In most contracts, the goal is to reach is four to five patients per hour, whilst also complying with specified quality standards. In the national health survey of 2006, for example, 31% of the population reported obtaining health services from the private sector at least once a year, regardless of their coverage under the CCSS. In 2009, 60% of the respondents stated that they preferred private health care providers (Gutierrez, 2009).