Guttmacher S, Danielson R
Int J Health Serv. 1977;7(3):383-400. doi: 10.2190/C1AQ-CDPC-X8PX-3H8D.
Since the popular revolution in 1959, alterations in the organization and delivery of health care in Cuba have paralleled the country's broader political, economic, and social changes. This paper discusses the evolution of the Cuban health care system during the past seventeen years within the wider context of societal development. The authors compare three "snapshots" of Cuba, the first in 1959, the second in 1970, and the last in 1976, and touch upon such issues as the organization of health care delivery, the recruitment and socialization of health workers, and aspects of the process of receiving health care. They point out that the Cuban experience should be of particular interest to the developing world. For though it is true that a larger portion of Cuban national resources has been directed to the health and social services than in other developing countries, nonetheless, it was largely through the reorganization and equalization of the prerevolutionary health care system that improvement in the health status of the population was achieved. It appears that Cuba could well serve as an example for those who are skeptical about the possibility of combining technical development with improvement in the humane quality of care.
自1959年的民众革命以来，古巴医疗保健的组织和提供方面的变革与该国更广泛的政治、经济和社会变革同步。本文在更广泛的社会发展背景下探讨了古巴医疗保健系统在过去十七年中的演变。作者比较了古巴的三个“快照”，第一个是1959年，第二个是1970年，最后一个是1976年，并涉及了诸如医疗保健服务的组织、卫生工作者的招募和社会化以及接受医疗保健过程的各个方面等问题。他们指出，古巴的经验应该会引起发展中世界的特别关注。因为尽管古巴确实比其他发展中国家将更大比例的国家资源用于卫生和社会服务，但人口健康状况的改善在很大程度上是通过对革命前医疗保健系统进行重组和均等化实现的。对于那些对将技术发展与提高人性化护理质量相结合的可能性持怀疑态度的人来说，古巴很可能可以作为一个范例。
