{"type":"survey","doc_desc":{"title":"Egresos y Camas Hospitalarias 2017 v1.0","idno":"DDI_ECU_2018_EHCE_v01_M","producers":[{"name":"Instituto Nacional de Estad\u00edstica y Censos","abbreviation":"INEC","affiliation":"Secretaria Nacional de Planificaci\u00f3n y Desarrollo (SENPLADES)","role":"Productor de la Operaci\u00f3n Estad\u00edstica"},{"name":"Margoth Herrera","abbreviation":"MH","affiliation":"Instituto Nacional de Estad\u00edstica y Censos (INEC )","role":"Documentaci\u00f3n de la Operaci\u00f3n Estad\u00edstica"},{"name":"Soledad Carrera","abbreviation":"SC","affiliation":"Instituto Nacional de Estad\u00edstica y Censos (INEC )","role":"Aprobaci\u00f3n de la publicaci\u00f3n de metadatos"}],"prod_date":"2020-12-18","version_statement":{"version":"Version 01 (December 2020). Edited version based on Version 01 (ECU-INEC-DIES-CAMASYEGRESOS-2018-v1.4) that was done by Instituto Nacional de Estad\u00edstica y Censos.","version_date":"2020-12-18"}},"study_desc":{"title_statement":{"idno":"ECU_2018_EHCE_v01_M","title":"Estad\u00edsticas Hospitalarias Camas y Egresos 2018","alt_title":"EHCE 2018","translated_title":"Hospital Beds and Expenditure Statistics"},"authoring_entity":[{"name":"Instituto Nacional de Estad\u00edstica y Censos (INEC)","affiliation":"Secretar\u00eda Nacional de Planificaci\u00f3n y Desarrollo (SENPLADES)"}],"production_statement":{"producers":[{"name":"Establecimientos de Salud con internaci\u00f3n hospitalaria (p\u00fablicos y privados)","affiliation":"Ministerio de Salud","role":"Fuente de informaci\u00f3n"}],"copyright":"(c) 2018 Instituto Nacional de Estadistica y Censos INEC","funding_agencies":[{"name":"Instituto Nacional de Estad\u00edstica y Censos","abbreviation":"INEC","role":"Financiamiento de toda la Operaci\u00f3n Estad\u00edstica"}]},"distribution_statement":{"contact":[{"name":"Instituto Nacional de Estad\u00edstica y Censos (INEC)","affiliation":"Secretar\u00eda Nacional de Planificaci\u00f3n y Desarrollo (SENPLADES)","email":"planta_central@inec.gob.ec inec@inec.gob.ec","uri":""},{"name":"Coordinaci\u00f3n General T\u00e9cnica de Producci\u00f3n Estad\u00edstica","affiliation":"Instituto Nacional de Estad\u00edstica y Censos (INEC)","email":"planta_central@inec.gob.ec inec@inec.gob.ec","uri":""},{"name":"Direcci\u00f3n de Estad\u00edsticas Sociodemogr\u00e1ficas","affiliation":"Instituto Nacional de Estad\u00edstica y Censos (INEC)","email":"planta_central@inec.gob.ec inec@inec.gob.ec","uri":""}]},"series_statement":{"series_name":"Administrative Records, Health (ad\/hea]","series_info":"Las estad\u00edsticas de Egresos Hospitalarios inicia en 1954 con la recolecci\u00f3n, procesamiento y publicaci\u00f3n de datos de egresos hospitalarios de las instituciones de asistencia social y la Junta de Beneficencia.\n\nEn 1957 la Direcci\u00f3n General de Estad\u00edstica y Censos con el apoyo de la Direcci\u00f3n General de Asistencia P\u00fablica del Ministerio de Econom\u00eda, publican los resultados de las Estad\u00edsticas Hospitalarias de los a\u00f1os 1955 y 1956. \n\nA partir de 1957 la Direcci\u00f3n General de Estad\u00edstica y Censos del Ministerio de Econom\u00eda, se hace responsable de la elaboraci\u00f3n y publicaci\u00f3n del registro de Estad\u00edsticas Hospitalarias de los a\u00f1os posteriores, con la informaci\u00f3n proporcionada por las casas de salud controladas por la Junta de Asistencia Social. \n\nA partir de 1960 la divisi\u00f3n de Estad\u00edstica y Censos de la Junta Nacional de Planificaci\u00f3n y Coordinaci\u00f3n Econ\u00f3mica, presenta el anuario de Estad\u00edsticas Hospitalarias. La cobertura alcanzada en el a\u00f1o 1960 fue de 49 establecimientos informantes, con un total de: 120.575 pacientes egresados a nivel nacional de los cuales 39.960 corresponden a hombres y 80.615 a mujeres. Los datos de este periodo se presentan a nivel nacional con una desagregaci\u00f3n por: mes, provincia, sexo, estado civil, grupos de edad, diagn\u00f3stico, tratamiento y condici\u00f3n de egreso, \u00edndices y tasas. \n\nEn 1961, se inici\u00f3 la investigaci\u00f3n de \"Camas Hospitalarias\" y su vinculaci\u00f3n con las \"Estad\u00edsticas de Egresos Hospitalarios\"\n\nLa cobertura en el a\u00f1o 1965 se ampl\u00eda con la integraci\u00f3n de hospitales del Seguro Social, Servicio Sanitario Nacional, Fuerzas Armadas, Polic\u00eda Nacional, Liga Ecuatoriana Antituberculosa, SOLCA y cl\u00ednicas privadas del pa\u00eds.