Montijo J A, Ruiz B I, Aponte H L, Monllor D
J Community Psychol. 1985 Apr;13(2):204-21. doi: 10.1002/1520-6629(198504)13:2<204::aid-jcop2290130211>3.0.co;2-l.
This article compares the Puerto Rican and Cuban public health and mental health systems and the respective health profiles, emphasizing the role of psychosocial stressors. The Cuban health system was found to be better organized and more capable of providing equitable health care and encouraging community participation in health care delivery. However, the Puerto Rican public health system is in crisis and in the process of turning over the administration of its facilities to the private medical sector. Although both countries share health profiles similar to those of developed nations, differences in morbidity and mortality patterns, and the seemingly epidemic incidence of mental disorders in Puerto Rico suggest dissimilarities between their respective psychosocial stressors. Differences in the quality of public health care and in the health profiles seem mostly attributable to the divergent political and economic organization and priorities of both countries.
本文比较了波多黎各和古巴的公共卫生与心理健康系统以及各自的健康状况，强调了社会心理压力源的作用。研究发现，古巴的卫生系统组织更为完善，更有能力提供公平的医疗服务，并鼓励社区参与医疗服务的提供。然而，波多黎各的公共卫生系统正处于危机之中，并且正在将其设施的管理移交给私营医疗部门。尽管两国的健康状况与发达国家相似，但发病率和死亡率模式的差异，以及波多黎各精神障碍看似流行的发病率表明，它们各自的社会心理压力源存在差异。公共卫生保健质量和健康状况的差异似乎主要归因于两国不同的政治和经济组织以及优先事项。
