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Therefore, after a brief review of literature on the Cuban health system structure, this article will focus on 2 aspects of Cuban family medicine— community-oriented primary care (COPC) and complementary and alternative medicine (CAM). Health care was nationalized after the 1959 Cuban revolution.How is primary care provided in Cuba?
Today in Cuba, primary care is provided in consultorios (clinics), secondary care in policlinicos (specialty clinics), and tertiary care in hospitales and institutos (hospitals and medical institutes). Consultorios address approximately 80% of the health problems and emphasize health promotion. 8How much does Cuba spend on health care?
Cuba spends just 7.4% of its gross national product (GNP) on health care, compared with the 13.6% spent in the United States. 1 Health expenditure per person is $193 in Cuba compared with $4540 spent in the United States. 2 Cuba’s GNP per capita is one of the lowest in the Western hemisphere ( Table 1 ).How many policlinicos are there in Cuba?
There are 440 policlinicos throughout Cuba, and each policlinico serves 30 to 40 consultorios. 8 It is noteworthy that many family physicians spend a half-day per week joining their patients for specialist visits in policlinicos.