Cuba es el país con el mayor porcentaje de autopsias que se realiza en el mundo, con una calidad adecuada, un sistema informatizado (SARCAP) y con una base de datos de 140 017 autopsias; sin embargo este trabajo ha sido poco reconocido internacionalmente, y es sorprendente que una publicación norteamericana reciente lo haya señalado.
Ponemos a disposición de los colegas el libro “Autopsy in the 21st Century. Best Practices and Future Directions” donde se expone:
The health-care system in Cuba is a good example [37]. Over 50% of patients who die in Cuban hospitals come to autopsy. Just as in the USA, hospital autopsies require the consent of next of kin. Autopsies in teaching hospitals in Cuba are a regular part of education and professional development, and the data from autopsies is maintained in a national database. The results of autopsies can be used to update and correct information on death certificates. Autopsies in Cuba are one component of a system that results in health-care outcomes that are comparable to large industrialized nations obtained at a small fraction of the cost, the very definition of cost-effectiveness.
37. Espinosa-Brito AD, Hurtado de Mendoza-Amat J. In defense of clinical autopsy and its practice in Cuba. MEDICC Rev. 2017;19(1):37–41.
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