Referencia y contra referencia del sistema de salud de la provincia de El Oro

Abstract

The Health Policies of Ecuador, considering the Plan Del Buen Vivir (2013-2017), set out as an objective through the Model of Comprehensive Health Care (MAIS) to fulfill the rights that every citizen has to a dignified, universal, quality care and continues, this is how the Ministry of Public Health (MSP) creates a normative framework that is the Reference and Counter Referral Program, which constitutes a subsystem within the National Health System, in this, the different levels of care of the System National Health, are organized in the Comprehensive Public Health Network; The National Health System (SNS) is comprised of 14,698 health professionals throughout Ecuador, and 2,198 in the province of El Oro, however the results obtained reveal problems in the link between levels of care in the province of El Oro, only 12 of the 165 public health facilities have an adequate reference, demonstrated through the manuals and scientific articles indexed that statistically 5.3% of users in 2016 were referred to another health institution , obtaining a total of 163,490 consultations, lower number than in 2014, year in which the number of patients referred was 183,300. Of the 163,490 patients referred in 2016, only 151,876 were against referrals, and 11,614 were not received; the number of patients referred to external public providers was 112,402, and to private providers of 47,356