Abstract
Introduction: The aim of this paper is to provide a guide to the analysis of the relevance of palliative care as an urgent need, the mortality rate is analyzed with the relation of the need for this service in the province of Guayas.
Methods: The present qualitative and quantitative descriptive study; We consulted the statistical file of the National Oncological Institute "Dr. Juan Tanca Marengo "Solca-Guayaquil and the INEC. The cancer incidence of the 2008-2012 period was consulted in the cities of Guayaquil, Quito, Cuenca, Loja and the province of Manabí. A market study was used in 100 users of the medical area for the implementation of the specialty in palliative care, designed by the Latin American Association of Palliative Care (ALCP).
Results: in Guayaquil the incidence rate of cancer in men is 142.1 and women 165.5, while in Quito in men it is 228.1 per 100 thousand inhabitants, and 230.1 in women per 100 thousand inhabitants. The cancer growth rate is 4% per year. In the survey 100 health workers, 100 % considered the specialty of palliative care very necessary, 93 % did not know if the specialty was offered, 100% answered that universities should offer this specialty, of the 9 subjects that should be addressed in The specialty of palliative care, the treatment of pain topic was considered the most relevant by 100 % of the respondents. The Catholic University of Santiago de Guayaquil was chosen by 86 % of the respondents and the center chosen for the development of the specialization was Solca, in 100 % of the respondents.
Conclusion: It is inferred that it is extremely important to have postgraduate programs to start the training of specialists in Palliative Care because it is a strategic professional staff, to raise the standards of quality of life of the population. Ecuador does not register professional palliative care and the Faculties of Medical Sciences in Ecuador do not register academic programs.