摘要：The search for quality in Health Care is a challenge and a strategic priority in the new millennium. This study presents an evaluation of the systems and services in Primary Health Care of the Province of Chimborazo, in the period from January 2014 to December 2017, which consists of four stages. The first one, and from which the results are presented, is intended to theoretically and methodologically base the response capacity and quality of care from the operating units where medical specialists in Family and Community Medicine are trained. The universe of study, in its first phase consisted of the governing documents that regulate the health care process in Ecuador and the 16 operating units where 29 postgraduate doctors work, all working with both populations. The main characteristics of health care were identified, and comprehensive situational health analysis, of the centres included in the study were systematised. This was used to take into account their methodological and theoretical foundation of their response capacity and quality of care. The changes in the model of care of the National Health System Ecuador have required the completion of the study in the remaining three stages which will contribute to the improvement of integrated networks and provide input to the work of the academic and the health sector.
关键词：Response capacity ; Health care quality ; Model of comprehensive health care ; Program of Family and Community Medicine
