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Revista Cubana de Salud Pública

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ISSN 0864-3466 (Print)
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2012, Number 2

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Revista Cubana de Salud Pública 2012; 38 (2)

Crisis and health. Health in crisis?

Thielmann K, Illnait FJ
Full text How to cite this article

Language: Spanish
References: 7
Page: 278-285
PDF size: 117.15 Kb.


Key words:

Determinants, health, economic crisis.

ABSTRACT

The global financial and economic crisis also affects health because the health services increasingly depend on the market nowadays. Health is considered a commodity and becomes expensive due to rising prices of diagnostic and therapeutic products and services. At the same time, this exacerbates the inequality of access to health care between rich and poor countries and among the citizens within countries of neoliberal economic orientation. Health care turns into an additional burden for countries where the medical health services are financed by the society as a whole. The growing impact of chronic non-communicable diseases calls for a proactive and health-oriented strategy based on the health improvement through its determinants as a contribution to the efficiency and sustainability of medical care services and to equal access wherever is required. A project called 'Individual and Social Health Determinants in Family Medicine' was started in Old Havana, which is intended to demonstrate the feasibility and benefit of a health driven medical strategy. It builds on the genuine preventive orientation of Cuban medical practice, education and training.


REFERENCES

  1. Word Health Organization. Spending on Health, Fact sheet N°319. Geneva: WHO; 2007.

  2. U.S. Health Care Costs, National Health Expenditures. Washington, D.C.: Kaiser Family Foundation; 2008

  3. Duncan DE. What Price for Medical Miracles? [Internet]. 2010 [citado 22 Ago 2009]. Disponible en: http://www.kaiserhealthnews.org/Stories/2010/March /09/fiscal-times-end-of-life.aspx

  4. Wilkinson R, Marmot M. editor. Social Determinants of Health-The Solid Facts. Geneva: WHO, Regional Office for Europe, Copenhagen; 2003.

  5. Word Health Organization. Commission on Social Determinants of Health. Final Report: Closing the Gap in a Generation, Health Equity through Action on Social Determinants of Health. Geneva: WHO; 2008.

  6. Word Health Organization. Action on the Social Determinants of Health: Learning from Previous Experiences. Geneva: WHO; 2010.

  7. Thielmann K. Determinantes de Salud: potencial investigativo y estratégico de la Medicina General Integral. Rev Cubana Med Gen Integr [Internet]. 2005 [citado 22 Ago 2009];21(5-6). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864 -21252005000500021&lng=es&nrm=iso&tlng=es




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Revista Cubana de Salud Pública. 2012;38