"Factores determinantes en la percepción de la calidad de atención en salud: una revisión sistemática de la literatura".

Abstract

"The quality of health care has taken on important relevance in recent years, public and private health systems seek user satisfaction; in Ecuador there is a public entity in charge of monitoring and verifying quality called ""National Directorate of Users and Patients"" that aligns with the principles of its predecessor the ""National Plan for Good Living"" however there are no statistical records about patient perceptions of health quality. Objective: To systematically analyze the factors that influence the perception of the quality of health care through a literature review. Materials and methods: This study is descriptive-narrative, consisting of a systematic review through the PRISMA and STROBE declarations, 11 different studies carried out in different Latin American countries and also carried out in Ecuador were selected. Results: It was found that studies that reflect better user satisfaction also perceive better quality of care, four key factors were evidenced in which all studies coincide, patient perception as the main indicator of quality, quality dimensions, user-centered approach and deficient infrastructure. Conclusion: The perception of health care quality is multifactorial. The research found acceptable levels of satisfaction, although several areas for improvement were identified, such as inadequate infrastructure, quality of staffuser interaction, responsiveness, inequity in access to services, and equitable access to health services”.