Cuban Health Care System: Sustainability and Key Findings

Running Head: CUBAN HEALTH CARE SYSTEM
Cuban Health Care System
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CUBAN HEALTH CARE SYSTEM 2
Executive Summary
Cuba is one of the countries that is going through an advanced demographic transition
characterized by very low fertility (1.5 children per woman), low mortality (7.3) and the
consequent increase in life expectancy at birth, which reached 77 years in 2009. In Together
these demographic phenomena have led to a decline in the rate of population growth and an
aging population.
The values of the main health indicators in Cuba are among the best in the region and
even so, it is necessary to improve them to face the new epidemiological challenges. The report
intends to evaluate the sustainability of Cuban model in view of the ageing population, increased
chronic disease, ever-increase cost and technology and the demand on the entire healthcare
system. Cuba is considered the best candidate for the study because it has distinct health care
system that is dynamic and evolving. The report is divided into three main sections. The first
section will cover the guiding principles of value-based healthcare reform. The second section
will focus on the key findings. Key elements of health care economics that will be at the heart of
the report include market concentration, elasticity of the supply chain, elasticity of demand, the
need for volume, population demographics, risk transfer, regulatory authority and executing the
health reform framework. Using comparative approach, the report will attempt to relate the
nature of health care system at different years. At the end of the report a number of
recommendations on what Cuba can do in order to ensure that its health care system is effective
would be highlighted.

CUBAN HEALTH CARE SYSTEM 3
Table of Contents
Introduction......................................................................................................................................4
Guiding principles of value-based healthcare reform......................................................................5
Findings...........................................................................................................................................8
Market concentration...................................................................................................................8
Elasticity of the supply chain.......................................................................................................9
Elasticity of demand...................................................................................................................10
Population demographics...........................................................................................................10
Regulatory authority..................................................................................................................12
Executing the health reform framework....................................................................................12
Recommendations..........................................................................................................................13
References......................................................................................................................................15

CUBAN HEALTH CARE SYSTEM 4
Introduction
The report evaluates the evolution of Cuban health care systems. The main goal is to
evaluate the sustainability of Cuban model in view of the ageing population, increased chronic
disease, ever-increase cost and technology and the demand on the entire healthcare system. Cuba
is considered the best candidate for the study because it has distinct health care system that is
dynamic and evolving. For example, beginning in the 1980s, a group of Cuban health
professionals began to introduce the economy's tools in the country to calculate how much was
invested in relation to various conditions, as well as the day / patient cost in certain services and
institutions. hospital. Currently, new notions have been acquired in this sub-section of
knowledge and its scope of application has been expanded, whose greater effectiveness is
exercised in the prevention of diseases. Health demands grow steadily and with it their supply
(supplies for the restoration of health); but since resources are relatively scarce to respond to
these requests, their rational use is imposed. In the guidelines of the economic and social policy
of the Party and the Revolution approved in 2011 and ratified in 2016, emphasizes the need to
achieve maximum efficiency in the use of resources and human capital in health, since Only in
this way will it be possible to achieve greater coverage, quality and sustainability of the services
in that sector. The report is divided into three main sections. The first section will cover the
guiding principles of value-based healthcare reform. The second section will focus on the key
findings. The key findings will be based on a number of health care economic elements. Key
elements of health care economics that will be at the heart of the report include market
concentration, elasticity of the supply chain, elasticity of demand, the need for volume,
population demographics, risk transfer, regulatory authority and executing the health reform
framework. Using comparative approach, the report will attempt to relate the nature of health