society such as increased life expectancy and new disease profiles [1-4]. As part of the national health systems, these changes had an impact on the hospitals. The emergence of novel technologies, the constant need for recycling of knowledge and abilities due to reformulations of scientific paradigms, and the hospital costs implied in this recycling justify the need for assessment of quality and efficacy in this health segment [5].