\n\nDesde el a\u00f1o 1969 la Divisi\u00f3n de Estad\u00edsticas y Censos cambia el nombre a Instituto Nacional de Estad\u00edstica.\n\nEn el a\u00f1o 1975 se alcanz\u00f3 un total de 224 establecimientos informantes que brindaron atenci\u00f3n a 301.500 pacientes egresados a nivel nacional, con una distribuci\u00f3n de 13.464 camas hospitalarias disponibles.\n\nEl 7 de mayo de 1976, mediante Decreto N.- 323 se crea el Instituto Nacional de Estad\u00edstica y Censos, entidad que pasa a ser la responsable del procesamiento y publicaci\u00f3n de la informaci\u00f3n correspondiente a los egresos hospitalarios de Hospitales y Cl\u00ednicas de entidades p\u00fablicas y privadas que prestaron sus servicios en el a\u00f1o de 1975, los datos relacionados con el n\u00famero de camas utilizadas, las causas de morbilidad y otros aspectos importantes en el \u00e1mbito de salubridad.\n\nEn 1979, a efectos de comparabilidad internacional, se redise\u00f1aron los instrumentos en cuanto a forma y conceptualizaci\u00f3n. As\u00ed tambi\u00e9n se incluy\u00f3 la investigaci\u00f3n de aspectos referentes a la atenci\u00f3n de la salud en establecimientos hospitalarios.\n\nA partir del a\u00f1o 1986, en la investigaci\u00f3n de camas hospitalarias, se increment\u00f3 la variable referente a dotaci\u00f3n normal de camas. \n\nDesde el a\u00f1o 1994 se incluye en la publicaci\u00f3n del Anuario de Camas y Egresos Hospitalarios, un informe anal\u00edtico y resumen gr\u00e1fico de los principales resultados obtenidos en la investigaci\u00f3n, que dan cuenta del comportamiento de las variables m\u00e1s relevantes.\n\nHasta el a\u00f1o 1998 se utiliz\u00f3 la Clasificaci\u00f3n Internacional de Enfermedades - Novena Revisi\u00f3n y a partir de 1999 se empieza a utilizar la D\u00e9cima Revisi\u00f3n de la Clasificaci\u00f3n Internacional de Enfermedades y Problemas Relacionados con la Salud - CIE 10. Los cuadros de causas que se utilizan se basan en las tablas b\u00e1sicas recomendadas para esta clasificaci\u00f3n.\n\nA partir del a\u00f1o 2016 junto a la Direcci\u00f3n Nacional de Epidemiologia del MSP se inicia el proceso de revisi\u00f3n de las causas erradicadas y\/o eliminadas con el objetivo de mejorar la calidad de la informaci\u00f3n de morbilidad.\n\nEn el a\u00f1o 2017 con el objetivo de mejorar la calidad de la informaci\u00f3n se inicia el proceso de comparabilidad y consistencia de la informaci\u00f3n reportada de camas y egresos hospitalarios entre INEC y Ministerio de Salud P\u00fablica, adem\u00e1s se contin\u00faa con el trabajo entre el INEC y la Direcci\u00f3n Nacional de Epidemiologia del MSP en el proceso de revisi\u00f3n de las causas erradicas y\/o eliminadas. \n\nEn el a\u00f1o 2018 con el objeto de continuar con la mejora de la calidad de informaci\u00f3n estad\u00edstica y se hizo uso de la informaci\u00f3n del DIGERCIC, fue posible la automatizaci\u00f3n del proceso de recuperaci\u00f3n de informaci\u00f3n de las variables de fecha de nacimiento, sexo, n\u00famero de c\u00e9dula de identidad, para aquellos casos que registran informaci\u00f3n incompleta o incorrecta; dicho proceso se lo realiz\u00f3 aplicando procesos de similitud, en base a ciertas variables de identificaci\u00f3n, como el n\u00famero \u00fanico de identidad, nombres y apellidos, entre otras.