Factores Organizacionales y Calidad Percibida en los Servicios de Salud: Revisión Narrativa con Implicaciones para Ecuador
DOI:
https://doi.org/10.61616/rvdc.v7i1.1334Palavras-chave:
calidad de la atención de salud, satisfacción del paciente, administración de los servicios de saludResumo
El presente artículo tuvo como objetivo analizar la evidencia disponible sobre los factores organizacionales que influyen en la calidad percibida en los servicios de salud, con énfasis en sus implicaciones para el contexto ecuatoriano. Se realizó una revisión narrativa de la literatura con enfoque descriptivo, analítico e integrador, a partir de bibliografía base proporcionada por el autor y de artículos científicos indexados en PubMed, Scopus, Web of Science, SciELO y Google Scholar, publicados principalmente entre 2018 y 2025 en español e inglés. La evidencia revisada mostró que la calidad percibida está determinada por factores organizacionales interdependientes, entre ellos la comunicación clínica, la cultura de seguridad, la disponibilidad y capacitación del talento humano, la infraestructura, la accesibilidad, la gestión de citas, los tiempos de espera, el abastecimiento de insumos y el uso de tecnología. En el caso ecuatoriano, estos elementos se ven condicionados por fragmentación del sistema, inequidades operativas y limitaciones en la capacidad resolutiva. Se concluye que la mejora de la calidad percibida exige intervenciones gerenciales integrales, centradas en la persona y orientadas a fortalecer seguridad, accesibilidad, humanización y eficiencia.
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Copyright (c) 2026 Digna Isabel Granda Girón, Julio Cesar Loján Alvarado
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
