Miranda O C
Educ Med Salud. 1986;20(3):375-81.
Since 1959 Cuba has tripled the quantities of its medical facilities, equipment and health services to the population. In this setting, the health manpower is sufficient to attain the goals of the public health plan. In 1985 the manpower requirements were met 100% (247,2 health workers for every 10,000 inhabitants). The geographic distribution betrays the usual urban-rural imbalance, but is improving; this is exemplified by Havana, whose share of the country's physicians has dropped from 63% in 1959 to 29.9% today. Health manpower in Cuba being sufficient in numbers and qualifications, the recommendations are aimed at improvement in such aspects as the assimilation of modern technology, greater emphasis on prevention and primary care, and the provision of one physician for 120 families or 600 persons by establishing the specialty of comprehensive general medicine.
自1959年以来,古巴的医疗设施、设备数量以及为民众提供的医疗服务增加了两倍。在这种情况下,卫生人力足以实现公共卫生计划的目标。1985年,人力需求得到了100%的满足(每万名居民有247.2名卫生工作者)。地理分布显示出常见的城乡不平衡现象,但正在改善;哈瓦那就是一个例子,其医生在全国医生总数中的占比已从1959年的63%降至如今的29.9%。由于古巴的卫生人力在数量和资质方面都足够,建议旨在改善诸如现代技术的吸收、更加强调预防和初级保健,以及通过设立综合全科医学专业来实现每120户家庭或600人配备一名医生等方面。