Evaluación de la gestión de atención en el programa Hearts, Hospital del día IESS, Loja.

Abstract

Cardiovascular diseases are the leading cause of mortality and morbidity in Latin America, with increasing figures despite institutional efforts aimed at reduction. As a response, the HEARTS strategy, under the guidance of the Pan American Health Organization, aims to strengthen the first level of care through standardized protocols focused on cardiovascular risk management. In Ecuador, the strategy was adopted in 2019 and has since been implemented across various levels of the healthcare system. This study evaluated the feasibility and acceptability of HEARTS from the perspective of healthcare personnel at the IESS Day Hospital in Loja. It was a descriptive, observational, cross-sectional study. The results showed an acceptability and feasibility index of 84%, surpassing the minimum threshold established by the strategy. Response patterns were homogeneous, with a high concentration of favorable responses, low dispersion, and consistency across measures of central tendency. These findings suggest a strong perception of clinical relevance and operational viability, underscoring the need to replicate such evaluations in other settings.