Date of Award

2020

Document Type

Thesis

Degree Name

Bachelors

Department

Social Sciences

Second Department

Humanities

First Advisor

Hicks, Barbara

Area of Concentration

Political Science and International and Area Studies

Abstract

Differences in health systems are a point of debate among public health scholars around the world. Some countries provide free and universal healthcare through a single payer system, others use an employment-based healthcare system, and some have no universal healthcare guarantee. Health systems also include public health structures, which differ based on the healthcare system as well. The variation of these systems and of their varying levels of integration make comparisons of the effectiveness of health systems difficult. Using HIV/AIDS data allows for an insight into how well each of these systems operate, by providing universal, standardized, and comparable public health data. In order to assess different health systems, HIV/AIDS data was used to evaluate three cases: Florida, United States; Yucatan, Mexico; and Cuba. These three cases were examined from 2008 to 2018 and represented the three main types of global health systems. Results from each case’s trend lines corresponded to the increase in healthcare access and public health initiatives. While healthcare delivery systems remain important, the integration of the delivery and public health systems ultimately prove to be one of the most important factors that determine health outcomes.

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