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Am J Public Health. 2012 Aug;102(8):e13-22. doi: 10.2105/AJPH.2012.300822. Epub 2012 Jun 14.

The curious case of Cuba.

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Health for the City of Akron, Department of Family and Community Medicine, Northeast Ohio Medical University, Akron, OH 44303, USA.


As health professionals in the United States consider how to focus health care and coverage to ensure better, more equitable patient and population health outcomes, the experience of Cuba's National Health System over the last 5 decades may provide useful insights. Although mutual awareness has been limited by long-term political hostilities between the United States and Cuban governments, the history and details of the Cuban health system indicate that their health system merits attention as an example of a national integrated approach resulting in improved health status. More extensive analysis of the principles, practices, and outcomes in Cuba is warranted to inform health system transformation in the United States, despite differences in political-social systems and available resources.

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