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...

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Main Authors: Isaac Christiansen, David Leonard
Format: Article
Language:English
Published: Pluto Journals 2019-11-01
Series:International Journal of Cuban Studies
Online Access:https://www.scienceopen.com/hosted-document?doi=10.13169/intejcubastud.11.2.0200
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author Isaac Christiansen
David Leonard
author_facet Isaac Christiansen
David Leonard
author_sort Isaac Christiansen
collection DOAJ
description <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. </p>
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spelling doaj.art-4497b556ac304794aaf3be44f5f52bce2023-05-12T08:46:02ZengPluto JournalsInternational Journal of Cuban Studies1756-34611756-347X2019-11-0111220022710.13169/intejcubastud.11.2.0200Human Resources for Health and Health Outcomes in Cuba: An Analysis of Their Distributions over Time and SpaceIsaac ChristiansenDavid Leonard<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. </p>https://www.scienceopen.com/hosted-document?doi=10.13169/intejcubastud.11.2.0200
spellingShingle Isaac Christiansen
David Leonard
Human Resources for Health and Health Outcomes in Cuba: An Analysis of Their Distributions over Time and Space
International Journal of Cuban Studies
title Human Resources for Health and Health Outcomes in Cuba: An Analysis of Their Distributions over Time and Space
title_full Human Resources for Health and Health Outcomes in Cuba: An Analysis of Their Distributions over Time and Space
title_fullStr Human Resources for Health and Health Outcomes in Cuba: An Analysis of Their Distributions over Time and Space
title_full_unstemmed Human Resources for Health and Health Outcomes in Cuba: An Analysis of Their Distributions over Time and Space
title_short Human Resources for Health and Health Outcomes in Cuba: An Analysis of Their Distributions over Time and Space
title_sort human resources for health and health outcomes in cuba an analysis of their distributions over time and space
url https://www.scienceopen.com/hosted-document?doi=10.13169/intejcubastud.11.2.0200
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