Pdf egypt and cuba are both lowermiddle income countries with a history of socialist rule, which have embarked on economic liberalization. Cubas surprisingly costeffective healthcare forbes. Health financing is the function of a health system concerned with the mobilization, accumulation and allocation of money to cover the health. Comparison of health care financing in egypt and cuba. For more information and advice, visit the website of the national travel health network and.
What countries have the best healthcare in the world. Estimates from who global health expenditure database from the world health organization. Jan 17, 2017 cubas health system is strongly focused on prevention. Despite function of the political process, it is the the evolution of the cuban health care this disparity, cubas health indicators cost of providing health care that has system since the revolution thus has equal or surpass those of the united. Household income is ultimately the source of most health care finance, but direct expenditure constitutes a specific category of financing that should be considered separately. World health organization ranking of health systems in 2000. Cuba advances primary health care the day we think were doing everything right is the day weve abandoned our patients, says dr rebeca mendoza, the director of a polyclinic in havana, cuba. Primary health care in cuba consortium of universities for. Abstract egypt and cuba are both lowermiddle income countries with a history of socialist rule, which have embarked on economic liberalization since the. World health organization ranking of health systems in. The executive board of who and the fiftyeighth world health assembly have. Health care financing and the sustainability of health. The 14 indicators describe a countrys macrofiscal environment to identify constraints or opportunities for health systems financing.
An overview article pdf available in international journal of health services 374. The truth about cubas health care system acton institute. The who country health profile of cuba provides key statistics and links to health topical databases, plus news, features and bulletin journal articles on the health issues of the country. Estimates from institute for health metrics and evaluation. Describe cubas primary health care model and its main experiences 4. Some health care centers are world renowned for their expertise. In cuba the state assumes full responsibility for the health care of its citizens. This first health at a glance publication to cover the latin america and the caribbean region was prepared jointly by oecd and the world bank. Jun 09, 2008 the financing of health care is a subject of major concern throughout the world. The aim is to maintain quality health service free for the cuban people, increase exchange among experts and boost researchdevelopment projects.
Introduction this article first introduces the community health care network of cuba, mainly focusing on the threelevel setup of the cuban community healthcare system. Comparison of health care financing arrangements in egypt. In this article, health care financing mechanisms in both countries are analysed on their effectiveness, efficiency, and equity, with the objective of identifying the determinants of success in the cuban health system from which valuable lessons for current health reforms in egypt may be derived. Communitybased polyclinics are the centre piece of cubas primary health care system, by many standards one of the worlds most.
Comparison of health care financing arrangements in egypt and. Health care financing an overview sciencedirect topics. In a descriptive study comparing cubas and egypts healthcare systems, gericke 2005 suggests that healthcare financing in egypt is inequitable with both oopp and public spending being. Switzerlands health care is universal and health insurance is required for all persons living in switzerland. Uk health authorities have classified cuba as having a risk of dengue, and zika virus transmission. Most primary care offices are on the first floor of a building, and the physician resides on the upper level with his or her. This paper aims to outline jamaicas health financing system by describing how it carries out the various functions to achieve its objectives and determine whether achievements have had any impact on the performance of the general health system. The us ranks 3 rd in health care expenditures, spending 17. The world health organization who ranked the health systems of its 191 member states in its world health report 2000. Identify the reasons behind the renewal of the primary health care.
Advice and documents will be provided to help you set up a fundraising campagne. Sources of health care funding throughout the globe. While life expectancy of the cuban population in all agegroups is similar to that of many highincome industrialised countries, health status in egypt is relatively poor. A case study of jamaicas health financing system and its. This paper assesses maternal and child healthcare in cuba, details the system of communitybased regional maternity homes, and outlines specific. Visitors are served by a separate feebased system, servimed, which is also the backbone of cubas medical tourism industry. The cuban government operates a national health system and assumes fiscal and administrative responsibility for the health care of all its citizens. The conventional categorisations of finance sources for health care are taxation, social health insurance, private health insurance and outofpocket payments. Government schemes, for example, typically receive budget allocations out of the overall government revenues e. Aug 01, 2015 eighty percent of cubas physicians are primary care doctors, with only 20 percent trained as specialists. The strategy on health care financing for countries of the western pacific and southeast asia regions 20062010 is intended to translate this important policy direction into regional, national and subnational actions. Health status in both countries is extremely different.
