Gericke C A
Department of Health Care Management, (WHO Collaborating Centre for Health Systems Research and Management), Berlin University of Technology, Berlin, Germany.
East Mediterr Health J. 2005 Sep-Nov;11(5-6):1073-86.
Egypt and Cuba are both lower-middle income countries with a history of socialist rule, which have embarked on economic liberalization since the 1990s. Cuba has achieved exemplary health status whereas health status in Egypt is lower than could be expected for its level of income. In this article, health care financing mechanisms in both countries are analysed on their effectiveness, efficiency, and equity, with the objective of identifying the determinants of success in the Cuban health system from which valuable lessons for current health reforms in Egypt may be derived.
埃及和古巴都是中低收入国家，有着社会主义统治的历史，自20世纪90年代以来都开始了经济自由化进程。古巴取得了堪称典范的健康状况，而埃及的健康状况低于其收入水平所应达到的预期。本文分析了两国的医疗保健筹资机制在有效性、效率和公平性方面的情况，目的是确定古巴卫生系统成功的决定因素，从中得出对埃及当前卫生改革有价值的经验教训。
