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Revista Cubana de Salud Pública

versión impresa ISSN 0864-3466versión On-line ISSN 1561-3127

Resumen

AROCHA MARINO, Carmen  y  CASTILLO GUZMAN, Antonio. Cuban experience in health service organization - an alternative to face privatization. Rev Cubana Salud Pública [online]. 2007, vol.33, n.1. ISSN 0864-3466.

The result of the present research work is intended to strenghten the national identity in the healthcare field, since it provides a document showing the organizational trends of the healthcare system in Cuba under the aegis of the State. Its objectives were to identify relevant moments of the national organization process of state-run health services in two different development stages of the Cuban public healthcare. The historical method, the information taken from literature, the comparison of theoretical and informative documents as well as consultations and interviews with experts were used. It was confirmed that in the first years of the Republic and of the socialist revolutionary period, organization processes for the centralization of health services occured. The first stage elapsed in the 19 th century, with the creation of national centralized bodies and institutions without expropriation, being this process reinforced with the foundation of the National School of Hygienists at the beginning of the 20 th century. The second phase covered a nationalization process to integrate all the health institutions to the state-run sector. Although the ways and means were different in both stages, that is, centralization in the former and unification based on nationalization in the latter, the two process encouraged the development of the Cuban publich healthcare, which means that there are indeed more rational organizational alternatives for health services than the privatization options

Palabras clave : Health sector reform; public healthcare; history of cuban public health.

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