Risk management practices in the implementation of prior control in budget execution in public hospitals of Manabí
Keywords:
Risk management, Prior Control, Budget Execution, Public HospitalsAbstract
Implementing prior control in budget management is crucial to guarantee the efficiency, transparency and custody of public resources in hospitals. However, in Ecuador, the scientific literature on its specific application in public hospitals is limited, which creates a gap in the evidence base necessary for making informed decisions in the health sector. This study aims to evaluate the impact of prior control on spending efficiency, resource allocation, and reduction of financial and administrative risks in public hospitals in Manabí, Ecuador. In addition, it seeks to identify gaps in the scientific literature that can guide future research in this field. A systematic review was carried out following PRISMA guidelines, covering studies published between 2019 and 2024 in databases such as PubMed, Scopus, Scielo, Dialnet and Google Scholar. Observational studies and systematic reviews related to the implementation of prior control in the budgetary management of public entities, preferably hospitals, were included. 20 studies were included that showed that the implementation of prior control significantly improves spending efficiency, custody of public resources, regulatory compliance, transparency, and ethics in hospital administration; However, a notable lack of specific studies was found in the Ecuadorian context. The results highlight the need to strengthen public policies in Ecuador through the implementation of robust prior controls in hospital management.
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