Creating a Successful Primary Care Model: Lessons Learned From the Cuban Health System

Abstract

With the U.S. economic embargo lifted from Cuba, the time has come to learn from the successes of the Cuban health system. This study suggests an alternative model of health care delivery that has been successful both in addressing the population’s health needs and in reducing health expenditures. Drawing on interviews conducted with Cuban health professionals, this study illustrates that non-neoliberal policies such as dominant public sector and strong social support enhance health outcomes in the population. Additionally, population-wide education and empowerment increase adherence to preventive care, which translates to lower health care costs. Cuban primary care practices are described and key lessons for the U.S. health system are offered.