\n\nLa importancia de \u00e9sta investigaci\u00f3n permanece, la misma constituye un insumo estad\u00edstico b\u00e1sico para la comprensi\u00f3n de la din\u00e1mica del proceso salud-enfermedad, sus condiciones y las respuestas sociales que conlleva la formulaci\u00f3n y evaluaci\u00f3n de pol\u00edticas sanitarias, como tambi\u00e9n la gesti\u00f3n de los servicios de salud."},"study_info":{"abstract":"Las Estad\u00edsticas Hospitalarias Camas y Egresos 2018, presentan informaci\u00f3n estad\u00edstica sobre la utilizaci\u00f3n de camas de dotaci\u00f3n normal y camas disponibles en los establecimientos de salud p\u00fablicos y privados del pa\u00eds con internaci\u00f3n hospitalaria, as\u00ed como, la morbilidad y mortalidad hospitalaria, aspectos de transcendental importancia tanto para planear como y ejecutar acciones relacionadas con prevenci\u00f3n, fomento y recuperaci\u00f3n de la salud.\n\nTiene una cobertura a nivel nacional, provincial, cantonal y parroquial. La recolecci\u00f3n de la informaci\u00f3n se la realiza mensualmente para egresos hospitalarios y anualmente para camas hospitalarias. \n\nObjetivos de la Investigaci\u00f3n\n \nObjetivo General\n\nProducir informaci\u00f3n estad\u00edstica continua, referente a los pacientes egresados de un establecimiento de salud, con internaci\u00f3n hospitalaria, generando las principales variables investigadas, establecidas en los formularios de camas y egresos hospitalarios, destacando el comportamiento evolutivo de los mismos, con el apoyo de los establecimientos de salud del pa\u00eds. \n\nObjetivos Espec\u00edficos \n\n- Producir informaci\u00f3n estad\u00edstica, sobre morbilidad hospitalaria, que permita conocer el estado de salud de la poblaci\u00f3n.\n- Proporcionar indicadores necesarios, para la elaboraci\u00f3n y evaluaci\u00f3n de los programas de salud.\n- Suministrar datos, sobre utilizaci\u00f3n de camas hospitalarias de dotaci\u00f3n normal y camas disponibles.\n\nPrincipales Variables de estudio:\n\nEgresos:\n\n- Identificaci\u00f3n geogr\u00e1fica de ubicaci\u00f3n del establecimiento de Salud\n- Clase, tipo, entidad y sector al que pertenece el establecimiento de Salud\n- Mes de investigaci\u00f3n\n- Nacionalidad, y pa\u00eds del paciente\n- Sexo \n- Fecha de nacimiento\n- Edad cumplida al ingreso\n- Etnia\n- Identificaci\u00f3n de la residencia habitual del paciente\n- Fecha de ingreso\n- Fecha de egreso \n- D\u00edas de estada \n- Condici\u00f3n al egreso \n- Especialidad del egreso\n- C\u00f3digo CIE-10 de egreso\n\nCamas:\n\n- Identificaci\u00f3n del establecimiento \n\n- N\u00famero de camas \n\n- Camas de dotaci\u00f3n normal\n- Camas disponibles\n- Camas de emergencia\n- Camas de cuidados intensivos","time_periods":[{"start":"2018-01-01","end":"2018-12-31","cycle":"Anual"}],"coll_dates":[{"start":"2018-01-01","end":"2018-12-31","cycle":"Recolecci\u00f3n de la Informaci\u00f3n (Egresos)- Mensual"},{"start":"2019-01-01","end":"2019-03-31","cycle":"Recolecci\u00f3n de la Informaci\u00f3n (Camas)- Anual"}],"nation":[{"name":"Ecuador","abbreviation":"ECU"}],"geog_coverage":"Los dominios de estudio son las 24 provincias del Ecuador.","geog_unit":"Los niveles geogr\u00e1ficos para los cuales los datos son representativos (agregaci\u00f3n geogr\u00e1fica) son:\n\n- Nacional\n- Nacional Urbano\n- Nacional Rural \n- Regional Sierra\n- Regional Costa\n- Regional Amazon\u00eda\n- Regional Insular\n- Regional Urbano\n- Regional Rural\n- Provincial Urbano \n- Provincial Rural\n- Cantonal\n- Parroquial\n\nEl nivel m\u00e1s alto de representatividad (agregaci\u00f3n geogr\u00e1fica) es: Nacional \nEl nivel m\u00e1s bajo de representatividad (agregaci\u00f3n geogr\u00e1fica) es: Parroquial.","analysis_unit":"Egresos de pacientes de un establecimiento con internaci\u00f3n hospitalaria.\n\nConstituye cada uno de los establecimientos de salud con internaci\u00f3n hospitalaria en el pa\u00eds.\n\nEstablecimiento de salud con internaci\u00f3n hospitalaria. Unidad de salud que provee atenci\u00f3n de salud ambulatoria y de hospitalizaci\u00f3n.","universe":"Constituye los pacientes egresados y la dotaci\u00f3n total de camas hospitalarias de los establecimientos de salud con internaci\u00f3n hospitalaria del pa\u00eds.