About a system of monitoring equity in health care in Cuba
Abstract
This paper summarizes certain essential aspects of the doctoral thesis entitled” A proposal of a system of monitoring
Equity in Health Care in Cuba” submitted by Dr Abelardo Ramírez Márquez, who was First Vice-Minister of the Ministry
of Public Health Care, to attain the scientific degree of Doctor of Health Sciences. The objectives of the proposed system
are to identify the inequalities in health care - both in the population’s health condition and the health determinants - at
territorial level and in population groups, taking into account time perspective; to determine existing relations between
the population’s health condition level and the health determinant level and to assess inequities in health resulting from
the identified inequalities. The paper also addresses the prevailing approaches to the equity in health concept; experience
in systems of monitoring equity in health in Latin American countries, and it also describes some characteristics of the
suggested monitoring system. Among the aspects considered in this work are the justification of the system, its coverage
and analysis units; information to be monitored, data collection methods, general and specific objectives of the analysis,
users, the system output and the characteristics of the geo-referred information system to be used, without ignoring the
eventual system limitations. It is expected that the system discloses realities of the population´s health condition and the
determinants that are so far invisible, identifies elements for alert in the health care sector and in other sectors, and brings
about results for the decision-taking process at the different national health care levels.
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