2: HEALTH SYSTEM

Question 1

• is “the combination of resources, organization, financing, and management that culminate in the delivery of health services to the population (Roemer, 1991).
• It refers to all the organizations, institutions, resources, and people whose primary purpose is to improve health (WHO, 2000).
• Well-performing health system provides direct health-improving activities.

Answer 1

HEALTH SYSTEM

Question 2

Health Service Provision
Health Service Inputs
Stewardship
Health Financing

Answer 2

Four (4) Vital Health System Functions

Question 3

• Earned from payments for health care services
• Include general taxation, direct household out of-pocket expenditures, mandatory payroll, mandatory or voluntary risk-rated contributions, donor financing

Answer 3

REVENUE COLLECTION

Question 4

is a form of risk management which aims to spread financial risks from an individual to all pool members. It has two main models: the Bismarck model and the Beveridge model.

Answer 4

RISK POOLING

Question 5

• Covers everybody, thus collecting no profit.
• Considered a multi-payer model with tight regulation fiving the government the cost control clout

Answer 5

Bismarck Model

Question 6

• health care is provided and funded by the government through tax payments
• Doctors may be government or private employees who collect their professional fees from the government
• Gov’t in control of health care service → low cost per capita

Answer 6

Beveridge Model

Question 7

• Risk pooling organizations use collected funds and pooled financial resources to finance health care service for the members.
• Core function of health insurance companies

Answer 7

STRATEGIC PURCHASING

Question 8

BUILDING BLOCKS
Timely delivery of quality and cost–effective personal and non- personal health services

Answer 8

Service Delivery

Question 9

BUILDING BLOCKS
• Ensuring effective stewardship of the entire health system
• Monitoring of accountability of health agencies, proper system design, and appropriate regulation of health systems

Answer 9

Leadership and Governance

Question 10

BUILDING BLOCKS
Takes care of the funding for health care services for people to not worry about not being able to pay for the services.

Answer 10

Financing

Question 11

• promoted participatory management of the local health care system.

Answer 11

1979: Adoption of Primary Health Care Strategy (LOI 949)

Question 12

• integrated the components of health care delivery into its fields operations.

Answer 12

1982: Reorganization of DOH (EO 851)

Question 13

• ushered the writing of prescriptions using the generic name of the drug.

Answer 13

1988: The Generics Act (RA 6675)

Question 14

• transferred the responsibility of providing health service to local government units.

Answer 14

1991: Local Government Code (RA 7160)

Question 15

• instituted a national health insurance mechanism for financial protection with priority given to the poor.

Answer 15

1995: National Health Insurance Act (RA 7875)

Question 16

• ordered the major organizational restructuring of the DOH to improve the way health care is delivered, regulated and financed.

Answer 16

1996: Health Sector Reform Agenda

Question 17

• adopted an operational framework to undertake reforms with speed, precision, and effective coordination and to improve the Philippine health system.

Answer 17

2005: FOURmula One (F1) for Health

Question 18

• promoted and ensured access to affordable quality drugs and medicines for all.

Answer 18

2008: Universally Accessible Cheaper and Quality Medicines Act (RA 9502)

Question 19

• provided universal health coverage and access to quality health care for all Filipinos.

Answer 19

2010: Kalusugang Pangkalahatan or Universal Health Care (AO 2010 – 0036)