Despite extremely limited resources and the dramatic impact caused by the economic sanctions imposed by the united states for more than half a century, cuba has managed to guarantee access to care for all segments of the population and obtain results similar to those of the most developed nations. Identify the components of primary health care and their application models 3. Review comparison of health care financing in egypt and cuba. Universal health care is free, and everyone has a family physician and nurse.
A case study of jamaicas health financing system and its impact on the performance of the general health system author. Cuba s health care system is based on preventive medicine and the results achieved are outstanding. Cuba macrofiscal context and health financing factsheet english abstract. Best healthcare in the world 2020 2020 world population. Services in cuba c ome and discover a wonderful place where health care services are offered with competence and efficiency in the comfort of a respected hospital center. Analysis is based on the latest comparable data across almost 100 indicators including equity, health status, determinants of health, health care resources and utilisation, health expenditure and. Cubas healthcare system is a source of pride for its communist government. Cuba has one of the best healthcare systems in the world. Cuba nowadays has a costfree public health service, which boasts the thirdhighest doctorpatient ratio in the world with 70,000 trained medics at any one time though about 20% of which are on.
Health financing is the function of a health system concerned with the mobilization, accumulation and. The conventional categorisations of finance sources for health care are taxation, social health insurance, private health insurance and outof. The economic crisis brought an unprecedented attention to the issue of health system sustainability in the developed world. Financing health care, risk sharing, third party payers contents 1.
According to margaret chan, the world should follow the example of the island in this arena and replace the curative model, inefficient and more expensive, with a preventionbased system. Primary health care in cuba consortium of universities. Pdf comparison of health care financing in egypt and. For this reason, we can offer some suggestions of alternate ways to finance your voyage and treatment.
Cubans citizens receive free medical care through a national health service. Primary health care in cuba distribution of expenditures note ff. In cuba, universal access and health coverage rest on three key principles. Cuba nowadays has a costfree public health service, which boasts the thirdhighest doctorpatient ratio in the world with 70,000 trained medics at. There are no private hospitals or clinics as all health services are governmentrun. It developed a series of performance indicators to assess the overall level and distribution of health in the. Healthcare system in singapore columbia university. The cuban health system is recognized worldwide for its excellence and its efficiency. Overview of evolving changes in cubas health services. Sources of health care financing in all oecd countries, the various schemes that pay for the health care goods and services rely on a mix of different sources of revenues.
Services in cuba health services medical solutions cuba. Cubas health system is strongly focused on prevention. Introduction to cubas social services english the world bank. H ealth care costs in cuba are not expensive, but it is possible that your budget makes such an expense difficult. Page 36 medical consultations per year 19802006 year external urgent total 1980 30 000 165 15 165 458 45 165 623 1990 48 079 149 20 122 071 68 201 220 1999 60 866 546 20 388 191 81 254 737 2003 52 658 212 18 846 698 71 474 910. In a descriptive study comparing cuba s and egypts health care systems, gericke 2005 suggests that health care financing in egypt is inequitable with both oopp and public spending being. In contrast, cuba only spent 10% of its gdp, putting it on par with norway, sweden, the united kingdom. Institutional changes of cubas economic social reforms page 4 since 2011, the state has offered microcredit to those holding land in usufruct and allows them to open bank accounts. Egypt and cuba are both lowermiddle income countries with a history of socialist rule and which have embarked on economic liberalisation since the 1990s. Cuba macrofiscal context and health financing factsheet. Health care financing is one of the core components of health systems. The present minister for public health is roberto morales ojeda like the rest of the cuban economy, cuban medical care suffered following the end of soviet. How does cuba manage to achieve firstworld health statistics.
In 1983 the parliament adopted the public health law, which lays out the general activities to be carried out by the state to protect the health of cuban citizens. Characterize primary health care phc as the base of a health care system 2. The financing of health care is a subject of major concern throughout the world. Community healthcare services in cuba cubas contribution. Health care can be paid for through a variety of financing arrangements. Cuba prioritizes primary care and prevention and addresses social determinants of health. There is one aspect of cubas health care system that seems to produce results.
