Construcción de un índice compuesto para la medición de la salud de los países

Abstract

Abstract: This research paper analyzes the determinants of health in Ecuador through the construction of the Global Health Determinants Index (GHDI), applied as a national case study and methodological pilot for the period 1990 2024, with projections for international comparisons. The research arises from the scarcity of national studies that integrate, in a single instrument, multiple determinants of health from a broad perspective. Based on the collection of open data, a literature review, and statistical processing, 98 indicators are integrated into 14 categories and 5 dimensions, covering clinical, socioeconomic, community, environmental, and subjective well-being aspects. The most recent results show that, in 2024, the GHDI achieved good performance, demonstrating improvements in the management of health determinants. Complementarily, an interactive visualizer was developed in Power BI that allows for dynamic exploration of the index components, analysis of their evolution over time, and easier interpretation of the results. Finally, this work serves as a basis for future comparative research at the regional and/or international level based on the GHDI.