\n\nA continuaci\u00f3n, las definiciones:\n\n- Paciente hospitalizado: Es la persona que ocupa una cama de hospital mientras recibe atenci\u00f3n de diagn\u00f3stico y\/o tratamiento. No se considera paciente hospitalizado al reci\u00e9n nacido sano en alojamiento conjunto, solo se les contar\u00e1 cuando requieran cuidados especiales. Tampoco se registra como paciente hospitalizado al lactante que acompa\u00f1a a la madre mientras esta permanece hospitalizada. \n\n- Egreso hospitalario: Es el retiro de un paciente hospitalizado de los servicios de internaci\u00f3n del hospital. Un egreso implica siempre la conclusi\u00f3n del per\u00edodo de hospitalizaci\u00f3n y la desocupaci\u00f3n de una cama de hospital, ya sea por alta o fallecimiento. \n\n- Egreso por alta m\u00e9dica: Un egreso se produce por alta cuando el paciente se retira vivo del hospital. Las razones pueden ser: \n\n1. Alta m\u00e9dica definitiva \n2. Alta m\u00e9dica transitoria \n3. Traslado a otro establecimiento \n4. Otras causas (retiro voluntario, fuga, disciplina, etc.) \n\n- Egreso por defunci\u00f3n hospitalaria: Un egreso se produce por defunci\u00f3n cuando el paciente hospitalizado fallece mientras est\u00e1 internado en el establecimiento. \n\n- D\u00edas de estada: Es el n\u00famero de d\u00edas de permanencia en el hospital de un paciente egresado, comprendido entre la fecha de ingreso y la fecha de egreso. Para el c\u00e1lculo de d\u00edas de estada se registra el d\u00eda de ingreso del paciente, pero no el de egreso. A los pacientes ingresados y egresados el mismo d\u00eda se les computa como un d\u00eda de estada. \n\n- Establecimiento de salud con internaci\u00f3n hospitalaria: Es la unidad de salud que provee atenci\u00f3n de salud ambulatoria y de hospitalizaci\u00f3n. \n\n- Camas de Dotaci\u00f3n Normal: Son las camas asignadas al establecimiento, por la autoridad competente y que funciona regularmente para la internaci\u00f3n de pacientes, en per\u00edodos de actividad normal.\n\n- Camas Hospitalarias Disponibles: Es la cama realmente instalada en el hospital en condiciones de uso para la atenci\u00f3n de pacientes hospitalizados, independientemente de que est\u00e9n o no ocupadas.","data_kind":"Registros Administrativos (adm)","notes":"Los temas que se abordan en el Informe Estad\u00edstico de Egresos Hospitalarios son:\n\n- Ubicaci\u00f3n Geogr\u00e1fica\n- Nombre del establecimiento hospitalario, ciudad donde funciona, registros completos, total de registros mes, mes al que se refiere la informaci\u00f3n. \n- N\u00famero de informe estad\u00edstico \n- N\u00famero de historia cl\u00ednica \n- Nombres y apellidos del paciente \n- Nacionalidad\n- C\u00e9dula de Identidad o Pasaporte\n- Sexo \n- Fecha de nacimiento\n- Edad cumplida al ingreso \n- C\u00f3mo se identifica seg\u00fan su cultura y costumbres\n- Tiene alguna discapacidad permanente\n- Lugar de residencia habitual \n- Fecha de ingreso \n- Fecha de egreso \n- D\u00edas de estada \n- Condici\u00f3n al egreso \n- Especialidad del que egres\u00f3 \n- Diagn\u00f3sticos definitivos y secundarios del egreso \n\nLos temas que se abordan en el Informe Estad\u00edstico de Camas Hospitalarios son:\n\n- Ubicaci\u00f3n Geogr\u00e1fica\n- Identificaci\u00f3n del establecimiento \n- Servicios y Especialidades \n- N\u00famero de camas de dotaci\u00f3n normal, por servicios y especialidades \n- N\u00famero de camas hospitalarias disponibles, por servicio y especialidades; y, mes."