Impacto del gasto social en la satisfacción de afiliados al IESS en la Parroquia Ayacucho de Guayaquil. Periodo 2010-2020.

Abstract

This article addresses the problem of user dissatisfaction in the IEES health area. Problems such as deficient institutional structure, lack of training of medical personnel, inadequate administration in pharmacies, emergency services that could be improved, and long waiting times were identified. Although more investment and staff improve service quality and satisfaction, there is a health paradox where allocating resources to specific issues may not increase overall satisfaction. The results indicate that most of the insured, about the implementation of service providers and digital registration is positively valued, but not peasant social security. Satisfaction decreased in treatment and quality of medications but increased with new specialties. It is recommended to improve shifts, staff training and supplies, questioning the expansion without clear benefits. Future research in different cities and a detailed analysis of social spending on health are suggested.