La Auditoría Médica y su impacto en la gestión de las entidades de salud del cantón Portoviejo.

Abstract

Access to health systems in our country has undergone changes allowing specialized attention through the referral or derivation process. For this reason, the governing body of the health system implements the process of Medical Audits so that health entities can provide a quality service and recover their values for the care and costs incurred in providing the service. This process consists of three clearly defined stages: documentary control, medical technical control, and tariff control. The aim of this work is to determine the impact that the performance of these audits has on the management of health entities, and to answer to what extent it affects the entities under study. The aforementioned responds through the non-experimental method that involves the application of techniques such as interviews with the professionals who carry out this evaluation, surveys that establish their functions and the completion of an Internal Control questionnaire to those responsible for the area where the process is carried out to assess its management. The results show that the procedures carried out through the Medical Audit processes are applied by medical professionals who, for the most part, have been forged through work experience but are limited by the lack of technical-administrative preparation offered by a specialization in audit. Taking into account the aforementioned emphasis is placed on specialization and continuing education in aspects related to auditing that allow the medical professional to expand their actions, contributing to the management of the entity and enabling the efficient use of resources.