},"method":{"data_collection":{"data_collectors":[{"name":"Operadores de campo","abbreviation":"DICA","affiliation":"Instituto Nacional de Estad\u00edstica y Censos (INEC)"},{"name":"Coordinaci\u00f3n Zonal Centro","abbreviation":"CZC","affiliation":"Instituto Nacional de Estad\u00edstica y Censos (INEC)"},{"name":"Coordinaci\u00f3n Zonal Sur","abbreviation":"CZS","affiliation":"Instituto Nacional de Estad\u00edstica y Censos (INEC)"},{"name":"Coordinaci\u00f3n Zonal Litoral","abbreviation":"CZL","affiliation":"Instituto Nacional de Estad\u00edstica y Censos (INEC)"}],"coll_mode":"Other [oth]","research_instrument":"Existen dos formularios para recolectar la informaci\u00f3n:\n\n1. Informe Estad\u00edstico de Egresos Hospitalarios e Informe Estad\u00edstico Camas Hospitalarias (cuestionarios) \n\nDise\u00f1o: \nParticipativo por cuanto, los cuestionarios (Informes Estad\u00edsticos) son enviados a los establecimientos de salud con internaci\u00f3n, para que a trav\u00e9s del departamento de estad\u00edstica, el \u00e1rea administrativa o personal a cargo seg\u00fan sea el caso, sea llenado con la informaci\u00f3n. \n\nTipo: \nA Establecimientos de salud con internaci\u00f3n hospitalaria.\n\nFuncionalidad: \nSemiestructurado, por cuanto tiene preguntas cerradas y abiertas\n\n- El instrumento de recolecci\u00f3n es una matriz en digital\n- El cuestionario es provisto como material de referencia externo.\n\nCon el objetivo de generar comparabilidad de ciertos indicadores con otros pa\u00edses, el dise\u00f1o del formulario se basa en est\u00e1ndares internacionales y se alinea a las recomendaciones de organismos internacionales como Red Latinoamericana y del Caribe, para el fortalecimiento de los sistemas de informaci\u00f3n de salud, entre otros.\n\nAplicativo de carga de formularios de informaci\u00f3n Sistema Integrado de Estad\u00edsticas Sociales SIES. Es un sistema elaborado por la Direcci\u00f3n de Registros Administrativos, el mismo que permite cargar los formularios digitales de la estad\u00edstica de Egresos Hospitalarios. \n\nAntes de que el SIES entre en producci\u00f3n se realizan pruebas en el aplicativo, en conjunto con las coordinaciones zonales quienes remiten las observaciones necesarias al mismo.","act_min":"Se realizan supervisi\u00f3n a establecimientos de salud, y se observa con el estad\u00edstico la codificaci\u00f3n de los diagn\u00f3sticos definitivos de egresos. \n\nPor parte de la Administraci\u00f3n Central se realiza supervisi\u00f3n a la Coordinaci\u00f3n Zonal.","cleaning_operations":"El procesamiento de la informaci\u00f3n comprende 5 etapas, a saber:\n\n- Cr\u00edtica de la informaci\u00f3n\n- Codificaci\u00f3n de la informaci\u00f3n\n- Ingreso (digitaci\u00f3n) de la informaci\u00f3n\n- Validaci\u00f3n de la informaci\u00f3n\n- Generaci\u00f3n de tabulados\n\n1. Cr\u00edtica de la informaci\u00f3n\n\nSe verifica la consistencia y completitud de los datos de los informes para asegurar la calidad y confiabilidad de la informaci\u00f3n.\n\nLos informes estad\u00edsticos recibidos por los establecimientos de salud, son criticados en las Coordinaciones Zonales del INEC, utilizando como gu\u00eda el manual de cr\u00edtica y codificaci\u00f3n.\n\nCuando la informaci\u00f3n est\u00e1 incompleta o se han detectado inconsistencias, personal de las Coordinaciones Zonales y de operaciones de campo DICA, se encarga de solicitar la aclaraci\u00f3n, verificaci\u00f3n o correcci\u00f3n de los registros con novedad.\n\nPara esto proceden a escribir mediante correo electr\u00f3nico al estad\u00edstico responsable de llenar los informes de camas y egresos hospitalarios en cada uno de los establecimientos de salud. Ellos responden si la informaci\u00f3n es correcta o por el contrario completan o corrigen la misma. El personal de las coordinaciones zonales actualiza la informaci\u00f3n en los informes estad\u00edsticos.\n\n2. Codificaci\u00f3n de la informaci\u00f3n\n\nEn esta fase se definen los c\u00f3digos para cada categor\u00eda de respuesta. Para el caso de las variables de ubicaci\u00f3n geogr\u00e1fica, se utiliza el Clasificador Geogr\u00e1fico Estad\u00edstico (DPA) 2018 actualizado al 31 de diciembre del 2017; y para la codificaci\u00f3n de las causas de morbilidad de los pacientes se utiliza la Clasificaci\u00f3n Estad\u00edstica Internacional de Enfermedades y Problemas Relacionados con la Salud (CIE-10) Edici\u00f3n 2015.