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Table 4 Opinions about the Public Health System in Ecuador

From: Attitudes and perceptions of medical doctors towards the local health system: a questionnaire survey in Ecuador

  Specialists
(n = 282)
GP*
(n = 141)
Rural GP
(n = 62)
Others
(n = 28)
PGY**
(n = 36)
Fellows
(n = 58)
Q. 18 Do you know what is the Integrated Networks of Healthcare Services (RPIS)?
 Yes 74% 79% 76% 82% 78% 81%
 No 4% 3% 0% 0% 6% 11%
 Not Sure 19% 13% 22% 11% 17% 8%
 Vaguely 3% 5% 2% 7% 0% 0%
Q. 19 How much do you know about the National Code of Health (COES)
 Don’t know 2% 4% 2% 0% 3% 7%
 Haven’t read it, just heard about it and I Know a little 28% 34% 32% 21% 25% 26%
 Haven’t read it, just heard about it and I Don’t know nothing 10% 10% 11% 7% 11% 14%
 Read it by parts and know part of it 51% 45% 50% 50% 61% 45%
 Read it and I know it all 8% 7% 5% 21% 0% 9%
Q. 20 Do you think is necessary to have a medical malpractice law in Ecuador?
 Yes 79% 67% 73% 86% 61% 74%
 No. 11% 23% 15% 7% 22% 13%
 Other response 11% 10% 13% 7% 17% 13%
Q. 24 What is your perception of the usefulness of the National Chart of Basic Drugs in Ecuador (CNMB)
 Very useful 2.1% 4.1% 0.0% 7.7% 0.0% 3.0%
 Useful 10.1% 14.5% 26.1% 15.4% 4.2% 2.0%
 Unlikely to be useful 11.8% 9.5% 5.4% 23.1% 16.7% 13.1%
 Limits access to medicines 34.2% 34.1% 32.6% 23.1% 33.3% 32.3%
 Excludes Important medicines 28.0% 28.6% 28.3% 21.5% 37.5% 37.4%
 Includes no recommended drugs 8.9% 5.0% 4.3% 6.2% 2.1% 8.1%
 Improves the correct use of medicines 3.9% 3.6% 3.3% 3.1% 6.3% 4.0%
 Unknow Information 1.0% 0.5% 0.0% 0.0% 0.0% 0.0%
Q. 25 What is your opinion about the generic medicines that are marketed in Ecuador?
 Same Quality as Brand Medicines 5% 5% 8% 9% 0% 8%
 Most of them are good 33% 46% 47% 91% 100% 92%
 Most of them are bad 63% 49% 45% 0% 0% 0%
Q. 33 Do you agree that all medical students after completing their degree have to take a qualification exam before practicing?
 Yes 72% 71% 93% 92% 80% 71%
 No 28% 29% 7% 8% 20% 29%
Q. 34 Do you think that specialists and general practitioners should undertake a “re-certification” process every 5 years?
 Yes, with an exam 7.4% 9.9% 11.3% 3.6% 11.1% 5.2%
 Yes, throughout CME 75.9% 70.2% 54.8% 75.0% 72.2% 75.9%
 Other 2.5% 0.0% 3.2% 3.6% 2.8% 10.3%
 No 14.2% 19.9% 30.6% 17.9% 13.9% 8.6%
Q. 35 How good or bad represented do you feel by the Ecuadorian Medical Federation (FME)
 Extremely Bad 18.1% 11.3% 14.5% 21.4% 13.9% 25.9%
 Very Bad 11.0% 9.2% 3.2% 14.3% 2.8% 3.4%
 Bad 14.9% 16.3% 22.6% 10.7% 30.6% 29.3%
 Neither good/bad 34.0% 37.6% 33.9% 32.1% 44.4% 29.3%
 Good 14.5% 18.4% 22.6% 17.9% 5.6% 5.2%
 Very Good 5.0% 7.1% 1.6% 3.6% 2.8% 5.2%
 Extremely good 2.5% 0.0% 1.6% 0.0% 0.0% 1.7%
Q. 36 In general, what do you think about the scientific quality level of Ecuadorian scientific societies?
 Extremely Bad 7.8% 0.6% 6.4% 10.6% 14.2% 5.2%
 Very Bad 5.0% 16.6% 3.2% 3.5% 0.5% 5.2%
 Bad 16.0% 14.6% 21.0% 7.1% 22.7% 22.4%
 Neither good/bad 42.6% 35.0% 37.1% 38.9% 51.1% 43.1%
 Good 18.4% 21.7% 27.4% 38.9% 8.5% 15.5%
 Very Good 8.9% 10.8% 4.8% 0.8% 2.8% 8.6%
 Extremely good 1.4% 0.6% 0.1% 0.1% 0.2% 0.1%
Q. 38 If you were asked, would you be willing to attend certain number of patients from the public health system at no charge at your private medical practice? for free in your private practice?
 1/week 11.3% 11.3% 8.1% 7.1% 16.7% 12.1%
 2/week 14.2% 19.1% 11.3% 7.1% 5.6% 6.9%
 3 /week 12.8% 19.1% 12.9% 10.7% 8.3% 17.2%
 4/week 31.9% 34.8% 54.8% 50.0% 52.8% 34.5%
 None 29.8% 15.6% 12.9% 25.0% 16.7% 29.3%
  1. *GP General Practitioner, **PGY Post Graduate Physician