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Revista Información Científica

On-line version ISSN 1028-9933

Abstract

GOYES-BACA, María José; SACON-ESPINOZA, Melanie Raquel  and  POVEDA-PAREDES, Francisco Xavier. Management of the health care system in Ecuador to confront the antimicrobial resistance. Rev. inf. cient. [online]. 2023, vol.102  Epub Jan 18, 2023. ISSN 1028-9933.

Introduction:

The Health Care System in Ecuador has a National Plan for the Prevention and Control of antimicrobial resistance, which aims to improve the quality of medical care and based from this goal focus attention on the increase in microbial resistance, which has become a highly relevant problem for global public health.

Objective:

To systematize knowledge on how the Ecuatorian health care system confront the antimicrobial resistance.

Method:

An exhaustive bibliographic review was carried out in bibliographic search engines such as Scopus, Google Scholar and PubMed, with the use in the search process of expecifics keywords. The research was carried out on May 20, 2022, and of the 39 articles only 20 were selected according to the criteria needed.

Results:

Ecuador has a mixed health care system, made up by the Ministry of Public Health (MSP), the Ecuadorian Social Security Institute (IESS), the Social Security of the Armed Forces (ISSFA) and the Institute Security National Police (ISSPOL), all representing the public sector; on the other hand, representing the private sector, it´s included the National Association of Private Clinics and Hospitals of Ecuador (Asociación Nacional de Clínicas y Hospitales Privados del Ecuador). Both are integrated to guarantee the integral health development in the entire Ecuadorian population, regulate and control the activities conducted by both public and private entities, without distinction, and to face the threat posed by the increase in the indiscriminate use of antimicrobials and its consequent repercussions on human and animal health.

Conclusions:

The inefficient way of combating the health risk related to antimicrobial resistance affects the Ecuadorian population due to indiscriminate and inadequate use of antibiotics and the insufficient use of conventional treatments.

Keywords : national health system; antimicrobial resistance; national health plan; public ministry; Ecuador.

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