<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-2125</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina General Integral]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Gen Integr]]></abbrev-journal-title>
<issn>0864-2125</issn>
<publisher>
<publisher-name><![CDATA[ECIMED]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-21252021000300012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Perspectivas y garantía de atención de salud mental en Ecuador]]></article-title>
<article-title xml:lang="en"><![CDATA[Mental Health Care Perspectives and Guarantees in Ecuador]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez Aldaz]]></surname>
<given-names><![CDATA[Viviana Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lucero Albán]]></surname>
<given-names><![CDATA[Patricia del Consuelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pallo Almache]]></surname>
<given-names><![CDATA[Jenny Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvear Ortiz]]></surname>
<given-names><![CDATA[Luis Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ledesma Figueroa]]></surname>
<given-names><![CDATA[Wendy Alexandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Tecnológica Equinoccial  ]]></institution>
<addr-line><![CDATA[ Quito]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Central de Ecuador  ]]></institution>
<addr-line><![CDATA[ Quito]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Escuela Superior Politécnica de Chimborazo  ]]></institution>
<addr-line><![CDATA[ Riobamba]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Nacional de Chimborazo  ]]></institution>
<addr-line><![CDATA[ Riobamba]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>37</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-21252021000300012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-21252021000300012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-21252021000300012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La salud mental constituye uno de los principales objetivos de la Organización Mundial de la Salud.  Objetivo:  Identificar la perspectiva individual sobre la salud mental y las garantías de atención de la población.  Métodos:  Se realizó una investigación básica, con un enfoque mixto y alcance descriptivo consistente en la aplicación del cuestionario denominado Kognitive: Estudio de Pertinencia. El universo estuvo constituido por 381 personas que asisten a servicios de salud mental privados del Distrito Metropolitano de Quito. La muestra quedó constituida por 340 personas.  Resultados:  Promedio de edad de 53,21 años, predominio de pacientes entre 40 y 49 años (55 %), del sexo femenino (57,94 %), solteros (56,18 %) y mestizos (94,12 %). El 55,59 % no contaba con trabajo estable y 44,41% no contaba con seguro de salud. El 69,41 % de las personas desconocían sobre la presencia de una red de servicios de salud mental (78,24 %), 95,88 % consideraba importante poseer cobertura de salud mental y el 93,24 % mostraron interés por estos servicios. La falta de recursos económicos (56,18 %) y la deficiente información (36,47 %) fueron referidas como las causas más frecuentes de no asistencia a servicios de salud mental.  Conclusiones:  Las condiciones socioestructurales actuales no garantizan el adecuado estado de salud mental de la población; existe la necesidad de formar profesionales de salud capacitados y aumentar las redes de servicios y el acceso de la población a este tipo de servicios.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Mental health is one of the main goals of the World Health Organization.  Objective:  To identify individual perspective on mental health and the guarantees of population care.  Methods:  A basic investigation was carried out, with a mixed approach and a descriptive scope consisting in the application of the questionnaire called Kognitive: Pertinence Study. The universe was made up of 381 people who attend private mental health services in the Metropolitan District of Quito. The sample consisted of 340 people.  Results: The average age of 53.21 years; there was a predominance of patients between 40 and 49 years (55%), of female sex (57.94%), single (56.18%) and of mixed race (94.12%). 55.59% did not have a stable job and 44.41% did not have health insurance. 69.41% of the people were unaware of the presence of a mental health services network (78.24%), 95.88% considered it important to have mental health coverage, and 93.24% showed interest in these services. The lack of financial resources (56.18%) and deficient information (36.47%) were mentioned as the most frequent causes for not attending mental health services.  Conclusions:  The current socio-structural conditions do not guarantee an adequate mental health state of the population. It is necessary to train health professionals in this field as well as increase service networks and population&#8217;s access to these types of services.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[calidad de vida]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[salud mental]]></kwd>
<kwd lng="en"><![CDATA[quality of life]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="en"><![CDATA[mental health]]></kwd>
</kwd-group>
</article-meta>
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