INTRODUCTION
In Panama, the continuity of infrastructure projects, the efficiency of bidding processes, and transparency in public management are key factors for economic and social development. However, challenges have been observed that have hindered progress, such as a lack of continuity in some projects and delays in the execution of important works. These issues need to be addressed from a state-level perspective, beyond governmental cycles, ensuring that decisions align with the country’s long-term goals and benefit society as a whole.

CHALLENGES IN THE HEALTHCARE SECTOR
The healthcare sector is one of the fundamental pillars for the well-being of the Panamanian population. In this article, we will highlight some examples that show the need to advance crucial projects, such as the New Oncology Hospital, which costs over $450 million and has faced a series of obstacles. This project is essential for improving medical care in the country and should be prioritized by the new administration.

Another relevant case is the bidding process for the “Hemodialysis Service and the Design, Construction, and Enabling of Hemodialysis Units or Rooms,” with an estimated cost of $180 million. This project, initiated in 2022, has suffered delays due to legal challenges, which, although part of the public procurement process, have affected the timely execution of these works that are essential for patients depending on this service.

These examples reflect the importance of establishing mechanisms to expedite the execution of critical projects and ensure that resources are efficiently allocated to improve healthcare services.

OPPORTUNITIES TO IMPROVE EFFICIENCY AND TRANSPARENCY IN PUBLIC MANAGEMENT
As a country, we face the challenge of improving efficiency and transparency in public administration, which is essential for restoring public trust and attracting foreign investment. It is imperative to strengthen institutions, promote the training of technical and administrative staff, and ensure that pending works, especially in the healthcare sector, are completed for the benefit of the entire population.

The implementation of policies aimed at optimizing public procurement processes and project execution will not only contribute to citizens’ well-being but also foster the country’s economic growth and competitiveness.