Fig. 1

Total amount of time dedicated to fill paperwork by institution. MSP: Hospital from the Minister of Health, IESS: Hospital from the Public pensioners funds belonging to the Ecuadorian Institute of Social Security, ISSFA: Hospital from the Social Security Institute of the Armed Forces, ISSPOL: Hospital from the Social Security Institute of the National Police, JBG: Hospital from the Guayaquil Charity Board, SOLCA: Hospital that offered oncological care only, Municipalities: Those clinical centers that are part of the cities’ local governments, Private: Hospitals that are fully funded by private funds