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Politics : Formerly About Advanced Micro Devices -- Ignore unavailable to you. Want to Upgrade?

To: longnshort who wrote (874907)	7/24/2015 10:26:28 AM
From: zax	Read Replies (7) \| Respond to of 1579731

What we can learn from Cuba's health care system How does an impoverished country succeed in keeping its citizens healthy? mnn.com By: Margaret Badore June 27, 2013, 12:16 p.m. The correlation between low income and poor health has been established in many countries. Yet despite Cuba's poverty, the country’s quality of health bucks this trend. According to the United Nations Human Development Report, Cuba has the same life expectancy as the U.S. and a lower maternal mortality rate when compared to other countries in the region. A paper published in the International Journal of Epidemiology found Cuba has eliminated several common diseases, including diphtheria, measles, pertussis, rubella and mumps. What is the secret to Cuba's success? Here are a few aspects of the Cuban health care system that Americans could adopt. Community-oriented primary care Universal care and good access to care are two factors that contribute to the success of Cuba’s health care system. According to research published in the Journal of the American Board of Family Medicine, the majority of care is provided by neighborhood clinics, called consultorios. A typical doctor will care for about 120 to 160 families, and medical records are organized around families, putting greater emphasis on communities rather than viewing each patient as an isolated individual. Doctors see patients at the clinic in the morning and make house calls in the afternoons. "Doctors in Cuba do a good job of making sure that patients are getting the care they need," said Dr. Lee T. Dresang, a family practitioner who teaches at the University of Wisconsin School of Medicine and Public Health. "They typically spend half of the day out in the community." Dresang traveled to Cuba to learn about the health care system and is the lead author of the 2005 paper "Family Medicine in Cuba: Community-Oriented Primary Care and Complementary and Alternative Medicine," which was published in the Journal of the American Board of Family Medicine. Since then, some providers in the U.S. have taken small steps toward this type of primary care, with the creation of primary care medical homes. These organizations aim to focus health care on successful outcomes — healthier people — rather than on volume. The clinic where Dresang works has become a certified primary care medical home, which means the doctors, nurses and technicians have daily meetings and are working more closely together to coordinate each patient's care. "It's been really nice for us to see the benefits it can have," said Dresang. Read more: mnn.com