Abstract
The today’s challenge by the organizations of the public health service is perhaps basically constituted by the need to develop an individual and collective more professional empreneurship capable of urge internal and external resources through a specific and well-defined strategic orientation, in a very complex situation that can be seen on the one hand, the growing increase in demand and, on the other hand, a substantial reduction of the available resources. Therefore, needs to focus on the organization and on the organizing so strong more than in the past, as it is today that the organizations of the public administration delegated to the provision of health services are definitely emerged as active subjects is significant not only in the context of welfare but also in those occupied by the economy and from politics, those who work in a context crowded and competitive.