Consideraciones para la transformación del sistema de salud del ecuador desde una perspectiva de equidad

Daniel López-Cevallos, Daniel López-Cevallos, Chunhuei Chi, Fernando Ortega

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

15 Citas (Scopus)

Resumen

Objective The present study was aimed at analysing socioeconomic inequity regarding the use of health services in Ecuador, inequity regarding the geographic distribution of healthcare-related human resources and reflecting on the challenges concerning equity which the Ecuadorian health system is currently facing.

Methods The Ecuadorian Demographic, Maternal and Infant Health Survey (2004) was used as the main data source, as its sample was representative of the Ecuadorian population. Multilevel multivariate analysis (MLWiN 2.02 statistical software) and spatial data analysis regarding health resources (GeoDa 1.0.1) were used for estimating the effects of using health services.

Results It was found that social, economic and geographic inequity limited access to health services in Ecuador. People living in low economic resource households or indigenous housing and people living in rural areas (many of them having all three characteristics at the same time) had less possibility of using health services. In spite of a marked concentration of health-service providers in urban areas, it was found that the presence of healthcare personnel (excluding doctors) in rural public entities increased the possibility of using preventative and curative services.

Conclusions Efforts at transforming the Ecuadorian health system must be aimed at reducing social, cultural and financial barriers and inequality regarding the distribution de healthcare-related human resources, particularly in rural areas. Community and family orientation of the services and increasing spaces for citizen participation are necessary for reducing such inequity.

Título traducido de la contribuciónEquity-based considerations for transforming the ecuadorian health system
Idioma originalEspañol
Páginas (desde-hasta)346-359
Número de páginas14
PublicaciónRevista de Salud Publica
Volumen16
N.º3
DOI
EstadoPublicada - 2014

Palabras clave

  • Health equity
  • Health service
  • Health service accessibility
  • Healthcarebased resources (source: MeSH NLM)

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