<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2739-0365</journal-id>
<journal-title><![CDATA[Noesis]]></journal-title>
<abbrev-journal-title><![CDATA[Noesis]]></abbrev-journal-title>
<issn>2739-0365</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Investigación y Estudios Avanzados Koinonía adscrito a la Universidad Bolivariana de Venezuela, Falcón]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2739-03652025000200424</article-id>
<article-id pub-id-type="doi">10.35381/noesisin.v7i14.393</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Gestión estratégica en la administración de recursos hospitalario, Ecuador]]></article-title>
<article-title xml:lang="en"><![CDATA[Strategic management in the administration of hospital resources, Ecuador]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tenelema-Arias]]></surname>
<given-names><![CDATA[Alex David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Cesar Vallejo  ]]></institution>
<addr-line><![CDATA[Piura Piura]]></addr-line>
<country>Peru</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>7</volume>
<numero>14</numero>
<fpage>424</fpage>
<lpage>440</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_arttext&amp;pid=S2739-03652025000200424&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_abstract&amp;pid=S2739-03652025000200424&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_pdf&amp;pid=S2739-03652025000200424&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El presente estudio analizó la gestión estratégica en la administración de recursos hospitalarios en Ecuador, con el objetivo de identificar prácticas, tendencias y desafíos para la optimización de la eficiencia y la calidad de los servicios de salud. La investigación se desarrolló bajo un enfoque cualitativo, de tipo documental, empleando técnicas de revisión sistemática de literatura y análisis de contenido. Los instrumentos utilizados incluyeron fichas de registro documental. Los resultados evidenciaron que la gestión estratégica permite una mejor planificación de recursos humanos, financieros y tecnológicos, facilitando la toma de decisiones basada en datos y promoviendo la eficiencia operativa de los hospitales. Se concluyó que, a pesar de los desafíos relacionados con infraestructura y capacitación, la implementación de estrategias de gestión efectivas representa una oportunidad significativa para fortalecer la administración hospitalaria en Ecuador.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT This study analyzed strategic management in the administration of hospital resources in Ecuador, with the aim of identifying practices, trends and challenges for optimizing the efficiency and quality of health services. The research was developed under a qualitative, documentary approach, using systematic literature review and content analysis techniques. The instruments used included documentary record cards. The results showed that strategic management allows better planning of human, financial and technological resources, facilitating data-based decision making and promoting the operational efficiency of hospitals. It was concluded that, despite the challenges related to infrastructure and training, the implementation of effective management strategies represents a significant opportunity to strengthen hospital administration in Ecuador.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Gestión estratégica]]></kwd>
<kwd lng="es"><![CDATA[administración hospitalaria]]></kwd>
<kwd lng="es"><![CDATA[recursos]]></kwd>
<kwd lng="es"><![CDATA[eficiencia]]></kwd>
<kwd lng="es"><![CDATA[Ecuador]]></kwd>
<kwd lng="en"><![CDATA[Strategic management]]></kwd>
<kwd lng="en"><![CDATA[hospital administration]]></kwd>
<kwd lng="en"><![CDATA[resources]]></kwd>
<kwd lng="en"><![CDATA[efficiency]]></kwd>
<kwd lng="en"><![CDATA[Ecuador]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chamorro]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Hurtado]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Chamorro]]></surname>
<given-names><![CDATA[Y.]]></given-names>
</name>
<name>
<surname><![CDATA[Isea]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comprehensive approaches to prevent clinical illness and promote mental health in children and adolescents]]></article-title>
<source><![CDATA[Health Leadership and Quality of Life]]></source>
<year>2024</year>
<volume>3</volume>
<numero>568</numero>
<issue>568</issue>
<page-range>1-17</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chávez]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Lozano]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Cajavilca]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Gestión del recurso humano en el sector público: una revisión sistemática]]></article-title>
<source><![CDATA[Revista InveCom]]></source>
<year>2025</year>
<volume>5</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cuba]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Chóez]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Tasé]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Conocimientos sobre cultura de seguridad del paciente en estudiantes de enfermería Campus Macas, Ecuador]]></article-title>
<source><![CDATA[Revista UNIANDES De Ciencias De La Salud]]></source>
<year>2025</year>
<volume>8</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>5-23</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[V.]]></given-names>
</name>
<name>
<surname><![CDATA[Recalde]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Cribilleros]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La influencia del liderazgo en la eficiencia operativa de instituciones de salud]]></article-title>
<source><![CDATA[Gestio et Productio. Revista Electrónica de Ciencias Gerenciales]]></source>
<year>2024</year>
<volume>6</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>104-16</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fortalecimiento de la calidad del servicio de salud mediante un modelo de gestión institucional]]></article-title>
<source><![CDATA[Revista Arbitrada Interdisciplinaria de Ciencias de la Salud. Salud y Vida]]></source>
<year>2024</year>
<volume>8</volume>
<numero>15</numero>
