Imagine your alloy knocking during your doorway to give not only you, though your whole family, an annual health check-up.
As good as holding blood pressure, checking hearts and seeking all sorts of questions about your pursuit and your lifestyle, this alloy is also holding clever note of a state of your home, assessing anything that could be moving a health of we and your family.
This is what happens in Cuba and nonetheless it competence not go down good everywhere, it’s a pro-active proceed to medical that yields some considerable results.
Leader of a pack
In terms of carrying healthy people, a Cuban health use outperforms other low and middle income countries and in some cases, outperforms most richer ones too.
Despite spending a fragment of what a United States spends on medical (the World Bank reports Cuba spends $431 per conduct per year compared with $8,553 in a US) Cuba has a reduce tot mankind rate than a US and a identical life expectancy.
So how do they do it, and could other countries, abounding and poor, learn from a Cuban example?
World Health Organization director-general Margaret Chan positively thinks so.
She has praised a medicine inlet of a Cuban health complement and called on other countries to follow a Cuban example.
Healthcare in Cuba is giveaway and universal, enshrined in a Cuban structure as a elemental tellurian right, guaranteed by a state.
And a substructure of their medicine health caring indication is during primary caring level, a family doctors who manage a health of those who live around a clinic.
And Cuba does have lots of doctors.
To offer a race of 11 million, a republic has 90,000 of them. That’s 8 for each 1,000 adults – some-more than double a rate in a US and in a UK (the US has 2.5 doctors per 1,000, a UK 2.7 per 1,000 according to a World Bank).
And many of these doctors are formed in community medical centres and, along with a helper and support from visiting specialists, they guard closely a health and wellbeing of each singular Cuban.
Tanya Rosa de la Cuevas Hill is a dilettante in extensive medicine and she runs a community hospital in Old Havana. Along with her nurse, she looks after 334 families who live in a surrounding streets.
“Being a family doctor, we adore it,” she says. “The initial goal we have is to forestall illness. That’s a smashing thing about my job. Prevention of diseases, impediment of accidents, that’s what we like best”.
Key to a impediment indication is a annual health assessment, a full health check-up that each singular one of their 1,287 patients will undergo, mostly during their homes.
And there’s no removing out of it either.
Compulsory health checks
“My helper knows where they live,” Dr Quevas Hill jokes. “They can run, though they can’t hide!”
The information from this check-up allows a family alloy to put her patients into categories according their “risk”. If they’re healthy, a annual check-up is enough. But if they’re display signs of ill-health, if they splash too much, fume or have a stability health condition, they’re seen most some-more regularly.
It’s an integrated, whole-person proceed to healthcare, maybe too forward for some, though widely supposed within Cuba.
The aim is to stop people removing ill in a initial place.
According to Gail Read, executive editor of a general health journal, MEDICC Review, Cuba had to concentration on impediment precisely since it is a bad country.
“It’s most some-more cost-effective to provide hypertension by practice than to do a coronary by-pass”, she says. “It creates clarity to go upstream, to locate a problem before it starts or really shortly afterwards.”
So in this rarely centralised country, information is collected during a internal level, fed adult to a second tier of healthcare, a community policlinic.
Here, health trends are speckled and decisions taken about how best to intervene.
The indication has worked good and produces considerable results. But a health successes that Cuba has achieved have, paradoxically, brought a new set of health challenges, and a medicine proceed is being tweaked to tackle them.
Cubans no longer die of spreading diseases since of a hugely successful vaccination programme, so people live longer. And an ageing race presents what one apportion described as a “colossal plea for a nation”.
Living longer and ageing well
Ageing, an boost in plumpness and problems with tobacco and ethanol meant Cuba’s adults are now failing of a same diseases claiming lives in aloft income countries: heart disease, cadence and cancer.
It’s been pronounced that “Cubans live like a poor, and die like a rich”, a anxiety to a fact that Cuba is a comparatively bad nation, nonetheless a illness form matches that of richer countries.
And positively patients with heart attacks, angina, diabetes, cadence and cancer are seen daily by community family doctors.
The response from a Cuban supervision to these new health hurdles is a outrageous investment in open health preparation around smoking, alcohol, diet and exercise.
Those delivering a message, overseeing, encouraging, moving healthy living, will be a internal family alloy and nurse. And they’ll be delivering it, in person, true to a door.