“…For SMEs in the medical sector, Rostek (2012) analyzes variables such as service quality, human resources, sales and response time. Wisenthige and Guoping (2016) constructed a competitiveness index based on six pillars: physical and human resources, innovation, networking, management processes, customers and competitors. More recently, Lafuente et al (2019) proposed a multidimensional index number that assesses competitiveness as a result of the interaction of ten pillars: domestic market, business network, internationalization, human capital, innovation, technology, marketing, online presence, decision-making and strategy.…”