Análisis del impacto financiero en el flujo de efectivo de las compañías prestadoras de servicios de hemodiálisis, relacionado con la atención y pagos al sector de la salud en Ecuador, periodos 2020- 2022.

Abstract

This research analyzes the financial impact on the cash flow of companies providing hemodialysis services, related to care and payments to the health sector in Ecuador in the years 2020 -2022. The serious economic, political and social crisis that the country has been going through in recent years and the 2 pandemic that it had to face worldwide has triggered a series of financial problems in the health sector. Resulting in economic instability and a decrease in the quality of hemodialysis service by external providers. On the other hand, and as a result of our research, these crises have resulted in monetary devaluations, high unemployment rates, inflation and financial difficulties for the government and the population in general, which is why the State has not been able to comply with the payments to external health providers within the agreed terms, thus increasing the level of risk in the provision of the hemodialysis service and the quality of life of the patients. External health providers in turn state that this situation has occurred due to factors such as the lack of administrative management, the continuous change of authorities and especially the corruption that exists in institutions such as the Ministry of Public Health (MSP) and the Ecuadorian Institute. of Social Security (IESS).