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Use of e-health as a mobility and accessibility strategy within health centers in Ecuador with the aim of reducing absenteeism to medical consultations

Abstract:

In recent years, Ecuador has had large investments in the health field, being the massification and referral of patients from public to private health centres one of the evidenced problems. Likewise, the lack of organization and the misuse of the available technological resources have caused a poor flow of information within the health centres causing problems of internal mobility towards the patients, which mostly lead to absenteeism and desertion to planned medical appointments. In addition to this, the significant advancement of technology in the field of health is stood out, with e-Health being one of these trends, which promotes the application and use of Information Technology in medical processes in all its levels, providing concepts and good practices that promote the implementation of new technological trends focused on this field. This project focuses on the design of a methodological proposal which allows automating processes such as the delivery of information and internal mobility of patients, key aspects of this proposal, applied to a case study at the Integral Health Centre Asistanet Matriz Norte (CISA); For this, a Progressive Web App was developed in Ionic Framework which allows to deliver all the necessary information to the patient regarding the automated processes, and at the same time the collection and validation of the results will be carried out based on the times of internal mobilization and satisfaction of the patients, these results will be analyzed and contrasted with the CISA absenteeism rates in order to reduce them. Decreasing a 3% the absenteeism index which represents approximately 473 patients who normally attended scheduled medical appointments, avoiding economic and resource loss for the state and the CISA.