Propuesta de diseño de una plataforma de gestión y contratación de servicios de alta especialidad médica, para pacientes con seguro privado en la ciudad de Quito

Abstract

Abstract: Access to highly specialized medical services for patients with private insurance in Quito presents significant challenges due to the lack of coordination between insurers, providers and patients, as well as manual and fragmented processes that increase waiting times and inefficiencies. This project proposes the design of a comprehensive platform that facilitates the management and contracting of these services, addressing access, communication and user experience problems through the digitization and automation of processes. The stated objectives include improving access to specialized medical services through an intuitive and functional interface, creating efficient integration between key actors in the health system, and developing tools that allow monitoring and analysis of perceived services. The business model is based on subscription plans for insurers and users, complemented by additional services and advertising, with an innovative approach that ensures financial sustainability and improves the user experience. The main conclusions are that the platform solves critical problems in the sector, reduces waiting times and optimizes the patient experience by integrating key actors into a single system. The implementation of this project not only benefits patients, but also improves the operational efficiency of insurers and providers, representing a replicable model that promotes innovation and sustainability in the health sector.