Análisis de los factores que inciden en la elección de médicos especialistas en la ciudad de Guayaquil.

Abstract

This study aimed to study the reasons that motivate people in the city of Guayaquil between the ages of 35 and 45, belonging to the low- or middle-income group, to select a specialist. Using a mixed-income research approach, we were able to achieve these objectives. Both qualitative and quantitative study methods were used in this process, revealing the main criteria that patients consider when making the decision to see their doctor. If a doctor's trust, professionalism, and reputation are combined with personalized care and empathy, then this can be the most influential factor. Similarly, a recommendation from family and friends will generate both trust and loyalty toward the professional. In our research on income levels, we found that lower-income patients only occasionally see specialists and generally do not have insurance; therefore, they lack access to preventive care. On the other hand, the use of digital media, particularly WhatsApp, for communication has increased. This facilitates communication and promotes a better doctor-patient relationship, leaving a better impression of the service in patients' minds. In conclusion, the selection of a specialist is determined by three types of resources: economic, professionalism, and social factors. Aspects of trust and quality of service contribute most to the choice of personal physician, where access and the concept of preventive healthcare must continue to be improved.