Keys for the administration of medical offices: Case study Romad Premier medical center in Cuenca – Ecuador
Abstract
Efficient administrative management is a determining factor for the quality of service and economic performance in private medical practices. This study examines the challenges of administrative management in the health sector, with a focus on the Romad Premier Medical Center in Cuenca, Ecuador, which brings together various specialties. The research arises from the need to improve service quality and economic performance through effective administrative strategies, given current limitations in managerial capabilities and strategic thinking. The main objective is to analyse how efficient administrative management impacts on service quality and economic results. The approach is a mixed one, with a descriptive, non-experimental and cross-sectional design. The methodology includes qualitative interviews to identify current practices and quantitative surveys applied to 156 patients based on the SERVPERF model, which evaluates service quality in five dimensions: tangibility, reliability, responsiveness, security and empathy. The results are expected to identify current management practices, assess their impact on patient perception and propose optimized strategies for practice management, Promoting services that meet patients’ expectations and strengthen economic sustainability. The study also seeks to contribute to academic knowledge in health sector management and improve health care standards in the region, laying the foundations for its long-term sustainability.
Downloads
Metrics
References
Balcazar Daza, A. M. (2020). Gestión administrativa en hospitales públicos de Cundinamarca- Colombia. Lúmina, 21. https://doi.org/10.30554/lumina.21.3444.2020
Barzylovych, A., Ursakiі, Y., Nadezhdenko, A., Mamatova, T., Chykarenko, I., & Kravchenko, S. (2021). The Influence of Medical Services Public Management on the Population’ Life Quality. Wseas transactions on environment and development, 17, 619-629. https://doi.org/10.37394/232015.2021.17.60
Becchetti, L., Conzo, G., Conzo, P., & Salustri, F. (2022). Excess mortality and protected areas during the COVID-19 pandemic: Evidence from Italian municipalities. Health Policy, 126(12), 1269-1276. https://doi.org/10.1016/j.healthpol.2022.10.005
Bulgarin Mariscal, B. J. (2023). Análisis de la gestión administrativa en los hospitales de Ecuador [Tesis de Maestría, Universidad César Vallejo].
Chacón, Y., Chacón, L., & Berrios, M. (2010). Productividad en la emergencia de los Servicios Médicos Odontológicos en universidades públicas. Revista de Ciencias Sociales (Ve), XVI(3), 506-514.
Cronin, J. J., & Taylor, S. A. (1992). Measuring Service Quality: A Reexamination and Extension. Journal of Marketing, 56(3), 55-68. https://doi.org/10.1177/002224299205600304
Diaz, K. (2021). Gestión estratégica basada en marketing para las PYMES del sector salud: Strategic management based on marketing for SMES in the health sector. Maya - Revista de Administración y Turismo, 1(1), 34-43. https://doi.org/10.33996/maya.v1i1.4
Gallardo, N. A., Pasaca-Mora, M. E., Toral-Tinitana, R. D. C., & Cevallos-Cueva, C. (2018). La gestión de los recursos y capacidades empresariales, y su relación con la calidad del servicio al cliente en el mercado farmacéutico de la ciudad de Loja. Polo del Conocimiento, 3(4), 245. https://doi.org/10.23857/pc.v3i4.831
Gomez, Gonzalo, & Morón, A. (2020). Modelo de Gestión de riesgos: El aporte del valor Phi en el plan de continuidad de negocios. Revista Venezolana de Gerencia, 25(3), 112-128. https://doi.org/10.37960/rvg.v25i3.33356
Guerra, T. T. (2013). Estrategias gerenciales administrativas para Centros Médicos Privados. Revista de Ciencias Sociales (Ve), XIX(4), 650-662.
Lukin, A. G., Saraev, A. R., & Dozhdeva, E. E. (2021). Once Again to the Question of Economic Efficiency of Medical Services. En S. I. Ashmarina, V. V. Mantulenko, & M. Vochozka, (eds.). Engineering Economics: Decisions and Solutions from Eurasian Perspective (pp. 578-582). Springer. https://doi.org/10.1007/978-3-030-53277-2_69
Melendres Medina, E., Campaña Lara, M., Flores Dávila, J., & Acosta Velarde, R. (2020). Gestión eficiente de las economías locales a través de estrategias administrativas/Efficient management of local economies through administrative strategies. KnE Engineering, 5(2), 654–673. https://doi.org/10.18502/keg.v5i2.6288
Morales-Rodas, L. Y., Galimberti, J. V., & Cárdenas-Sánchez, S. E. (2020). The use of short films in learning English as a foreign language. Dominio de las Ciencias, 6(2), 577-592. https://doi.org/10.23857/dc.v6i2.1234
Ramírez Altamirano, M. M., & Orrego-Ferreyros, L. A. (2024). Administrative management and service quality in the dental offices within the context of an upper middle-income country. PLOS ONE, 19(9). https://doi.org/10.1371/journal.pone.0307773
Sarla, G. S. (2024). Challenges faced by a hospital administrator. The Egyptian Journal of Internal Medicine, 36(1), 46. https://doi.org/10.1186/s43162-024-00312-w
Subiyakto, B., & Kot, S. (2020). The goverment reform on Heathcare facilities from the stanpoint of service quality performace. International Journal of Economics and Finance Studies, 12(1), 16-31. https://doi.org/10.34109/ijefs.202012102
Torres-Salgado, M. K. (2021). Indicadores de desempeño de procesos médicos con alineamiento estratégico en la atención al paciente. Cirugía y Cirujanos, 89(3), 4042. https://doi.org/10.24875/CIRU.20000046
Tufiño Sánchez, E. A. (2021). Plan de gestión gerencial para el desarrollo estratégico de marketing en la empresa Medimágenes [Tesis de maestría, Universidad de las Américas]. http://dspace.udla.edu.ec/handle/33000/13969
Vásquez Sáenz, O. A., & Montenegro Camacho, L. A. (2023). Modernización de la Gestión Hospitalaria En Instituciones Prestadoras de Salud. Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo, 15(4), 639-643. https://doi.org/10.35434/rcmhnaaa.2022.154.1907
Vatica, J. R., Nur’aini, N., & Lubis, M. (2021). Effect of Health Service Quality Toward Patients Satisfaction. Journal La Medihealtico, 2(1), 63-72. https://doi.org/10.37899/journallamedihealtico.v2i1.308
Copyright (c) 2025 Samantha Abigail Pacheco-Ortega, Guido Olivier Erazo-Alvarez, Jorge Ormaza-Andrade

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.