Analysis of the national health system of Cuba

Cover Page


This article discusses a set of issues relevant to the current state of the health care system of the Republic of Cuba. The purpose of the study is to give an idea of the dynamics of national health development and compare the results achieved in this sector from 2010 to 2018. The consideration of these problems begins with a description of the demographic context that reflects the general health status of the population. The basic structure of the health system, beneficiaries and benefits in the field of health, sources of financing and expenditures on health, available resources and user satisfaction with the services received were also taken into account. The paper also provides an assessment of the main problems that the Ministry of Health will have to solve in the short and medium term, which will entail the need to develop and implement new management strategies for health institutions. The study was based on a theory of analysis of the health sector adapted to the specifics of Cuban public health, providing guidance to the work of the Ministry of Health and health managers in order to achieve a higher level of satisfaction and quality.

About the authors

Yarima Pupo Ochoa

Peoples’ Friendship University of Russia (RUDN University)

Author for correspondence.
6 Miklukho-Maklaya St, Moscow, 117198, Russian Federation

PhD student of the Faculty of Economics


  1. Arias, J. (2002). Dengue en Cuba. Revista Panamericana Salud Pública, 11(4), 221-222.
  2. Domínguez, E., & Zacea, E. (2011). Sistema de salud de Cuba. Salud pública de México, 53(2), 168-176.
  3. Galeano, L., & Esquenazi, B. (2019). El sistema de salud cubano: una mirada a su forma de financiamiento. Economía y Desarrollo, 162(2), 16.
  4. Galiano, G., Izaguirre, R., Palma, A., Santoya, V., & Eng R. (2011). El funcionamiento del sistema provincial de salud en Granma desde sus potencialidades científico-técnicas: Retos y perspectivas. Revista Médica Multi Med., 15(4), 1-11
  5. Gálvez, A.M., González, R., Álvarez, M., Vidal, M.J., Suárez, N., & Vázquez, M. (2018). Consideraciones económicas sobre la salud pública cubana y su relación con la salud universal. Revista Panamericana de Salud Pública, 42(28), 1-8. 26633/RPSP.2018.28
  6. Gómez, O., Sesma, S., Becerril, V., Knaul, F., Arreola, H., & Frenk, J. (2011). Sistema de salud de México. Salud Pública de México, 53(2), 220-232
  7. Granma. (n.d.). En los servicios de salud no puede faltar calidad ni sensibilidad. Retrieved July 20, 2020, from
  8. Houriet, S. (1998). Evolución Macroeconómica y Salud en Cuba. Macroeconomics, Health and Development Series, (34), 1-44
  9. Lazo, O., Alcalde, J., & Espinoza, O. (2016). Sistema de salud de Perú, situación y desafíos (pp. 1-79). Colegio médico del Perú
  10. López, P., Segredo, A., & García, A. (2014). Estrategia de renovación de la atención primaria de salud en Cuba. Revista Cubana de Salud Pública, 40(1), 75-84
  11. Maksimova, L., Omelyanovskii, V., & Sura, M. (2014). An analysis of the health care system of the leading countries. Medical Technologies. Assessment and Choice, 53(2), 37-45. (In Russ.)
  12. Mariscal, M., Zamora, B., & Torrez, J. (2016). Análisis del sistema de salud mexicano y su comparación con Costa Rica, Paraguay, Canadá, Gran Bretaña y Alemania. Revista Médico-Científico de la Secretaría de Salud Jalisco, (3), 133-142
  13. Milanés, L. (2020). Cuba, población de 60 años y más. Cubahora. Primera revista digital de Cuba. Retrieved April 6, 2020, from
  14. Morales, R., Mas, P., Castell-Florit, P., Arocha, C., Valdivia, N., Druyet, D., & Menéndez J. (2018). Transformaciones en el sistema de salud en Cuba y estrategias actuales para su consolidación y sostenibilidad. Revista Panamericana Salud Pública, 42(25), 1-8. RPSP.2018.25
  15. Núñez, K. (2019). Los servicios públicos en Cuba. Especial referencia a la salud. Iuris Dictio, (24), 129-138.
  16. The World Bank. (2019). Life expectancy at birth, total (years) - Cuba. Retrieved January 30, 2020, from
  17. Tobar, F. (2000). Instrumento para el análisis del sector salud. Medicina y Sociedad, 23(2), 1-33
  18. Zas, B. (2016). Experiencias en Psicología hospitalaria (p. 203). ALFEPSI
  19. Zheltenkov, A. (2019). The features of the functional models of health care systems in developed countries. Bulletin of the Moscow Region State University. Series: Economics, (2), 64-71. (In Russ.) doi: 10.18384/2310-6646-2019-2-64-72



Abstract - 86

PDF (Russian) - 42




Copyright (c) 2020 Pupo Ochoa Y.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies