2: Health System Flashcards
The combination of resources, organization, financing, and management that culminate in the delivery of health services to the population.
Health System
According to WHO report in 2000, _____ is all the organizations, institutions, resources, and people whose primary purpose is to improve health
Health System
What are the Goals of a Health System?
- Improving the health of populations
- Improving the responsiveness of the health system
- Providing fair health financing
the overarching goal of a health system
Goal 1: Improving the health of populations
Difference between existing health risk and emerging health risk?
Existing - cases of certain diseases are already experienced in the community.
Emerging - cases of certain disease are not/emerged again after many years in the community
Strive for equality n health by minimizing inequitable disparities.
TRUE or FALSE
FALSE.
Health System strive for EQUITY not equality
What goal of Health System responsiveness refers to providing satisfactory health services and engaging people as active partners
Goal 2: Improving responsiveness of the health system
True or False
Health systems have an obligation to respond to the legitimate and only health needs and expectations of populations
FALSE
They are also obliged to non-health needs
In Goal #2: Improving responsiveness of health system, it maximizes the people’s _____ and control
autonomy
What is the Goal 3 of the Health System?
Providing fair health financing
A goal of health system which is the ideal health system that provides social and financial risk protection in health
Goal #3: Providing fair health financing
According to WHO each indiv pays the same ____ for needed services regardless of social status
Same % of their income
What are the functions of a Health System
- Health service provision
- Health Service inputs
- Stewardship
- Health financing
In the function of a heath system in Health Financing, what are the includes of financial resources? (3)
- Revenue Collection
- Risk Pooling
- Strategic Purchasing
is any service (not limited to clinical services) aimed at improving the health of populations
Health Service
These are the most visible product of a health system
Public and Private Health Service provision
also known as managing resources
Health service inputs
also known as the overall system oversight
Stewardship
it means generating the essential physical resources for the delivery of health services
Health Service Inputs
Health Service Inputs is a responsibility of ________
Health system policy makers
What are the health services:
Medications
Medical Equipment
Human Resources
In stewardship:
1. Identifying ______
2. Generating ____
- Identifying Health priorities (allocation of resources)
- Generating appropriate Data (research for effective decision making or policy)
This function includes raising and pooling of funds/resources to pay for health services
Health Financing
it is the money earned from payments for health care services.
Revenue Collection
What are the mechanism of Revenue Collection?
*General Taxation
*Donor Financing
*Mandatory Payroll Contri
*Direct household out-of-pocket expenditures
*Personal savings
Top 10 Countries with Best Health System
- United States of America
- Switzerland
- Luxembourg
- Norway
- Andorra
- Germany
- Ireland
- Netherlands
- Sweden
- Austria
In 2015, what is the amount of fund per person in the Philippines?
$323
form of risk management which aims to spread financial risks from an individual to all pool members
Risk Pooling
It is the core function of health insurance companies
Risk Pooling
What are the main models of Risk Pooling?
Bismark Model
Beveridge Model
It is a health care model that is provided and funded by the government through tax payments (shared by government)
Beveridge Model
Beveridge Model is named after?
William Beveridge
He is the social reformer responsible for designing Britain’s Social
Security System and the National Health Service.
William Beveridge
What is the underlying principle of Beveridge Model?
Health care is a basic human right
Hong Kong, Great Britain,
Spain, New Zealand, Cuba, Scandinavia has what type of financial risk pooling model
BEVERIDGE MODEL
An insurance system where the sickness fund finances
both the employers and employees through PAYROLL
(SALARY) DEDUCTION
BISMARK MODEL
BISMARK MODEL is named after the Prussian Chancellor
Otto
von Bismarck
Underlying principle of Bismark Model
health insurance covers
everybody
Germany, France, Belgium, Netherlands,
Switzerland, Japan, and, to a degree, Latin America has what type of financial risk pooling model
BISMARK MODEL
Use collected funds and pooled financial resources
wisely to finance health care services.
STRATEGIC PURCHASING
Strategic Purchasing minimizes ____ and maximizes _____
Minimizes cost and Maximizes quality
It is the important part of boosting efficiency and profitability in
the company/institution
Strategic Purchasing
“save more by getting the best deals”
Based on WHO what are the building blocks of Health System Framework (6)
- SERVICE DELIVERY
- LEADERSHIP AND GOVERNANCE
- FINANCING
- HEALTH PRODUCTS, VACCINES, AND TECHNOLOGIES
- HEALTH WORKFORCE
- INFORMATION
Refers to the timely delivery (punctual; no delay
whatsoever) of quality and cost-effective personal and
non-personal health services.
