Iatridis D S
Graduate School of Social Work, Boston College, Chestnut Hill, MA 02167.
Soc Work. 1990 Jan;35(1):29-35.
In Cuba, health care is considered a human right for all citizens; health care is therefore a national priority. Cuba's health policy emphasizes prevention, primary care, services in the community, and the active participation of citizens. These emphases have produced an impressively high ranking on major health indicators, despite economic handicaps. The Cuban experience demonstrates the influence of ideological commitment and policy-making on the provision of health care and challenges the assumption that high-quality care for all citizens requires massive financial investment. The evolution of the Cuban health care system since the revolution thus has implications for the U.S. health care system; specifically, it suggests that the equitable distribution of health care services in the United States requires a national health insurance and service delivery system.
在古巴，医疗保健被视为所有公民的一项人权；因此，医疗保健是国家的优先事项。古巴的卫生政策强调预防、初级保健、社区服务以及公民的积极参与。尽管存在经济障碍，但这些重点使得古巴在主要健康指标方面取得了令人瞩目的高排名。古巴的经验表明了意识形态承诺和政策制定对医疗保健提供的影响，并对那种认为为所有公民提供高质量医疗保健需要大量财政投资的假设提出了挑战。自革命以来古巴医疗保健系统的演变因此对美国医疗保健系统具有启示意义；具体而言，它表明在美国公平分配医疗保健服务需要一个国家医疗保险和服务提供系统。
