Comparison of health care financing in Egypt and Cuba: lessons for health reform in Egypt.
Egypt and Cuba are both lower-middle income countries with a history of socialist rule, which have embarked on economic liberalization since the 1990s. Cuba has achieved exemplary health status whereas health status in Egypt is lower than could be expected for its level of income. In this article, health care financing mechanisms in both countries are analysed on their effectiveness, efficiency, and equity, with the objective of identifying the determinants of success in the Cuban health system from which valuable lessons for current health reforms in Egypt may be derived.
Gericke
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Department of Health Care Management, (WHO Collaborating Centre for Health Systems Research and Management), Berlin University of Technology, Berlin, Germany. christian.gericke@tu-berlin.de
D003431:Cross-Cultural Comparison; D003462:Cuba; D003695:Delivery of Health Care / Q000458:organization & administration*; D003906:Developing Countries; D017598:Efficiency, Organizational; D004534:Egypt; D005381:Financing, Organized / Q000191:economics*; D014943:Global Health; D018166:Health Care Reform / Q000458:organization & administration*; D005102:Health Expenditures / Q000706:statistics & numerical data; D006302:Health Services Research; D006304:Health Status; D006305:Health Status Indicators; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D018803:Models, Economic; D017146:Models, Organizational; D009313:National Health Programs / Q000458:organization & administration*; D011057:Politics; D017149:Private Sector / Q000458:organization & administration; D017150:Public Sector / Q000458:organization & administration; D012950:Socialism / Q000191:economics