02 Health Care System Flashcards

1
Q

an arrangement of parts , and their interconnections come together for a purpose

A

system (Bertalanffy, 1968)

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2
Q

mechanism that mobilizes/governs medical institutions

A

health care system

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3
Q

combination of resources, organization, and management that culminate in the delivery of health services to the population

A

health care system (roemer, 1991)

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4
Q

defined as all organizations, institutions, and resources that are devoted to producing health actions

A

health care system (WHO, 2004)

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5
Q

any effort, whether personal or public, whose primary purpose is to improve health

A

health actions

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6
Q

goals of a health system

A

improving the health of the population
improving the responsiveness of the health system to the population it serves
providing fair health financing

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7
Q

this is the overarching goal of the health system

A

improving the health of the population

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8
Q

TRUE OR FALSE: the health system should strive for equality in health by minimizing inequitable disparities

A

FALSE; equity

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9
Q

this refers to the provision of satisfactory health services and engaging people as active partners

A

responsiveness

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10
Q

an ideal health system provides ______ and ______ risk protection in health

A

social and financial

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11
Q

this is one that does not deter individuals from receiving needed care due to payments

A

financed health system

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12
Q

functions of a health system

A

health service provision
health service inputs
stewardship
health financing

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13
Q

types of health financing

A

revenue collection
risk pooling
strategic purchasing

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14
Q

types of risk pooling models

A

bismarck model
beveridge model

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15
Q

any service aimed at improving the health of the population

A

health service

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16
Q

the most visible product of the health care system

A

public and private health service provision

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17
Q

this refers to preventive measures as well as promotion of a healthy way of living to avoid illnesses

A

health service

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18
Q

health service inputs is aka…

A

managing resources

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19
Q

the assembling of essential resources for delivering health services

A

health service inputs

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20
Q

generating the essential physical resources for the delivery of health services which include medications, human resources, and medical equipment

A

health service inputs

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21
Q

this sets the direction, context, and policy framework for the health system

A

stewardship

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22
Q

core stewardship functions include

A

identifying health priorities for allocation of public resources
identifying an institutional framework
coordinating activities with other systems related to external healthcare
analyzing health priorities and resource generation trends and their implications
generating appropriate data for effective decision-making and policymaking in health matters

23
Q

this includes raising and pooling resources to pay for health services

A

health financing

24
Q

entails monetary collection to pay for health services including general taxation, direct out-of-pocket expenditures, personal savings, etc.

A

revenue collection

25
Q

a form of risk management which aims to spread financial risks from an individual to all pool members

A

risk pooling

26
Q

this is considered as a core function of health insurance companies

A

risk pooling

27
Q

this uses an insurance system where the sickness fund finances both the employers and the employees through payroll deduction

A

bismarck model

28
Q

insurers in bismark model are called…

A

sickness funds

29
Q

bismarck model is named after who

A

Prussian Chancellor Otto von Bismarck

30
Q

this model is where healthcare is provided and funded by the government thru tax payments

A

beveridge model

31
Q

beveridge model is named after…

A

William Beveridge

32
Q

risk pooling organizations uses collected funds and pooled financial resources to finance healthcare services for the members

A

strategic purchasing

33
Q

this raises sufficient and sustainable revenues in an efficient and equitable manner to provide individuals with both a basic package of essential services and financial protection

A

revenue collection

34
Q

this manages revenues to equitably and efficiently pool health risks

A

risk pooling

35
Q

this assures the purchase of health services in an allocatively and technically efficient manner

A

strategic purchasing

36
Q

Health System building blocks of the health system framework

A

service delivery
health workforce
information
medical products. vaccines, and technologies
financing
leadership/governance

37
Q

overall goals/outcomes of the WHO health system framework

A

improved health (level and equity)
responsiveness
social and financial risk protection
improved efficiency

38
Q

those which deliver effective, safe, quality personal and non-personal health interventions to those who need them when needed, with minimum waste of resources

A

service delivery

39
Q

one which works in ways that are responsive, clear, and efficient to achieve the best health outcomes possible

A

health workforce

40
Q

one that ensures the production, analysis, dissemination, and use of reliable and timely information on health determinants, health systems performance, and health status

A

information

41
Q

ensure equitable access to essential medical products, vaccines, and technology of assured quality, safety, efficacy and cost-effectiveness, and their scientifically sound and cost-effective use

A

medical products, vaccines, and technologies

42
Q

raises adequate funds for health, in ways that ensure people can use needed services and are protected from financial catastrophe or impoverishment associated with having to pay for them

A

financing

43
Q

ensures strategic policy frameworks exist and are combined with effective stewardship

A

leadership and governance

44
Q

this law developed a largely centralized gov-funded and operated health care system

A

Primary Health Care for All (1970)

45
Q

promoted participatory management of the local health care system

A

Adoption of the Primary Health Care (1979)

46
Q

integrated public health and hospital services

A

Reorganization of DOH (1982)

47
Q

prevention and nutrition to promote breastfeeding

A

Milk Code of 1986

48
Q

prescriptions are written using the generic name of the drug in an attempt to lower expenditure

A

The Generics Act 1988

49
Q

transfer of responsibility of health service provisions to the LGUs

A

The Local Government Code 1991 (RA 7160)

50
Q

aims to provide all citizens a mechanism for financial protection with priority given to the poor

A

National Health Insurance Act (1995)

51
Q

what year was PhilHealth established

A

1995

52
Q

major organizational restructuring of the DOH to improve health care delivery, regulation, and financing

A

Health Sector Reform Agenda (1996)

53
Q
A