\n\n3. Ingreso (digitaci\u00f3n) de la informaci\u00f3n\n\nEs el ingreso de la informaci\u00f3n de los formularios digitales a un sistema inform\u00e1tico dise\u00f1ado para el efecto- SIES (Sistema Integrado de Estad\u00edsticas Vitales y de Salud), este sistema contempla par\u00e1metros de validaci\u00f3n de la informaci\u00f3n que se ingresa, el sistema como los par\u00e1metros son actualizados para cada a\u00f1o de investigaci\u00f3n. Una vez ingresada toda la informaci\u00f3n al sistema se alimenta una base de datos en Planta Central, el sistema tambi\u00e9n genera reportes de cobertura para su respectivo an\u00e1lisis.\n\n4. Validaci\u00f3n de la informaci\u00f3n\n\nLa informaci\u00f3n ingresada se valida a trav\u00e9s de sistemas inform\u00e1ticos, que contienen par\u00e1metros de consistencia. Al igual que en la fase de cr\u00edtica, se busca detectar posibles errores de consistencia o incompletitud.\n\nEsto comprende dos grandes momentos:\n\nEsta se realiza en primera instancia, conjuntamente con la direcci\u00f3n de Registros Administrativos se procede a realizar la etapa de perfilamiento de la informaci\u00f3n, utilizando un cl\u00faster de BigData (versi\u00f3n HDP-2.6.2.0.).\n\nEn segunda instancia, se realiza la validaci\u00f3n mediante programa estad\u00edstico SPSS para buscar inconsistencias de la informaci\u00f3n. De esta manera, se remite la misma a los equipos t\u00e9cnicos de DICA y las Coordinaciones Zonales del INEC, quienes se encargan de solicitar la aclaraci\u00f3n a los establecimientos de salud, a trav\u00e9s de la historia cl\u00ednica y c\u00e9dula de identidad de los pacientes, a fin de completar o corregir los datos en el SIES, consultando a los establecimientos de salud, quienes son la fuente de la informaci\u00f3n.\n\n5. Tabulaci\u00f3n \n\nDespu\u00e9s de pasar las etapas anteriores, ya se cuenta con una base de datos final; la misma que es la fuente para realizar la tabulaci\u00f3n de la informaci\u00f3n.\n\nLos tabulados se construyen en base al plan de tabulados, se utiliza los paquetes estad\u00edsticos SPSS (Statitistical Package for Social Sciencies) y STATA.\n\nLos reportes son sometidos a an\u00e1lisis y revisi\u00f3n para su posterior publicaci\u00f3n. Se genera un anuario para la publicaci\u00f3n, y esto es revisado por:\n\n1. Jefe de la Unidad\n2. Director de DIES\n3. Coordinaci\u00f3n General T\u00e9cnica de Producci\u00f3n Estad\u00edstica\n4. Sub Direcci\u00f3n\n5. Direcci\u00f3n Ejecutiva","method_notes":"El proceso de recolecci\u00f3n de datos comprende las siguientes etapas: \n\n- Etapa preparatoria o previa a la recolecci\u00f3n\n- Capacitaci\u00f3n\n- Recolecci\u00f3n de la informaci\u00f3n.\n\n1. Etapa preparatoria o previa a la recolecci\u00f3n\n\n1.1 Las Coordinaciones Zonales del INEC, actualizan el directorio de los establecimientos de salud comparando con el del a\u00f1o anterior para verificar. Este proceso se realiza con el objeto de verificar los establecimientos que se encuentran prestando servicios. El directorio es el marco para la recolecci\u00f3n de la informaci\u00f3n.\n\n1.2 La actualizaci\u00f3n del directorio permite coordinar el env\u00edo de formularios (Informe Estad\u00edstico de Camas Hospitalarias e Informe Estad\u00edstico de Egresos Hospitalarios) a cada establecimiento de salud, as\u00ed como tambi\u00e9n constituye un instrumento para la realizaci\u00f3n de los controles de cobertura en la recolecci\u00f3n de la informaci\u00f3n.\n\n1.3 Posteriormente, las Coordinaciones Zonales del INEC distribuyen los informes estad\u00edsticos de camas y egresos hospitalarios a los establecimientos de salud a nivel nacional.