“…The budgeting process suggests that the budget reflect the strategy of the institution, being able to indicate the goals of the organization, directing the agents" behavior and offering mechanisms for these agents" performance evaluation, thus, this device translates the organization strategies in quantitative, qualitative metrics and it is relevant for both the planning of future actions, and the control of current actions (Cardoso et al, 2007). The endogenous design choices, in turn, determine several functional attributes of the budgetary system, including the accounting metrics used and the managers" discretion in the use of funds (Church et al, 2018). The hospital institutions, object of this study, are highly complex institutions, formed by several departments of high specificity and qualification, with strongly distinct features which need to be integrated in order to provide the most suitable treatment to their users.…”