Hello all,

Efficiency is paramount, if we want to achieve maximum results with the
limited resources.

Although there are different views regarding relations between Efficiency
and Equity,
(are they interdependent or opposite poles)
by any definition Efficiency is comparing the results with resources spent.

With all my respect to US system, it appears that health care in Cuba
achieves good
results (infant mortality for example) with far less resources.

Japan is another example for better than USA results achieved with only half
the money spent.
(see OECD data for health expenditures and life expectancy).
By the way I have never seen on this list anything for/from Japan.

It might worth looking at the models which demonstrate Efficiency :

Results / Resources, or Resources / Results

and see + explain what makes them successful.


Jordan Panayotov
Melbourne


----- Original Message -----
From: "Thompson, Kenneth" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, August 01, 2005 12:03 PM
Subject: Re: [SDOH] health promotion in primary care


> hi all
>
> it might be worthwhile looking at the cuban model of primary care.  cuban
primary care mds, working and dedicated to a particular neighborhood, are
charged with treatment, diagnosis, rehabilitation, and, critically,
prevention of illness.  working with a practice nurse in close affiliation
with barrio (neighborhood) organizations, the cuban health care system has
produced extraordinary results with limited resources.  as cubans say "we
live like poor people but die like rich ones" ie.  the average life span and
the causes of mortality in cuba are more akin to a developed country the
developing ones...
>
> is there anyone on this email list from cuba or latin america???
>
> ken
> pittsburgh
>
>
> -----Original Message-----
> From: Social Determinants of Health on behalf of Angela Lawless
> Sent: Sun 7/31/2005 9:22 PM
> To: [log in to unmask]
> Subject: Re: [SDOH] health promotion in primary care
>
> South Australia has community health centres that incorporate primary
care. The salaried medical practices within these centres have a strong
focus on promotion and prevention and work within a model that places
primary care firmly within a primary health care framework.
> Regards
>  Angela Lawless
>
> At 06:34 AM 29/07/2005, you wrote:
>
>
> I am looking into the role of a health promoter, health educator,
community developer (or other related roles) within primary care.
>
> Can anyone point me in the direction of primary care organizations that
have such roles?  I am already familiar with community health centre health
promotion roles within Canada are there any others our there?
>
> Thanks,
> Jennifer Boyko
>
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> Angela Lawless
> Senior Research Officer
> South Australian Community Health Research Unit
> Flinders University
>
> FMC Flats, Block G3
> Flinders Medical Centre
> Bedford Park SA 5042
>
> tel:  08 8204 5976
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