\n\n2. Capacitaci\u00f3n\n\nLa capacitaci\u00f3n se desarrolla en dos escenarios:\n\n1. Capacitaci\u00f3n desde planta Central a los equipos de las coordinaciones zonales\n\nEsta etapa la realiza el equipo t\u00e9cnico de Planta Central, el funcionario que se encuentra a cargo de la operaci\u00f3n estad\u00edstica de Camas y Egresos Hospitalarios, en donde se presentan los instrumentos para la recolecci\u00f3n (informes estad\u00edsticos), y se presenta algunos cambios que se hubieran considerado para el a\u00f1o de investigaci\u00f3n (2018); y el correcto llenado. \n\n2. Capacitaci\u00f3n de los equipos t\u00e9cnicos de las Coordinaciones zonales hacia los estad\u00edsticos y\/o responsables del llenado de los informes estad\u00edsticos en los establecimientos de Salud,\n\n a. En primera instancia se capacita en cuanto al correcto llenado del cuestionario\n \n - El equipo t\u00e9cnico de cada coordinaci\u00f3n zonal realiza la capacitaci\u00f3n a los establecimientos de salud.\n \n b. Capacitaci\u00f3n espec\u00edfica sobre el llenado de la descripci\u00f3n de los diagn\u00f3sticos de egresos y reglas de la CIE-10 para la codificaci\u00f3n de causas.\n \n - Para esta parte de la capacitaci\u00f3n, tambi\u00e9n la realiza el equipo t\u00e9cnico de egresos hospitalarios en cada coordinaci\u00f3n zonal, los mismos que se encuentran capacitados en la CIE-10.\n \n Para este a\u00f1o, no se realiz\u00f3 pruebas pilotos por ser una actividad continua, los Establecimientos de Salud deben reportar la informaci\u00f3n de manera mensual para egresos hospitalarios, y para camas se recolecta una vez al a\u00f1o.\n\n\n3 Recolecci\u00f3n de la informaci\u00f3n.\n\n3.1 Una vez que los establecimientos de salud receptan los formularios (informe estad\u00edstico) de parte de las Coordinaciones Zonales del INEC, el departamento de estad\u00edstica, el personal administrativo o en su ausencia, los m\u00e9dicos, son quienes llenan los formularios de acuerdo a los lineamientos se\u00f1alados.\n\n3.2 De manera subsiguiente, las Coordinaciones Zonales del INEC, recolectan de manera mensual los formularios de egresos hospitalarios, y de manera anual los formularios de camas hospitalarias.\n\nEl trabajo se organiza y realiza en cada una de las Coordinaciones Zonales el mismo que despu\u00e9s de recibir la informaci\u00f3n parte de los establecimientos de salud se realiza la cr\u00edtica- codificaci\u00f3n e ingreso de la informaci\u00f3n."},"analysis_info":{"sampling_error_estimates":"En base a lo establecido en el manual de cr\u00edtica y malla de validaci\u00f3n aprobados para el a\u00f1o de estudio, se eval\u00faa la calidad de la informaci\u00f3n y el correcto llenado de los datos contenidos en los formularios de camas y egresos hospitalarios.\n\nPara evaluar las estad\u00edsticas, se elabora un proceso de validaci\u00f3n de variable por variable para verificar tanto la consistencia de la base de datos como la consistencia conceptual de la informaci\u00f3n de acuerdo a los par\u00e1metros de validaci\u00f3n.\n\nUna vez validada la informaci\u00f3n se mantienen reuniones con las personas encargadas de las estad\u00edsticas de camas y egresos hospitalarios del MSP, con el fin de verificar la consistencia de los datos."}},"data_access":{"dataset_availability":{"access_place":"Instituto Nacional de Estad\u00edstica y Censos","access_place_uri":"https:\/\/anda.inec.gob.ec\/anda\/index.php\/catalog\/799","original_archive":"Instituto Nacional de Estad\u00edstica y Censos\nhttps:\/\/anda.inec.gob.ec\/anda\/index.php\/catalog\/799"},"dataset_use":{"conf_dec":[{"txt":"Art. 21.