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Strategies for rural health care in socialist countries.

Roemer MI
Proceedings of the VII International Congress of Rural Medicine, September 17-21, Salt Lake City, Utah. International Association of Agricultural Medicine, 1978 Sep; :366-370
Strategies for providing rural health care in socialist countries were discussed. The nature of socialist health care systems was summarized. The basic feature of socialist medical care systems is their emphasis on centralized planning, as opposed to relying on free market dynamics. Components of a centralized planning system include determining needs, specifying goals, adjusting the goals to constraints imposed by economic resources, forecasting any anticipated social changes, scheduling short and long term objectives that are feasible, and taking the political decision to proceed. Social financing is considered a fundamental activity of a socialist medical care system. This insures that health care services become a right of citizenship, not a commodity dependent upon individual purchasing power. A high degree of organization is necessary to make the best use of available resources. It is considered important that the system be able to influence the behavior of both the providers and recipients of health services. The results of field studies of the rural medical care systems in Poland, Cuba, and the People's Republic of China were discussed. All three countries are making a concerted effort to expand the number of health care personnel and to set up a nationwide system of health care delivery.
NIOSH-Grant; Grants-other; Health-care-facilities; Medical-treatment; Agricultural-workers; Seasonal-activity; Health-protection; Sociological-factors; Occupational-health-programs; Health-care-personnel
Prev Med & Environmental Hlth University of Iowa Inst/agric Med & Environ Hlth Iowa Oakdale, Iowa 52319
Publication Date
Document Type
Conference/Symposia Proceedings
Funding Amount
Funding Type
Fiscal Year
Identifying No.
Priority Area
Other Occupational Concerns; Grants-other
Source Name
Proceedings of the VII International Congress of Rural Medicine, September 17-21, Salt Lake City, Utah
Performing Organization
University of Iowa, Iowa City, Iowa
Page last reviewed: September 2, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division