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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

Ā 

Specialists

(nā€‰=ā€‰282)

GP*

(nā€‰=ā€‰141)

Rural GP

(nā€‰=ā€‰62)

Others

(nā€‰=ā€‰28)

PGY**

(nā€‰=ā€‰36)

Fellows

(nā€‰=ā€‰58)

Q. 18 Do you know what is the Integrated Networks of Healthcare Services (RPIS)?

ā€ƒYes

74%

79%

76%

82%

78%

81%

ā€ƒNo

4%

3%

0%

0%

6%

11%

ā€ƒNot Sure

19%

13%

22%

11%

17%

8%

ā€ƒVaguely

3%

5%

2%

7%

0%

0%

Q. 19 How much do you know about the National Code of Health (COES)

ā€ƒDonā€™t know

2%

4%

2%

0%

3%

7%

ā€ƒHavenā€™t read it, just heard about it and I Know a little

28%

34%

32%

21%

25%

26%

ā€ƒHavenā€™t read it, just heard about it and I Donā€™t know nothing

10%

10%

11%

7%

11%

14%

ā€ƒRead it by parts and know part of it

51%

45%

50%

50%

61%

45%

ā€ƒRead 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?

ā€ƒYes

79%

67%

73%

86%

61%

74%

ā€ƒNo.

11%

23%

15%

7%

22%

13%

ā€ƒOther 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)

ā€ƒVery useful

2.1%

4.1%

0.0%

7.7%

0.0%

3.0%

ā€ƒUseful

10.1%

14.5%

26.1%

15.4%

4.2%

2.0%

ā€ƒUnlikely to be useful

11.8%

9.5%

5.4%

23.1%

16.7%

13.1%

ā€ƒLimits access to medicines

34.2%

34.1%

32.6%

23.1%

33.3%

32.3%

ā€ƒExcludes Important medicines

28.0%

28.6%

28.3%

21.5%

37.5%

37.4%

ā€ƒIncludes no recommended drugs

8.9%

5.0%

4.3%

6.2%

2.1%

8.1%

ā€ƒImproves the correct use of medicines

3.9%

3.6%

3.3%

3.1%

6.3%

4.0%

ā€ƒUnknow 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?

ā€ƒSame Quality as Brand Medicines

5%

5%

8%

9%

0%

8%

ā€ƒMost of them are good

33%

46%

47%

91%

100%

92%

ā€ƒMost 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?

ā€ƒYes

72%

71%

93%

92%

80%

71%

ā€ƒNo

28%

29%

7%

8%

20%

29%

Q. 34 Do you think that specialists and general practitioners should undertake a ā€œre-certificationā€ process every 5ā€‰years?

ā€ƒYes, with an exam

7.4%

9.9%

11.3%

3.6%

11.1%

5.2%

ā€ƒYes, throughout CME

75.9%

70.2%

54.8%

75.0%

72.2%

75.9%

ā€ƒOther

2.5%

0.0%

3.2%

3.6%

2.8%

10.3%

ā€ƒNo

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)

ā€ƒExtremely Bad

18.1%

11.3%

14.5%

21.4%

13.9%

25.9%

ā€ƒVery Bad

11.0%

9.2%

3.2%

14.3%

2.8%

3.4%

ā€ƒBad

14.9%

16.3%

22.6%

10.7%

30.6%

29.3%

ā€ƒNeither good/bad

34.0%

37.6%

33.9%

32.1%

44.4%

29.3%

ā€ƒGood

14.5%

18.4%

22.6%

17.9%

5.6%

5.2%

ā€ƒVery Good

5.0%

7.1%

1.6%

3.6%

2.8%

5.2%

ā€ƒExtremely 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?

ā€ƒExtremely Bad

7.8%

0.6%

6.4%

10.6%

14.2%

5.2%

ā€ƒVery Bad

5.0%

16.6%

3.2%

3.5%

0.5%

5.2%

ā€ƒBad

16.0%

14.6%

21.0%

7.1%

22.7%

22.4%

ā€ƒNeither good/bad

42.6%

35.0%

37.1%

38.9%

51.1%

43.1%

ā€ƒGood

18.4%

21.7%

27.4%

38.9%

8.5%

15.5%

ā€ƒVery Good

8.9%

10.8%

4.8%

0.8%

2.8%

8.6%

ā€ƒExtremely 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?

ā€ƒ1/week

11.3%

11.3%

8.1%

7.1%

16.7%

12.1%

ā€ƒ2/week

14.2%

19.1%

11.3%

7.1%

5.6%

6.9%

ā€ƒ3 /week

12.8%

19.1%

12.9%

10.7%

8.3%

17.2%

ā€ƒ4/week

31.9%

34.8%

54.8%

50.0%

52.8%

34.5%

ā€ƒNone

29.8%

15.6%

12.9%

25.0%

16.7%

29.3%

  1. *GP General Practitioner, **PGY Post Graduate Physician