Weisskoff R
Universidad de Miami, Escuela de Estudios Internacionales de Posgrado, Coral Gables, Florida 33124.
Bol Oficina Sanit Panam. 1993 Jun;114(6):520-35.
In spite of the rapid economic development experienced by Paraguay during recent years, the country's health conditions remain among the poorest in Latin America. This article strives to explain, by presenting a model of Paraguay's economic and health care systems, why health care and economic growth have not advanced at the same rate. By examining various economic and health care indicators, hospital registries, family planning activities, and statistics on drinking-water and health care services distribution among central departments with established populations, as well as recently populated peripheral areas, the conclusion is reached that the country's poor health conditions might be the direct result of accelerated expansion of the agricultural frontier. In closing, recommendations are made for updating health statistics via new health survey, improved training for rural health care personnel, and closer coordination among the four public hospital systems in the cities.
尽管巴拉圭近年来经济迅速发展，但其健康状况仍位列拉丁美洲最糟糕的行列。本文试图通过展示巴拉圭经济和医疗体系的模型来解释为何医疗保健和经济增长未能同步推进。通过研究各种经济和医疗指标、医院登记记录、计划生育活动，以及关于饮用水和医疗服务在有常住人口的中部省份以及新开发的周边地区的分布统计数据，得出的结论是，该国糟糕的健康状况可能是农业前沿加速扩张的直接结果。最后，建议通过新的健康调查更新健康统计数据，加强对农村医疗人员的培训，并加强城市中四个公立医院系统之间的协调。
