3: Primary Healthcare Flashcards
According to _______, Health is a state of complete physical, mental, and social wellbeing, and not merely the absence of disease or infirmity.”
Alma-Ata Decleration 1978
In the people’s health status which is NOT socially, economically, and politically acceptable.
Gross Inequality
“an organized plan of health service”
Health care system
rendering of health care services to the people
Health care delivery
network of health facilities and personnel which carries out the task of rendering health care to the people
Health care delivery system
According to this
_____ Essential health care based on practical, scientifically sound, and socially acceptable methods and technology made universally acceptable.”
Alma-Ata declaration 1978
Deals with social policy which targets health equity
Primary Health Care (PHC)
In Primary Health Care (PHC) what is the ultimate goal?
better health for all
What are the 5 key elements to achieve “Better Health for all” by WHO
- Universal coverage
- Service delivery
- Public Policy
- Leadership
- Stakeholder Participation
Essential ELEMENTS of Primary Health care
E
(first E)
Education concerning prevailing health problems and the methods of identifying, preventing, and controlling them
Essential ELEMENTS of Primary Health care
L
Locally endemic disease prevention and control
Essential ELEMENTS of Primary Health care
E (second E)
Expanded program of immunization against major infectious diseases
Essential ELEMENTS of Primary Health care
M
Maternal and child heath care including family planning
Essential ELEMENTS of Primary Health care
E (Third E)
Essential drugs arrangement (generic name, dosage, frequency use)
Essential ELEMENTS of Primary Health care
N
Nutritional food supplement, an adequate supply of safe, and basic nutrition
Essential ELEMENTS of Primary Health care
T
Treatment of communicable and non-communicable disease and promotion of mental health
Essential ELEMENTS of Primary Health care
S
Safe water and sanitation
Principles of Primary Health Care
- Improve the healthcare of the community
- Promote favorable population growth
- Reduce the morbidity and mortality rates especially among infants and children
- Reduce prevalence of preventable, communicable, and other diseases
- Improve basic sanitation
- Extend essential health services especially to the underserved sectors
- Develop the capability of the community to become self-reliant
- Encourage the contribution of other sectors to the social and economic development of the community
- Provide equitable distribution of health care
- Ensure community participation and monitor adequacy and distribution of health workers
- Recognize that the formal health sector needs other sectors in the promotion of health (multi-sectoral approach)
- Use appropriate technology which are accessible, feasible, affordable, and culturally acceptable to the community
List down the Function of Health care Managers (5)
- planning
- Organizing
- Staffing
- Controlling
- Directing
setting priorities and determining performance targets
Planning
designing the organization or the specific division, unit, or service for which the manager is responsible
Organizing
acquiring and retaining human resources, and developing and maintaining the workforce through various strategies and tactics
Staffing
monitoring staff activities and performance and taking the appropriate actions for corrective actions to increase performance
Controlling
initiating action in the organization through the effective leadership, motivation, and communication of managers
Directing
Management Principles in Relation to Organizing Function
- Authority, Responsibility, and accountability
- Centralization, decentralization, and formalization
- Staffing
formal and legitimate right of a manager to issue orders, make decisions, and allocate resources to achieve desired outcomes of the organization
Authority
Duty of employee to perform the assigned taks
Responsibility
reporting and justification of task outcomes to higher management by those in authority
Accountability
Types of Authority (3)
Line Authority
Functional Authority
Staff Authority
managers issue orders to their subordinates and are also responsible for results
Line Authority
have the power only over specific set of activities
Functional Authority
given to specialists in their areas of expertise
- simply advises, recommends, and counsels
Staff Authority
refers to the concentration of planning and decision-making to the top of the organization
Centralization
delegation of planning and decision making to the lower branches of the organization
Decentralization
a written document provided for the direct control of the employees
Formalization
Functions of Staffing
- assign individuals to respective positions identified in the management plan
- assess required competencies
- recruit qualified personnel
- Improve existing services and programs
The Philippine Health Care System, According to the _______, “A complex set of organizations interacting to provide an array of health services”
Dizon, 1997
Ratio of Doctors to people in 2016
1:33,000
it is an act that did not decrease the prices of most medicines and did not dismantle drug monopoly that controls prices and distribution.
Cheaper Medicines Act of 2008
prevents access to healthcare for poor people and for health workers to go abroad
Hospital reclassification
It is the Primary Function of DOH which is to promote, protect, and preserve preserve or restore people’s health by giving health services and by monitoring and motivating health service providers
EO No. 119, Sec. 3
Vision or Mission of DOH
A Global leader for attaining better health outcomes, competitive and responsible health care system, and equitable health financing
Vision 2030
Vision or Mission of DOH
To guarantee equitable, sustainable and quality health for all Filipinos, especially the poor, and to lead the quest for excellence in health
Mission
Levels of Health Care Facilities
Primary
Secondary
Tertiary
Units operated by the DOH which include the rural health units, their respective sub-centers, chest clinics, malaria eradication units, and schistosomiasis control units
Primary Level
It is operated by the League of Puericulture centers
Puericulture Centers
Who operated the tuberculosis clinics and hospitals
Philippine Tuberculosis Society
Primary, Secondary, Tertiary?
Clinics Operated by Philippine Medical Association
Primary Healthcare Facilities
Primary, Secondary, Tertiary?
Clinics operated by large industrial firms for their employees.
Primary Healthcare Facilities
Primary, Secondary, Tertiary?
Other health facilities operated by voluntary religous and civic groups
Primary Healthcare Facilities
Primary, Secondary, Tertiary?
includes smaller and non-departmentalized hospitals
Secondary Healthcare Facilities
Primary, Secondary, Tertiary?
specialized national hospitals which offer highly technological and sophisticated services
Tertiary
Healthcare Facilities
Primary, Secondary, Tertiary?
patients who are afflicted with life-threatening diseases requiring highly technical and specialized knowledge, facilities, and personnel are treated here
Tertiary
Healthcare Facilities
Level Primary Health Care Workers
- Grassroot or Village Health workers
- Intermediate Level Healthworkers
- First-line Hospital Personnel
initial links of the community to health care
Grassroot or Village Heath Workers