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The Journal of the American Board of Family Practice 18:297-303 (2005)
© 2005 American Board of Family Practice

Family Medicine-World Perspective

Family Medicine in Cuba: Community-Oriented Primary Care and Complementary and Alternative Medicine

Lee T. Dresang, MD, Laurie Brebrick, FNP, Danielle Murray, MD, Ann Shallue, DO and Lisa Sullivan-Vedder, MD

From the University of Wisconsin Medical School, St. Luke’s Family Practice Residency, Milwaukee (LTD, AS, LS-V)
Sixteenth Street Community Health Center, Milwaukee, Wisconsin (LB)
Family Practice Specialists of Richmond, Richmond, Virginia (DM)

Correspondence: Corresponding author: Lee T. Dresang, MD, 1230 W. Grant Street, Milwaukee, WI 53215 (e-mail: ldresang{at}fammed.wisc.edu)

Family physicians in Cuba and the United States operate within very different health systems. Cuba’s health system is notable for achieving developed country health outcomes despite a developing country economy. The authors of this study traveled to Cuba and reviewed the literature to investigate which practices of Cuban family physicians might be applicable for US family physicians wishing to learn from the Cuban experience. We found that community-oriented primary care (COPC) and complementary and alternative medicine (CAM) are well developed within the Cuban medical system. Because COPC and CAM are already recommended by US family medicine professional bodies, US family physicians may want to learn from the Cuban experience and perhaps incorporate elements into their individual practices.


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Copyright © 2005 by the American Board of Family Medicine.