Table 6.

Challenges and obstacles

Nonidentification of the stakeholder’s perspective[13,18]

The inefficiency of hospital financial system[13-15]

Nonspecialist human resources and inaccurate training[13]

Lack of population and patient participation[6,13,14,21]

Lack of evaluation of program progress[13]

High health costs[15,23,26]

Inadequate payments[24,26]

Patient-centralization of hospitals[15,17]

Value of services provided based on the volume of services[19,23]

Inadequate guidelines and protocols[13,24]