2004, Number 2
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Rev Biomed 2004; 15 (2)
Comparative analysis of the systems of health of Cuba and Canada
De los Santos-Briones S, Garrido-Solano C, Chávez-Chan MJ
Language: Spanish
References: 17
Page: 81-91
PDF size: 49.22 Kb.
ABSTRACT
Objective. To carry out a comparative analysis of the health systems in Canada and Cuba.
Material and Methods. Documental research on the health systems of each country locating the general context, the principles or values that guide the health system, their organization, parsonage, financing and outline of delivery of health services. With the information obtained each health system was located in the corresponding category according to the type of the health systems and the conceptual mark proposed by Julio Frenk.
Results. In both health systems the main fact that determines access to attention is that of citizenship: all are entitled to attention. Health is considered a social right. These systems are different in the degree of control of the state in the functions of the system. In Cuba the state regulates, it finances and deliveries health services. In Canada the state regulates and it finances the services, delivery is carried out by private suppliers. Their main sanitary indicators are comparable.
Conclusions. The health system of Canada corresponds to a National Insurance of Health. That of Cuba corresponds to a National System of Health. Although they are nations with deep differences in the degree of reached economic development their sanitary indicators are very similar with what is demonstrated that the aspiration of achieving the universal access to the health can be achieved with different models of attention. The comparative and methodical analysis of the health systems, besides allowing a better knowledge of their components and relationships, is an academic exercise that offers the opportunity to put on approval the utility of the prevalent conceptual marks.
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