<issue>15</issue>
<page-range>16-27</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hurtado]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Villa]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Caicedo]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Isea]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A plithogenic statistical approach to digital security measures and emotional health in childhood and adolescence]]></article-title>
<source><![CDATA[Journal of Fuzzy Extension and Applications]]></source>
<year>2024</year>
<volume>5</volume>
<numero>Special Issue</numero>
<issue>Special Issue</issue>
<page-range>25-39</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Goktas]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Grzybowski]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Shaping the future of healthcare: ethical clinical challenges and pathways to trustworthy AI]]></article-title>
<source><![CDATA[Journal of Clinical Medicine]]></source>
<year>2025</year>
<volume>14</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1605</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Goens]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
<name>
<surname><![CDATA[Giannotti]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transformational leadership and nursing retention: An integrative review]]></article-title>
<source><![CDATA[Nursing research and practice]]></source>
<year>2024</year>
<numero>1</numero>
<issue>1</issue>
<page-range>3179141</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Isea]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Infante]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Romero]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Comas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Human talent as a driving force in the management of ethics in the sustainable university]]></article-title>
<source><![CDATA[Salud, Ciencia y Tecnología - Serie de Conferencias]]></source>
<year>2024</year>
<volume>3</volume>
<page-range>1-9</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jooss]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Collings]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[McMackin]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Dickmann]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A skills&#8208;matching perspective on talent management: Developing strategic agility]]></article-title>
<source><![CDATA[Human Resource Management]]></source>
<year>2024</year>
<volume>63</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>141-57</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Matute]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
<name>
<surname><![CDATA[Murillo]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La Gestión por procesos: resultados para mejorar la atención en Instituciones de salud]]></article-title>
<source><![CDATA[Revista Arbitrada Interdisciplinaria Koinonía]]></source>
<year>2021</year>
<volume>6</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>179-212</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medinaceli]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impacto y regulación de la Inteligencia Artificial en el ámbito sanitario.]]></article-title>
<source><![CDATA[Revista IUS]]></source>
<year>2021</year>
<volume>15</volume>
<numero>48</numero>
<issue>48</issue>
<page-range>77-113</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Merino]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Recalde]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Avances y tendencias en tecnologías inteligentes para la gestión del sistema de salud]]></article-title>
<source><![CDATA[Gestio et Productio. Revista Electrónica de Ciencias Gerenciales]]></source>
<year>2024</year>
<volume>6</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>68-79</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mora]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Chiriguaya]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Rocafuerte]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Gestión de la calidad de la atención en salud]]></article-title>
<source><![CDATA[Más Vita. Revista de Ciencias de la Salud]]></source>
<year>2024</year>
<volume>6</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>48-54</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Morocho]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Granda]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Arias]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prospectiva estratégica: Herramientas tecnológicas para la toma de decisiones en el orden gerencial hospitalario]]></article-title>
<source><![CDATA[ECA Sinergia]]></source>
<year>2020</year>
<volume>11</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>119-30</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Riquelme]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Inteligencia artificial como herramienta de organización de actividades profesionales y personales]]></article-title>
<source><![CDATA[Revista científica en ciencias sociales]]></source>
<year>2024</year>
<numero>6</numero>
<issue>6</issue>
<page-range>1-7</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schubert]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Oosterlinck]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Stevens]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Maxwell]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Van der Schaar]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[AI education for clinicians]]></article-title>
<source><![CDATA[EClinicalMedicine]]></source>
<year>2025</year>
<volume>79</volume>
<page-range>1-7</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zambrano]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Farias]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Herramientas de mejora para los procesos logísticos en el sector hospitalario ecuatoriano]]></article-title>
<source><![CDATA[Revista Uniandes Episteme]]></source>
<year>2025</year>
<volume>12</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>237-54</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
