30.b: Within the Costa Rican Social Security Fund is not possible to see the supply of medical specialists separately in: outpatient or hospitalization services. Hospital doctors have use at least 30% of their day in outpatient services. 30.d: Physicians can exercise private and public practice, as long as the professional does not have a full-time exclusive contract or prohibition with the CCSS. Medical specialists working in public hospitals must provide both impatient and outpatient services. http://www.oecd.org/els/health-systems/OECD-HSC-Survey-2016-CostaRica-Comments.pdf