Revista Cubana de Salud Pública

Depression: A society's challenge we need to discuss

Determination of risk perception of the population about hazardous chemicals

Factors associated to hip fracture in "Dr Salvador Allende"clinical and surgical hospital

Educational requirements of adolescents from Old Havana municipality in relation to sexually transmitted diseases, Cuba

Educational actions aimed at improving the risk perception about pregnancy in adolescents

Social determinants of health and quality of life of the adult population of Manizales, Colombia

Family violence and the notification processes according to the viewpoint of a public health professional

Dietary habits, physical activity and nutritional state of school children with visual and hearing impairment

Socio-cultural gender representations and promotion of cadres in the health care sector, 2013-2016

Development of research work in the public health in the post-graduate curricula

Selection of peer reviewers according to the Cuban medical journal editors´ perspective

Access to health services: general theoretical considerations, and reflections for Cuba

El presente trabajo realiza un acercamiento teórico a la temática del acceso a los servicios de salud, con la pretensión de analizar críticamente su estudio y situación en el caso cubano. Se basa en el análisis documental de fuentes, relativas al contexto internacional (específicamente en lo teórico-metodológico) y también al nacional, a partir de la triangulación de información de documentos político-programáticos, estadísticos, la prensa escrita, y resultados investigativos. La discusión destaca la existencia, en el debate académico cubano, de vacíos e insuficiencias en los acercamientos a esta temática, y la necesidad de hacer replanteamientos en el orden teórico-metodológico que permitan un abordaje capaz de captar las múltiples complejidades de esta cuestión. En Cuba, si bien hay un sistema de salud universal y gratuito, diversas fuentes y actores identifican problemas de acceso a los servicios que deben ser visibilizados y tenidos en cuenta desde el ámbito académico y político. La realidad del funcionamiento de los servicios está apuntando al imprescindible abordaje de esta cuestión, teniendo en cuenta los problemas relativos al sistema de prestaciones, pero también aquellos referidos a cuestiones externas a los servicios que pueden estar favoreciendo o limitando la existencia de barreras de acceso.

The present work makes a theoretical approach to the issue of access to health services, with the aim of critically analyzing its study and situation in the Cuban case. It is based on the documentary analysis of sources, related to the international context (specifically in the theoretical-methodological) and also to the national, from the triangulation of information of political-programmatic documents, statistics, the written press, and investigative results. The discussion highlights the existence, in the Cuban academic debate, of gaps and inadequacies in the approaches to this topic, and the need to rethink the theoretical and methodological order that allows an approach capable of capturing the multiple complexities of this issue. In Cuba, although there is a universal and free health system, various sources and actors identify problems of access to services that must be seen and taken into account from the academic and political spheres. The reality of the functioning of the services is pointing to the essential approach of this question, taking into account the problems related to the benefits system, but also those related to issues external to the services that may be favoring or limiting the existence of barriers to access.

Economic and social determinants of mortality in Latin America

Multiple perspectives for the analysis of demographic aging. A requirement in the contemporary health context