Health for the City of Akron, Department of Family and Community Medicine, Northeast Ohio Medical University, Akron, OH 44303, USA.
Am J Public Health. 2012 Aug;102(8):e13-22. doi: 10.2105/AJPH.2012.300822. Epub 2012 Jun 14.
As health professionals in the United States consider how to focus health care and coverage to ensure better, more equitable patient and population health outcomes, the experience of Cuba's National Health System over the last 5 decades may provide useful insights. Although mutual awareness has been limited by long-term political hostilities between the United States and Cuban governments, the history and details of the Cuban health system indicate that their health system merits attention as an example of a national integrated approach resulting in improved health status. More extensive analysis of the principles, practices, and outcomes in Cuba is warranted to inform health system transformation in the United States, despite differences in political-social systems and available resources.
当美国的医疗保健专业人员考虑如何专注于医疗保健和覆盖范围以确保更好、更公平的患者和人群健康结果时，古巴国家卫生系统过去 50 年的经验可能会提供有用的见解。尽管美国和古巴政府之间长期的政治敌对限制了相互了解，但古巴卫生系统的历史和细节表明，其卫生系统值得关注，是改善健康状况的国家综合方法的一个范例。尽管政治-社会制度和可用资源存在差异，但有必要更广泛地分析古巴的原则、实践和结果，以为美国的卫生系统转型提供信息。
