Cuban MedicineHealth services have long been characterized by inequities and contradictions urban concentration of health resources versus a dearth of rural services and, within the urban situation, relatively efficient services f a few large institutions versus the conglomeration of small, inefficient, and largely autonomous units. Using the Cuban system as a model, Danielson discusses the ingrredients involved in the transformation into an equitable medical sysÂtem. The sociopolitical formation of new health workers, the continuous emphasis on rural and primary services, the involvement of all groups, including specialists, in the general fanning process, and a pragmatic style of politically inspired leadership t all levels of organizations are examined in this context. The author so considers the need for heavy economic investments and popular support for social reform as prerequiÂsites for establishment of equitable medical services. According to DanÂielson, medical and social revolution are closely linked. Throughout his exposition, there is a rare quality of sympathy and comÂpassion for all the earnest and honest health reformers, physicians, andmedical faculty of Cuba, regardless of their political orientation. |
Contents
INTRODUCTION | 1 |
List of Illustrations | 7 |
THE FIRST PREREVOLUTIONARY PERIOD 15211790 | 21 |
1 Positions and Monthly Salaries Before and | 30 |
THE FIRST MEDICAL REVOLUTION 17901830 | 41 |
1 Introduction of Slaves in Cuba | 46 |
THE SECOND MEDICAL REVOLUTION 18981922 | 69 |
1 Casualties of Spanish Troops in Cuba by Rank | 78 |
EARLY TRANSITION UNDER THE SOCIALIST | 127 |
1 Principal Organizational Categories of | 143 |
CONSOLIDATION OF A COMPREHENSIVE | 163 |
MEDICINE IN THE COMMUNITY | 189 |
REVIEW | 213 |
APPENDIX | 229 |
| 235 | |
| 243 | |