INTRODUCTION

■ HIRA (Health Insurance Review & Assessment Service) was responsible to consult various nations including Republic of Armenia (2020) from 2014 until
now. HIRA is continuously focusing on the quality of care and any related fields that actually help improve Ecudorian health system.

AIM

■ This study aims to just review literature from MEDLINE, EMBASE, and Cochrane trials to identify problems and investigate current medical situations in Ecuador.

METHOD

■ We reviewed literature with four databases (MEDLINE, EMBASE, Cochrane Library, and Proquest) and WHO IRIS(Institutional Repository for Information Sharing) to search related-research paper. Keywords, MeSH terms were established following the criteria of PICO (Participants, Interventions, Comparisons, and Outcomes). Title and abstracts, and MeSH Terms from 2000 to 2022 were screened and selected according to eligibility criteria. We applied NOS (Newcastle-Ottawa Scale), for quality of paper for non-randomized paper.

CONCLUSIONS

■ Identified problems from literature were misuse of antibiotics, cost-effectiveness of mobile surgery, and planning programs or interventions for mental health in Ecuador.
Keywords: Quality of Care, Literature Review, Ecuador

RESULTS

■ Over half of studies were published less than 5 years ago. Half of studies selected conducted in hospitals. The majority of study design is cross-sectional study. The number of participants was majorly 100 to 1000 people. Moreover, in terms of topics of research, antibiotic use, mobile surgery, and mental problems has the majority of this review.

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