In the health system, all health care institutions of citizens, are of increasing importance in economic systems. This fact is reflected in the growing percentage of public and private spending on health in relation to Gross Domestic Product (GDP). In other words, the growth rate of health spending is higher than GDP growth. On the one hand, spending on health can be seen as an investment in human capital, as it contributes to economic growth and ensure an adequate level of quality of life, but otherwise appear legitimate doubts about the sustainability of that growth ...