- Los datos individuales que se obtengan para efecto de estad\u00edstica y censos son de car\u00e1cter reservado; en consecuencia, no podr\u00e1n darse a conocer informaciones individuales de ninguna especie, ni podr\u00e1n ser utilizados para otros fines como de tributaci\u00f3n o conscripci\u00f3n, investigaciones judiciales y, en general, para cualquier objeto distinto del propiamente estad\u00edstico o censal.","required":"yes","form_no":"","uri":""}],"contact":[{"name":"Instituto Nacional de Estad\u00edstica y Censos (INEC)","affiliation":"Secretar\u00eda Nacional de Planificaci\u00f3n y Desarrollo (SENPLADES)","email":"planta_central@inec.gob.ec inec@inec.gob.ec","uri":"www.ecuadorencifras.gob.ec"}],"cit_req":"El uso de estos datos debe ser reconocido mediante una citaci\u00f3n que incluya:\n- La identificaci\u00f3n del investigador principal\n- El t\u00edtulo de la encuesta (incluyendo el pa\u00eds, el acr\u00f3nimo y el a\u00f1o de aplicaci\u00f3n)\n- El n\u00famero de referencia de la encuesta\n- La fuente y la fecha de descarga\n\nEjemplo:\n\nInstituto Nacional de Estad\u00edstica y Censos (INEC). Estad\u00edsticas Hospitalarias Camas y Egresos 2018 (EHCE 2018), Ref. ECU_2018_EHCE_v01_M. Dataset downloaded from [url] on [date]","conditions":"El Instituto Nacional de Estad\u00edstica y Censos considera a la informaci\u00f3n estad\u00edstica producida con recursos del presupuesto nacional como un bien p\u00fablico y como tal debe estar al alcance de los usuarios de un modo amplio. El Instituto Nacional de Estad\u00edstica y Censos establecer\u00e1 los criterios espec\u00edficos y los mecanismos para el acceso a la informaci\u00f3n de los usuarios, identificando claramente el criterio de bien p\u00fablico de los criterios de recuperaci\u00f3n de costos por los servicios producidos, en apoyo al sostenimiento del financiamiento de sus actividades, para lo cual se emitir\u00e1n los protocolos correspondientes de acceso a la informaci\u00f3n.\n\nL\u00edneas de Acci\u00f3n:\n\nProtocolos de acceso a la informaci\u00f3n:\n\n- Ser\u00e1 de libre acceso, la informaci\u00f3n generada con financiamiento de recursos del presupuesto nacional en su totalidad o parte, que est\u00e9 procesada, revisada y que se encuentre disponible para su difusi\u00f3n, ya sea mediante indicadores de s\u00edntesis, tabulados o bases de datos primarias armonizadas y adecuadas para su difusi\u00f3n, manteniendo en reserva la identificaci\u00f3n de los informantes.\n\n- Ser\u00e1 de libre acceso la informaci\u00f3n generada con financiamiento de instituciones p\u00fablicas, privadas o internacionales, si es que no existen indicaciones expl\u00edcitas en sentido contrario.\n\n- La informaci\u00f3n estad\u00edstica ser\u00e1 difundida de modo desagregado a nivel tem\u00e1tico y geogr\u00e1fico, mediante valores relativos y absolutos, incluyendo la informaci\u00f3n hist\u00f3rica disponible.\n\n- Ser\u00e1 de libre acceso a los usuarios las metodolog\u00edas e informaci\u00f3n complementaria que explique las potencialidades y limitaciones de los datos obtenidos, tales como memorias de procesos, evaluaciones de calidad de operaciones estad\u00edsticas, entre otros.\n\n- Las publicaciones impresas de difusi\u00f3n r\u00e1pida a trav\u00e9s de folletos, afiches, tr\u00edpticos, etc. ser\u00e1n gratuitos.\n\n- El acceso a la consulta de publicaciones en la Biblioteca de la instituci\u00f3n ser\u00e1 gratuita.\n\n- Todos los servicios estad\u00edsticos que impliquen consumo de horas-hombre, tales como procesamiento de datos para atender solicitudes espec\u00edficas, elaboraci\u00f3n de bases de datos a la medida del usuario, preparaci\u00f3n de informes, gr\u00e1ficos y an\u00e1lisis, entre otros, tendr\u00e1n un costo proporcional al tama\u00f1o del servicio.\n\n- Todas las publicaciones impresas o en medios electr\u00f3nicos que contengan resultados de investigaciones estad\u00edsticas tendr\u00e1n un costo.\n\n- Todos los servicios de fotocopiado o impresiones de computadora, tendr\u00e1n un costo relativo al tama\u00f1o del servicio.\n\n- Los servicios de preparaci\u00f3n de dise\u00f1os de muestra y base cartogr\u00e1fica tendr\u00e1n un costo proporcional al tama\u00f1o del servicio.","disclaimer":"El usuario de los datos reconoce que el colector original de los datos, el distribuidor autorizado de los datos, y la agencia de financiaci\u00f3n pertinente no tienen ninguna responsabilidad por el uso de los datos o de las interpretaciones o inferencias 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