Opinion of the users of Riobamba on the violations to the right to the health, in connection with the mortality
Keywords:
RIGHT, HEALTH, PUBLIC SYSTEM OF HEALTH, MEDICAL CARE, ECUADOR.Abstract
Introduction: the right to health is a fundamental principle, although in practice, various violations of this right can undermine it.Objective: to explore the opinions of Riobamba users regarding violations of the right to health in relation to patient mortality.Methods: a qualitative study conducted in 2024 with a non-probabilistic, intentional sample of 30 users affiliated with the Social Security system in the Riobamba canton. The study employed both theoretical and empirical methods, using an ad hoc interview to explore participants' opinions. Descriptive statistical methods were applied, and medical ethics were observed.Results: all users reported having experienced, either personally or through family members, situations in which they felt their right to health was violated within the public healthcare system, and in every case, these situations were associated with patient mortality. Additionally, 67 % believe these violations are directly related to increased deaths. Furthermore, 80 % of respondents believe that awareness and public education could help reduce these violations within Ecuador's public health system.Conclusions: all users, directly or indirectly, have experienced situations where they perceived a violation of their rights within Ecuador’s public healthcare system. This highlights the urgent need for a coordinated response between authorities and society, including investment in infrastructure, human resources, medical staff training, and transparent management of public healthcare funds.Downloads
References
1. Organización Mundial de la Salud (OMS). Salud y derechos humanos [Internet]. OMS; 2023 dic [citado 21/07/2024]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/human-rights-and-health
2. Montiel-Laje DR, Granja-Huacon SH. Negligencia en el servicio médico público y vulneración al derecho de la salud, Babahoyo, Ecuador. Justitia Socialis. Rev. Arbitrada de Ciencias Jurídicas [Internet]. 2023 [citado 22/07/2024]; VIII(3): 109-118. Disponible en: https://fundacionkoinonia.com.ve/ojs/index.php/Iustitia_Socialis/article/view/3004/5394
3. Espinoza-Portilla E, Gil-Quevedo W, Agurto-Távara E. Principales problemas en la gestión de establecimientos de salud en el Perú. Rev Cubana Salud Pública [Internet]. 2020 Dic [citado 19/08/2024]; 46(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662020000400012&lng=es.
4. D'empaire G. Calidad de atención médica y principios éticos. Acta bioeth [Internet]. 2010 nov [citado 18/08/2024]; 16(2): 124-132. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S1726-569X2010000200004&lng=es&nrm=iso
5. Sánchez-Torres DA. Accesibilidad a los servicios de salud: debate teórico sobre determinantes e implicaciones en la política pública de salud. Rev. Médica del Instituto Mexicano del Seguro Social [Internet]. 2017 [citado 18/09/2024]; 55(1): 82-89. Disponible en: https://www.redalyc.org/journal/4577/457749297021/html/
6. Zaldívar Marrón S. Salud y derecho a la salud [Internet]. Cubadebate ; 2023 nov [citado 13/11/2024]. Disponible en: http://www.cubadebate.cu/especiales/2023/11/27/salud-y-derecho-a-la-salud/
7. Constitución de la República del Ecuador [Internet]. Ecuador; 2021 ene [citado 12/09/204]. Disponible en: https://www.defensa.gob.ec/wp-content/uploads/downloads/2021/02/Constitucion-de-la-Republica-del-Ecuador_act_ene-2021.pdf
8. Ministerio de Salud Pública. Ley 67. Ley Orgánica de la Salud. Registro Oficial Suplemento [Internet]. Ministerio de Salud Pública; 2017 [citado 16/09/2024]. Disponible en: https://www.salud.gob.ec/wp-content/uploads/2017/03/LEY-ORG%C3%81NICA-DE-SALUD4.pdf
9. Chang Campos CJ. Evolución del sistema de salud de Ecuador: Buenas prácticas y desafíos en su construcción en la última década 2005-2014. An. Fac. med. [Internet]. 2017 Oct [citado 24/08/2024]; 78(4): 452-460. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1025-55832017000400015&lng=es
10. Almeida-Filho N. Desigualdades en salud: nuevas perspectivas teóricas. Salud Colect [Internet]. 2020 jul [citado 15/09/2024]; 16: e2751. Disponible en: https://doi.org/10.18294/sc.2020.2751
11. Seoane JA. A rights-based theory for health justice. En: Seoane JA, Vergara O (ed.) The discourse of biorights. European perspectives (1-19). Cham: Springer; 2024.
12. Ruiz Sicilia L, Siurana Aparisi J, Alemán Segura M, Borrelli Thio C, Cortés Martínez A, de Miguel Beriain I. Informe del Comité de Bioética de España sobre el acceso universal al sistema de salud. [Internet]. Instituto de Salud Carlos III. España; 2024 [citado 08/11/2024]. Disponible en: https://comitedebioetica.isciii.es/documentacion-y-publicaciones/
13. Informe del gobierno de México: Violaciones a los derechos humanos a la salud y a la alimentación por el inadecuado marco legal relacionado con el combate al sobrepeso, la obesidad y las enfermedades crónicas no transmisibles derivadas. Consejo de derechos humanos de las Naciones Unidas 31ª Período de Sesiones. [Internet]. Organización de las Naciones Unidas (ONU); 2018 oct-nov [citado 22/10/2024]. Disponible en: https://upr-info.org/sites/default/files/documents/2019-04/js13_upr31_mex_s_main.pdf
14. Muerte materna: violación múltiple a los derechos humanos de las mujeres. Grupo de Información de Reproducción Elegida GIRE [Internet]. 2020 oct [citado 09/10/2024]. Disponible en: https://gire.org.mx/blogs/muerte-materna-violacion-multiple-a-los-derechos-humanos-de-las-mujeres/
15. Bellamy C. Violencia institucional y violación del derecho a la salud: Elementos para repensar la exigibilidad del derecho a la salud en el México actual. RLDH [Internet]. 2020 Feb [citado 12/10/2024]; 30(2): 131-154. Disponible en: https://www.revistas.una.ac.cr/index.php/derechoshumanos/article/view/13427
Downloads
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/