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Other Health Care Systems

Cuban health care system

Project: US Health Care System
Open-Content project managed by kuhan, mtuck

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The Cuban government takes over the last remaining private medical clinics in the country. [Feinsilver, 1993, pp. 33]

Entity Tags: Cuba

Category Tags: General history

Cuba opens its 950-bed, 24-story, state-of-the-art Hermanos Ameijeiras Hospital. The building cost 60 million pesos to build and houses USD $62 million worth of medical and nonmedical equipment. The hospital will provide the latest technology and procedures available in the most developed countries and will also serve as a major research facility with computer and telex links to international research institutions. Five years later, a top Pan American Health Organization official will say that the hospital’s staff “conduct research and use technology at the international cutting edge in the medical specialties in which services are rendered.” [Feinsilver, 1993, pp. 61-62]

Entity Tags: Cuba

Category Tags: General history

A study prepared for the Congressional Joint Economic Committee acknowledges Cuba’s successes in education and health care. “[T]he Cuban revolution has managed social achievements, especially in education and health care, that are highly respected in the Third World…. [These include] establishment of a national health care program that is superior in the Third World and rivals that of numerous developed countries,” the report says. [US Congress, 3/22/1982, pp. 5; Feinsilver, 1993, pp. 81-5]

Entity Tags: US Congress, Cuba

Category Tags: General history

Sergio Diaz-Briquets, in his book The Health Revolution in Cuba, concludes that universal health care access, along with the narrowing of the gap between mortality rates in urban and rural populations “appears to be the main causative factor behind Cuba’s impressive gain in life expectancy.” [Diaz-Briquets, 1983, pp. 113; Feinsilver, 1993, pp. 92]

Entity Tags: Cuba

Category Tags: General history

1984: Cuba Launches its Family Doctor Program

Cuba launches its Family Doctor Program. This new system is designed to make up for the shortcomings of the “medicine in the community” model (see 1964 and after) which did not create the intended close relationships between physicians and patients and which had failed in the area of preventative care. Under the new system, Cuba aims to put a physician and nurse team on every city block and in the remotest rural communities. The plan calls for the creation of 25,000 such teams by the year 2000, 5,000 of which would be assigned to factories, schools, ships, and homes for the elderly. The teams are charged with providing comprehensive medical attention to everyone in their districts, both healthy and sick. Each district consists of between 120 and 150 families. Special emphasis is placed on prevention and people are encouraged to exercise, eat well, and avoid unhealthy lifestyle habits such as smoking. [Feinsilver, 1993, pp. 35, 40-42] Implementing the system also requires corresponding changes in the country’s medical schools. All medical graduates except surgeons, nonclinical specialists, and future medical school professors are now required to complete a residency in family medicine before completing a second residency in a specialty area. [Feinsilver, 1993, pp. 30] After the Family Doctor Program is implemented, medical costs begin to drop. The reduced costs are attributed to decreased hospitalization and emergency room use, better health monitoring, improved patient fitness, and more effective prevention. [Feinsilver, 1993, pp. 35, 45]

Entity Tags: Cuba

Category Tags: General history

Cuba’s Ministry of Public Health conducts 8 million HIV tests discovering 449 positive cases. Most of the infected individuals are quarantined by the Cuban government to prevent an epidemic. They are housed in a sanitarium, luxurious by Cuban standards, and they are exempted from work requirements. Though they are not prohibited from seeing family members and friends, any visits are restricted and monitored. Health officials from both developed and developing countries later request assistance from Cuba in establishing their own AIDS sanitariums. [Feinsilver, 1993, pp. 82-85]

Entity Tags: Cuba

Category Tags: General history

By this date, Cuba has 6.0 medical assistance beds per 1,000 inhabitants and 1.3 social assistance beds per 1,000 people. The island boasts a total of 263 hospitals, 420 polyclinics (see 1964 and after), 163 dental clinics, 229 dispensaries, 3 medicinal spas, 148 maternity homes, 23 blood banks, 11 medical research institutes, 153 homes for the elderly, and 23 homes for the physically and mentally impaired. These facilities are distributed relatively evenly across Cuba, though there is a slightly higher concentration of beds in those provinces that serve as regional health centers. The Havana province also has a larger number of beds per capita because it is a national referral center. [Feinsilver, 1993, pp. 58-59]

Entity Tags: Cuba

Category Tags: General history

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