In this article, health care financing mechanisms in both countries are analysed on their effectiveness, efficiency, and equity, with the objective of identifying the determinants of success in the cuban health care system from which valuable lessons for current health reforms in egypt may be derived. Phc is an integral component of both the health care. Establishing their ideology as the basis, cuba has formed their health care system into a free service, just one of the aspects in their socialist philosophy. Financing for the national health system is almost completely covered by public funds. Education is a priority, and there is almost universal literacy. Cuba has become internationally recognized for its achievements in the areas of education and health, with social service delivery outcomes that surpass most countries in the developing world and in some areas match firstworld standards. Cuban hospitals offer all the services that we find in the large hospital centers in north america. Better family healthcare and minimizing hospital visits. Restrictions imposed by tightened us financialtradeeconomic blockade. In some countries, health care might be predominantly covered by government schemes by which individuals are automatically entitled to care based on their residency. Feb 17, 2009 presentation health system in cuba version 3 2811 1. Feb 10, 2017 cubas healthcare system is a source of pride for its communist government.
Community healthcare services in cuba cubas contribution to the world. Healthcare financing is one of the core components of health systems. Unlike other european countries, swiss healthcare is not taxbased or financed by employers, but rather it is paid for by individuals through their contribution to swiss healthcare schemes. Pdf comparison of health care financing in egypt and cuba. Cuba s health system is strongly focused on prevention. Cubas health care system is revolutionary because rather than focusing on profit, it has made its focus the health of individuals, which capitalist countries have deprioritized. Most health sector reform measures attempt to address health financing issues such as mobilization of funds, distribution of financial risks, allocation and utilization of services, and provider payment incentives.
Included in this category are any payments a consumer may make directly to health care providers such as fees for services, or prices paid for goods and supplies. Definition of health care financing health financing system is, therefore, more than merely an approach to mobilize funds for health care who definition of health financing. Nihcm foundation data brief, national institute of health care management, washington, dc 2012. Dec 22, 2014 the us ranks 3 rd in health care expenditures, spending 17. Health care financing is the activity of raising or collecting revenue to pay for the operation of a health care system. The cira garcia hospital is a major provider of medical services to foreigners in havana. Cuba is preparing a computerized health register, hospital management system, primary health care, academic affairs, medical genetic projects, neurosciences, and educational software.
Sources of health care funding throughout the globe stephen p. Its public character, its financial accessibilityremaining free of. Institutional changes of cubas economicsocial reforms. Eighty percent of cubas physicians are primary care doctors, with only 20 percent trained as specialists.
The expenditure of national health care was maintained at the level of 3% of gdp through the period of 1980s to 1990s. Introduction to cubas social services english abstract. The discussion, however, has been mainly limited to traditional issues of costeffectiveness, quality of care, and, lately, patient involvement. Neun professor of economics, utica college of syracuse university, new york, usa keywords.
In the united states, these proportions are reversed. A country with a 10 percent unemployment rate that has. As the bbc noted last year, the foundation of cubas preventative health care model is for family doctors to oversee the health of those in their neighborhoods. Community healthcare services in cuba cubas contribution to.
Review comparison of health care financing in egypt and. Not enough attention has yet been paid to the issue of who pays and, more importantly, to the sustainability of financing. In a descriptive study comparing cuba s and egypts healthcare systems, gericke 2005 suggests that healthcare financing in egypt is inequitable with both oopp and public spending being. Introduction to cuba s social services english abstract. Cuba, a resourcepoor country, provides highquality, free maternal care despite relatively low per capita health expenditures in comparison to similar expenditures in resource rich nations such as canada and the us. The country has welltrained, capable doctors, the sector has become an important export earner and gives cuba valuable soft power yet the real picture is less rosy. C ome and discover a wonderful place where health care services are offered with competence and efficiency in the comfort of a respected hospital center. Although health care is primarily a quires massive financial investment. Cuba primary health care in action who world health. It provided a framework and measurement approach to examine and compare aspects of health systems around the world. Strategy on health care financing for countries of the western pacific and southeast asia regions 5 supporting adequate, sustainable, equitable and effective health financing to improve health outcomes is one of the most important goals of the world health organization.1449 1010 1152 125 1304 452 1104 370 1433 86 888 430 1142 918 279 1248 9 1479 229 1449 409 823 1433 784 1258 296 151 1292 935 1233 1306 672 1480 1374 744