Human Resources for Health and Health Outcomes in Cuba: An Analysis of Their Distributions over Time and Space
<p class="first" id="d137445e88">Developments in Cuba's healthcare system, infant mortality rate (IMR) trends, and commitment to universal healthcare have been examined by past research. Nevertheless, reductions of spatial inequality in human re...
Main Authors: | , |
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Format: | Article |
Language: | English |
Published: |
Pluto Journals
2019-11-01
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Series: | International Journal of Cuban Studies |
Online Access: | https://www.scienceopen.com/hosted-document?doi=10.13169/intejcubastud.11.2.0200 |
Summary: | <p class="first" id="d137445e88">Developments in Cuba's healthcare system, infant mortality rate (IMR) trends, and
commitment to universal healthcare have been examined by past research. Nevertheless,
reductions of spatial inequality in human resources for health (HRH) distribution
and IMR have received less attention. Drawing on Cuban Ministry of Health data, we
examine changes in HRH distribution by personnel type and inequality in IMRs among
Cuban provinces over time, emphasising the period since 1990. We contrast these with
global, OECD, and developing country HRH distributions. Our research shows declining
inequality in HRH and IMR across provinces in Cuba. A longitudinal data analysis of
IMR shows that IMR decreases significantly as physician density increases within provinces.
Within a global context of high between and within country disparities Cuba's experience
is salient given high levels of spatial inequality prior to 1959 and material resource
scarcity during the ‘special period’ of the 1990s.
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ISSN: | 1756-3461 1756-347X |