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Equidad y respuesta del Sistema Nacional de Salud de Cuba ante la COVID-19

Cuba’s National Health System has managed to guarantee an effective and equitable response to COVID-19. Universal and free health coverage, based on primary care, follows the principle of equity, and the greatest resources are allocated to areas of the lowest socioeconomic stratum (which concentrate...

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Autores principales: Mas Bermejo, Pedro, Sánchez Valdés, Lizet, Somarriba López, Lorenzo, Valdivia Onega, Nelly Cristina, Vidal Ledo, María Josefina, Alfonso Sánchez, Ileana, Seuc Jo, Armando, Almeida Cruz, Yudivian, Morales Ojeda, Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Organización Panamericana de la Salud 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737847/
https://www.ncbi.nlm.nih.gov/pubmed/33337442
http://dx.doi.org/10.26633/RPSP.2020.138
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author Mas Bermejo, Pedro
Sánchez Valdés, Lizet
Somarriba López, Lorenzo
Valdivia Onega, Nelly Cristina
Vidal Ledo, María Josefina
Alfonso Sánchez, Ileana
Seuc Jo, Armando
Almeida Cruz, Yudivian
Morales Ojeda, Roberto
author_facet Mas Bermejo, Pedro
Sánchez Valdés, Lizet
Somarriba López, Lorenzo
Valdivia Onega, Nelly Cristina
Vidal Ledo, María Josefina
Alfonso Sánchez, Ileana
Seuc Jo, Armando
Almeida Cruz, Yudivian
Morales Ojeda, Roberto
author_sort Mas Bermejo, Pedro
collection PubMed
description Cuba’s National Health System has managed to guarantee an effective and equitable response to COVID-19. Universal and free health coverage, based on primary care, follows the principle of equity, and the greatest resources are allocated to areas of the lowest socioeconomic stratum (which concentrates the higher health risks), followed by those of medium and high strata, in that order. This allowed for similar mortality rates in the three strata, and Cuban national mortality rate was one of the lowest in the Region of the Americas. Before the first case was identified in Cuba, a Plan for Coronavirus Prevention and Control was elaborated with multisectoral participation, and when the first case was confirmed the Temporary Working Group to Fight COVID-19 was created as an advisory body of the government. The actions to face the pandemic began with preventive measures in the community, continued in the isolation centers and ended again in the community with actions of surveillance and follow up of recovered patients. Following the principle of territoriality, laboratories of molecular diagnosis were created in the provinces that did not have it. Free medical care and treatment; the preparation of a single national intersectoral government plan; the use of particular strategies for research, diagnosis and case tracing; and the implementation of a universal protocol for disease prevention and treatment of confirmed cases allowed to control the disease with a perspective of equity in health.
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spelling pubmed-77378472020-12-16 Equidad y respuesta del Sistema Nacional de Salud de Cuba ante la COVID-19 Mas Bermejo, Pedro Sánchez Valdés, Lizet Somarriba López, Lorenzo Valdivia Onega, Nelly Cristina Vidal Ledo, María Josefina Alfonso Sánchez, Ileana Seuc Jo, Armando Almeida Cruz, Yudivian Morales Ojeda, Roberto Rev Panam Salud Publica Informe Especial Cuba’s National Health System has managed to guarantee an effective and equitable response to COVID-19. Universal and free health coverage, based on primary care, follows the principle of equity, and the greatest resources are allocated to areas of the lowest socioeconomic stratum (which concentrates the higher health risks), followed by those of medium and high strata, in that order. This allowed for similar mortality rates in the three strata, and Cuban national mortality rate was one of the lowest in the Region of the Americas. Before the first case was identified in Cuba, a Plan for Coronavirus Prevention and Control was elaborated with multisectoral participation, and when the first case was confirmed the Temporary Working Group to Fight COVID-19 was created as an advisory body of the government. The actions to face the pandemic began with preventive measures in the community, continued in the isolation centers and ended again in the community with actions of surveillance and follow up of recovered patients. Following the principle of territoriality, laboratories of molecular diagnosis were created in the provinces that did not have it. Free medical care and treatment; the preparation of a single national intersectoral government plan; the use of particular strategies for research, diagnosis and case tracing; and the implementation of a universal protocol for disease prevention and treatment of confirmed cases allowed to control the disease with a perspective of equity in health. Organización Panamericana de la Salud 2020-12-15 /pmc/articles/PMC7737847/ /pubmed/33337442 http://dx.doi.org/10.26633/RPSP.2020.138 Text en https://creativecommons.org/licenses/by-nc-nd/3.0/igo/legalcode Este es un artículo de acceso abierto distribuido bajo los términos de la licencia Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO, que permite su uso, distribución y reproducción en cualquier medio, siempre que el trabajo original se cite de la manera adecuada. No se permiten modificaciones a los artículos ni su uso comercial. Al reproducir un artículo no debe haber ningún indicio de que la OPS o el artículo avalan a una organización o un producto específico. El uso del logo de la OPS no está permitido. Esta leyenda debe conservarse, junto con la URL original del artículo.
spellingShingle Informe Especial
Mas Bermejo, Pedro
Sánchez Valdés, Lizet
Somarriba López, Lorenzo
Valdivia Onega, Nelly Cristina
Vidal Ledo, María Josefina
Alfonso Sánchez, Ileana
Seuc Jo, Armando
Almeida Cruz, Yudivian
Morales Ojeda, Roberto
Equidad y respuesta del Sistema Nacional de Salud de Cuba ante la COVID-19
title Equidad y respuesta del Sistema Nacional de Salud de Cuba ante la COVID-19
title_full Equidad y respuesta del Sistema Nacional de Salud de Cuba ante la COVID-19
title_fullStr Equidad y respuesta del Sistema Nacional de Salud de Cuba ante la COVID-19
title_full_unstemmed Equidad y respuesta del Sistema Nacional de Salud de Cuba ante la COVID-19
title_short Equidad y respuesta del Sistema Nacional de Salud de Cuba ante la COVID-19
title_sort equidad y respuesta del sistema nacional de salud de cuba ante la covid-19
topic Informe Especial
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737847/
https://www.ncbi.nlm.nih.gov/pubmed/33337442
http://dx.doi.org/10.26633/RPSP.2020.138
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