Proyecto de titulación embargado con fines de de publicación de impacto

Abstract

Introduction: Since 2005 Ecuador has been promoting universal health insurance, but since 2007 the health system began a transformation with the aim of being universal and free, it was not until 2008 with the new Constitution of the Republic that promulgates health as an inalienable right being the State the guarantor, at present the system is not fully universal. The evaluation of quality and patient satisfaction has had a growing tendency, constituting a priority. Although great progress has been made in public health, it is still a challenge to meet high standards in the new millennium. Objectives: Determine the importance of quality management in health services in Ecuador. Methods: A systematic review study was conducted, using studies on quality management in the health service in Ecuador. Based on PRISMA criteria, information was collected and analyzed from original articles indexed over a 10-year period in the following databases: LILACS, Scielo and ProQuest: LILACS, Scielo and ProQuest. Results: The female gender was found to be the main gender attending health services, the expectations in Ecuador doesn’t reach their full satisfaction, being affected mainly the dimensions of empathy, responsiveness and reliability. Conclusions: There is a need to incorporate a program that helps with the quality management of services in order to identify unsatisfactory conditions and employ solutions.