CHN 10-16 Flashcards
- Interrelated system in which a country organizes
available resources for the maintenance and
improvement of the health of its citizens and
communities. - A health system comprises all organizations,
institutions and resources devoted to producing
actions whose primary intent is to improve health.
Health System
- An organized plan of health services (MillerKeane, 1987).
Health Care System
- Rendering health care services to the people
(Williams-Tungpalan, 1981).
Health Care Delivery
The network of health facilities and personnel
which carries out the task of rendering health care
to the people (Williams- Tungpalan, 1981).
Health Care Delivery System
- It is a complex set of organizations interacting to
provide an array of health services (Dizon, 1977).
Philippine Health Care System
4 Essential Functions of Health System
- Service Provision
- Resource Generation
- Financing
- Stewardship
Health Care System Models
- Private Enterprise Health Care Model
- Social Security Health Model
- Publicly Funded Health Model
- Social Health Insurance
- Purely private enterprise health care systems
are comparatively rare - Where they exist, it is usually for a
comparatively well-off subpopulation in a
poorer country with a poorer standard of
health care. - E.g. private clinics for a small, wealthy
expatriate population in an otherwise poor
country
- Private Enterprise Health Care Model
- Where workers and their families are insured
by the state - Refers to social welfare service concerned
with social protection, or protection against
socially recognized conditions, including
poverty, old age, disability, unemployment
and others
- Social Security Health Model
- Where the residents of the country are
insured by the state - Health care that is financed entirely or in
majority part by citizens tax payments instead
of through private payments made to
insurance companies or directly to health care
providers
- Publicly Funded Health Model
- Where the whole population or most of the
population is a member of a sickness
insurance company - SHI is a method for financing health care
costs through a social insurance program
based on the collection of funds contributed
by individuals, employers and sometimes
government subsidies. - Characterized by the presence of sickness
funds which usually receive a proportional
contribution of their members’ wages. - With this insurance contributions, these funds
pay medical costs of their members
- Social Health Insurance
UNITED NATIONS MDGs
target:
values:
Target: Reduce Global Poverty And Hunger
based on the fundamental values of:
* Freedom
* Equality
* Solidarity
* Tolerance
* Health
* Respect for nature
* Shared responsibility
UN Millennium Development Goals
DEPARTMENT OF HEALTH
Primary Function
Promotion, protection, preservation, or
restoration of the health of the people through
the provision and delivery of health services
and through the regulation and
encouragement of providers of health goods
and services(E.O. No.119, Sec 3)
DEPARTMENT OF HEALTH
VISION:
FILIPINOS ARE AMONG THE
HEALTHIEST PEOPLE IN SOUTHEAST ASIA
BY 2022, AND ASIA BY 2040.
DEPARTMENT OF HEALTH
MISSION:
MISSION:
(Guarantee Equitable, Sustainable And Quality
Health For All Filipinos, Especially The Poor, And
To Lead The Quest For Excellence In Health.
CORE VALUES
doh
Integrity
Excellence
Compassion and respect for human dignity
Commitment
Professionalism
Teamwork
Stewardship of the health for the people
ROLES AND FUNCTIONS (EO 102)
- Leadership in health
- Enabler and capacity builder
- Administrator of specific services
DOH Offices
THE DOH is composed of:
- 17 central offices
- 16 Centers For Health Development
- 70 hospitals
- 4 attached agency
Attached Agencies
. The Philippine Health Insurance
Corporation
- The Dangerous Drugs Board
- Philippine Institute of Traditional and
Alternative Health Care - Philippine National AIDS Council
Reasons:
. Inappropriate Health Delivery System
- Inadequate Regulatory Mechanisms For
Health Services - Poor health care financing
FOURmula One for Health
Framework for HRSA
Directed to ensuring
* ACCESSIBLE
* AFFORDABLE
* QUALITY health care especially for the more
disadvantage and vulnerable sectors of the
population
GOALS of HSRA
- Better health outcomes
- More responsive health systems
- Equitable health care financing
ELEMENTS of HSRA
- Health Financing
- Health Regulation
- Health Service Delivery
- Good Governance
⇒ GOAL: To foster GREATER, BETTER AND
SUSTAINED health investments in health
⇒ Key feature: Philippine Health Insurance
Corporation through the NATIONAL HEALTH
INSURANCE PROGRAM
- Expand enrolment
- Improve benefits
- Leverage payments for quality of care
- Health Financing
⇒ GOAL: To ensure the QUALITY AND
AFFORDABILITY of health goods and
services
⇒ Components for Implementation: Quality
seals for products and services (enhancing
Pharma or GMA 50)- expanded
Health regulation
⇒ GOAL: To improve and ensure the
accessibility and availability of basic and
essential health care in both public and
private facilities and services
⇒ Components for Implementation: Quality
seals for health provider
. Health service delivery
⇒ GOAL: To enhance health system
performance at the national and local levels
⇒ Components for Implementation:
* Implement HSRA & FOURmula One
as a single package
* Develop LGU score card
* Local & Management Support (ILHZ,
LHB, Councils)
- Good governance
Nation Objectives for Health (NOH) 2005 to
2010
- Sets target and the critical indicators, current
strategies based on field experiences and laying
down new avenues for improved interventions.
President Manuel Roxas signed
Executive Order (E.O.) No. 94 into law, calling
for the creation of the Department of Health.
In 1944
Executive Order 288
provided for the reorganization of the Department
of Health.
On February 20, 1958,
On February 20, 1958, Executive Order 288
provided for the reorganization of the Department
of Health.
With a shift to a parliamentary form of
government, the Department of Health was
transformed into the Ministry of Health on
June
2, 1978 .
the Department of Health was
created from the previous Ministry of Health .
the re-organization under Executive Order No.
119, placed under the Secretary of Health five
offices headed by an undersecretary and an
assistant secretary.
On April 13, 1987,
the full implementation of Republic Act
No. 7160 or Local Government Code. The DOH
changed its role from one of implementation to
one of governance.
In 1992,
the functions and operations of the DOH
was directed to become consistent with the
provisions of Administrative Code 1987 and RA
7160 through Executive Order 102
In 1999
Universal Health Care
* Also referred to as
Kalusugan Pangkalahatan
(KP)
