This study examines the relationship between the management of public health policies and user satisfaction at the Guasmo Sur General Hospital in Guayaquil, Ecuador, during 2024. Through a quantitative approach and a correlational design, the main factors affecting the perceived quality of health services were identified, including accessibility, infrastructure, communication, and operational efficiency. The results show a significant relationship between governing, enabling and value-adding processes with user satisfaction. In addition, it was evident that the availability of resources, transparency in management and hospital infrastructure are key determinants for a positive experience. This analysis offers practical strategies to optimize the quality of health services, highlighting the need for specific interventions that improve administrative management and user perception.