Keck and Reed,(2012) stated that the cuban health system was revolutionised in the 1970 to be more community based; due to clients reporting that waiting time to see a doctor was too long and the time spent with the doctors was too short. This dilemma prompted the revolutionary shift in the way care was delivered to the citizens. Hence, the goal was to provide comprehensive care where they live, as a resulted doctors and nurses were assigned to live and worked in the neighbourhood where they practice. They literally live next door to their clients.
According to the Ontario’s Framework for preventing and managing chronic diseases states that globally non communicable diseases (NCDs) is the leading cause of not only morbidity and mortality but also account for 55% of the direct and indirect cost of health. They indicated that there must be a new approach in the management of NCDs, clearly, they pointed out that the current healthcare system has been designed to treat acute illnesses and not chronic diseases.
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Furthermore, there has to be a deeper understanding of the structure, this therefore allows for the altering of the present system, by creating a clear division of services; separating acute care from chronic conditions and the use of planned visits and case management of high risk patients.
According to Grant and Greene (2012) states that the health care home model is used to reduce the disparities in the incidence, severity and morbidity ambulatory care sensitive conditions as well as NCDs that affect the poor and minority adults such as