Primary health services in Ecuador: Comparative costs, quality, and equity of care in ministry of health and rural social security facilities

Globalization and local response to epidemiological overlap in 21st century Ecuador

“…But the quality of service in public facilities has declined due to funding shortfalls. Moreover, the quality of care in MOH and IESS facilities is not the same; in rural areas, Social Security clinics provide better care than Ministry of Health clinics [ 58 ]. In either case, health care in the public sector is largely curative rather than preventive, and given poor living conditions and stagnant incomes, as well as the institution of user fees, most of the rural and urban poor are unlikely to be screened for cardiovascular conditions such as high blood pressure, those associated with overweight and obesity (especially diabetes), and cancers (such as prostate, cervical, and colorectal) that are largely asymptomatic until critical stages are reached.…”

Globalization and local response to epidemiological overlap in 21st century Ecuador

“…But the quality of service in public facilities has declined due to funding shortfalls. Moreover, the quality of care in MOH and IESS facilities is not the same; in rural areas, Social Security clinics provide better care than Ministry of Health clinics [ 58 ]. In either case, health care in the public sector is largely curative rather than preventive, and given poor living conditions and stagnant incomes, as well as the institution of user fees, most of the rural and urban poor are unlikely to be screened for cardiovascular conditions such as high blood pressure, those associated with overweight and obesity (especially diabetes), and cancers (such as prostate, cervical, and colorectal) that are largely asymptomatic until critical stages are reached.…”

Efficiency of hospital cholera treatment in Ecuador

“…In Ecuador there have been very few cost studies of the health sector. One worth mentioning is that of Robertson et al, in which the costs of several important services in the system managed by the Ministry of Public Health (MPH) were found to be considerably lower than costs in the rural Social Security program (5). Using costeffectiveness analysis, Shepard et al compared the national mass vaccination programs with the ordinary vaccination services offered by the public health system (6).…”

Managing the Quality of Health Care in Developing Countries

“…Quality of care was assessed as part of a comprehensive study of Ecuador 's primary health services comparing the services provided by the Ministry of Health and by the Rural Social Security health subsystems (Robertson, 1991). Structure and process indicators were considered.…”

Globalization and local response to epidemiological overlap in 21st century Ecuador

“…But the quality of service in public facilities has declined due to funding shortfalls. Moreover, the quality of care in MOH and IESS facilities is not the same; in rural areas, Social Security clinics provide better care than Ministry of Health clinics [ 58 ]. In either case, health care in the public sector is largely curative rather than preventive, and given poor living conditions and stagnant incomes, as well as the institution of user fees, most of the rural and urban poor are unlikely to be screened for cardiovascular conditions such as high blood pressure, those associated with overweight and obesity (especially diabetes), and cancers (such as prostate, cervical, and colorectal) that are largely asymptomatic until critical stages are reached.…”

Efficiency of hospital cholera treatment in Ecuador

“…In Ecuador there have been very few cost studies of the health sector. One worth mentioning is that of Robertson et al, in which the costs of several important services in the system managed by the Ministry of Public Health (MPH) were found to be considerably lower than costs in the rural Social Security program (5). Using costeffectiveness analysis, Shepard et al compared the national mass vaccination programs with the ordinary vaccination services offered by the public health system (6).…”

Managing the Quality of Health Care in Developing Countries

“…Quality of care was assessed as part of a comprehensive study of Ecuador 's primary health services comparing the services provided by the Ministry of Health and by the Rural Social Security health subsystems (Robertson, 1991). Structure and process indicators were considered.…”

Globalization and local response to epidemiological overlap in 21st century Ecuador

“…But the quality of service in public facilities has declined due to funding shortfalls. Moreover, the quality of care in MOH and IESS facilities is not the same; in rural areas, Social Security clinics provide better care than Ministry of Health clinics [ 58 ]. In either case, health care in the public sector is largely curative rather than preventive, and given poor living conditions and stagnant incomes, as well as the institution of user fees, most of the rural and urban poor are unlikely to be screened for cardiovascular conditions such as high blood pressure, those associated with overweight and obesity (especially diabetes), and cancers (such as prostate, cervical, and colorectal) that are largely asymptomatic until critical stages are reached.…”

Efficiency of hospital cholera treatment in Ecuador

“…In Ecuador there have been very few cost studies of the health sector. One worth mentioning is that of Robertson et al, in which the costs of several important services in the system managed by the Ministry of Public Health (MPH) were found to be considerably lower than costs in the rural Social Security program (5). Using costeffectiveness analysis, Shepard et al compared the national mass vaccination programs with the ordinary vaccination services offered by the public health system (6).…”

Managing the Quality of Health Care in Developing Countries

“…Quality of care was assessed as part of a comprehensive study of Ecuador 's primary health services comparing the services provided by the Ministry of Health and by the Rural Social Security health subsystems (Robertson, 1991). Structure and process indicators were considered.…”