SERVICE DELIVERY
The task of ensuring effective stewardship of the entire
health system
LEADERSHIP AND GOVERNANCE
Appropriate funding for health care services to
guarantee that people can use health services when
needed without fear of having not enough resources to
pay for them
FINANCING
Made accessible through uninterrupted supply, well
managed pharmaceutical services, and education on
proper use of medication.
HEALTH PRODUCTS, VACCINES, AND
TECHNOLOGIES
Includes the people, the individuals, and the groups
working towards the achievement of the best health
outcomes by being responsive, fair, and efficient
HEALTH WORKFORCE
Analyzes (inspect; scrutinize), disseminates
(disperse; distribute), and uses reliable
(dependable) and relevant (timely) information
according to the health status of the population,
determinants, and systems performance.
INFORMATION
THE PHILIPPINE HEALTH SYSTEM 3 REFORMS
o Health Service Delivery
o Health Regulation
o Health Financing
PROMOTED PARTICIPATORY MANAGEMENT
OF THE LOCAL HEALTH CARE SYSTEM
1979- THE ADOPTION OF PRIMARY HEALTH
CARE STRATEGY (AS LETTER OF INSTRUCTION
BY THE MINISTRY OF HEALTH 949)
It is integrated the components of healthcare
delivery into its field operations and synchronized
health structures and operations with
1982- REORGANIZATION OF THE DEPARTMENT
OF HEALTH (EO 851)
Ushered the writing of prescriptions using the
generic name of the drug.
1988- THE GENERICS ACT (RA 6675)
Transferred the responsibility of providing health
service to the local government units.
1991- LOCAL GOVERNMENT CODE (RA 7160)
Instituted a national health insurance mechanism
for financial protection with priority given to the
poor.
1995- NATIONAL HEALTH INSURANCE ACT (RA 7875)
What is the National Health Insurance of the Phil?
▪ PHILHEALTH
Ordered the major organizational restructuring of
the DOH to improve the way healthcare is
delivered, regulated, and financed.
1999- HEALTH SECTOR REFORM AGENDA
Adopted an operational framework to undertake
reforms with speed, precision, and effective coordination and to improve the Philippine Health
System.
2005- FOURmula ONE (F1) FOR HEALTH
Promoted and ensured access to affordable
quality drugs and medicines for all.
2008- UNIVERSALLY ACCESSIBLE CHEAPER
AND QUALITY MEDICINES ACT (RA 9502)
Provided universal health coverage and access to
quality health care for all Filipinos. Regardless of
sex, gender, ethnicity.
2010- KALUSUGANG PANGKALAHATAN OR
UNIVERSAL HEALTH CARE (AO 2010-0036)
Former name of DOH
Ministry of Health
Mandated to provide the appropriate direction for
the nation’s healthcare industry
DOH
“All for Health Towards Health for all” as the
rallying point for its vision of a Healthy Philippines
by 2022.”
The Philippine Health Agenda 2016- 2022
This is the first key medium-term plan to translate the
vision of a “matatag, maginhawa, at panatag na
buhay” for the Filipinos and the country.
THE PHILIPPINE DEVELOPMENTAL PLAN 2017- 2022
This plan focuses on four areas: building a
prosperous, predominantly middle-class society
where no one is poor; promoting a long and healthy
life; becoming smarter and more innovative; and
building a high-trust society.
NEDA (NATIONAL ECONOMIC DEVELOPMENT
AUTHORITY) AMBISYON NATIN 2017-2040
A compilation of 17 developmental goals that targets
to end poverty, fight inequality and injustice, confront
issues involving climate change and its effects.
SUSTAINABLE DEVELOPMENT GOALS 2030
List all the Sustainable Goals of 2030
- No poverty
- Zero Hunger
- Good health and Well-being
- Quality Education
- Gender Equality
- Clean Water and Sanitation
- Affordable and Clean Energy
- Decent work and Economic Growth
- industry, Innovation and Infrastructure
- Reduced Inequalities
- Sustainable Cities and Communities
- Responsible Consumption and Production
- Climate action
- Life below water
- Life on land
- Peace, justice and strong institutions
- Partnerships for the goals
