HEALTH CARE SYSTEM Flashcards

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1
Q

The combination of resources, organization, financing and
management that culminate in the delivery of health services
to the population (Roemer, 1991)

A

Health Care System

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2
Q

According to this organization, health system was defined as “all the organizations, institutions and resources that are devoted to producing health actions

A

World Health Organization Report in 2000

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3
Q

3 main goals for health systems

A
  1. Improving the health of populations
  2. Improving the responsiveness of the health system to the population it serves
  3. Fairness in financial contribution
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4
Q

Four (4) Vital Health System Functions

A
  1. Health Service Provision
  2. Health Service Inputs
  3. Stewardship
  4. Health Financing
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5
Q

Promoted participatory management of the local health care system.

A

1979: Adoption of Primary Health Care

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6
Q

Integrated public health and hospital services

A

1982: Reorganization of DOH

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7
Q

Prescriptions are written using the generic name of the drug.

A

1988: The Generics Act

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8
Q

Transfer of responsibility of health service provisions to the local government units.

A

1991: RA 7160 “Local Government Code”

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9
Q

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

A

1995: National Health Act

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10
Q

Major organizational restructuring of the DOH to improve the way health care is delivered, regulated and financed

A

1996: Health Sector Reform Agenda

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11
Q

Adoption of operational framework to undertake reforms with speed, precision, and effective coordination

A

2005: FOURmula One (F1) for Health

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12
Q

Promote and ensure access to affordable quality drugs andmedicines for all

A

2008: RA 9502 “Access to Cheaper and Quality Medicines Act”

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13
Q

Universal health coverage and access to quality health care for all Filipinos

A

Universal health coverage and access to quality health care for all Filipinos

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14
Q

Directions of the Philippine Health Sector

A

-The Philippine Health Agenda (DOH Administrative Order 2016-0038)
-The Philippine Developmental Plan 2017-2022
-NEDA AmBisyon Natin 2040
-Sustainable Developmental Goals 2030

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15
Q

17 Goals

A
  1. No Poverty
  2. No Hunger
  3. Good Health
  4. Quality Education
  5. Gender Equality
  6. Clean water and sanitation
  7. Renewable Energy
  8. Good Jobs and Economic Growth
  9. Innovation and Infrastructure
  10. Reduced Inequalities
  11. Sustainable Cities and Communities
  12. Responsible Consumption
  13. Climate Action
  14. Life Below Water
  15. Life on Land
  16. Peace and Justice
  17. Partnership For The Goals
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16
Q

17 Goals of Philippine Health System

A

1: End poverty in all its forms everywhere

#2: End hunger, achieve food security and improved nutrition and promote sustainable agriculture
#3: Ensure healthy lives and promote well-being for all at all ages
#4: Ensure inclusive and quality education for all and promote lifelong learning
#5: Achieve gender equality and empower women and girls
#6: Ensure access to water and sanitation for all
#7: Ensure access to affordable, reliable, sustainable and modern energy for all
#8: Promote inclusive and sustainable economic growth, employment and decent work for all
#9: Build resilient infrastructure, promote sustainable industrialization and foster innovation
#10: Reduce inequality within and among countries
#11: Make cities inclusive, safe, resilient and sustainable
#12: Ensure sustainable consumption and production patterns
#13: Take urgent action to combat climate change and its impacts
#14: Conserve and sustainably use the oceans, seas and marine
resources
#15: Sustainably manage forests, combat desertification, halt and
reverse land degradation, halt biodiversity loss
#16: Promote just, peaceful and inclusive societies
#17: Revitalize the global partnership for sustainable development

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17
Q

Each goal is important in itself

A

And they are all connected

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18
Q

Health System branch under provincial government

A
  • Provincial Health Office
  • Inter-local Health Zones
  • Provincial Hospitals
  • District Hospitals
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19
Q

Health System branch under city government

A

City Health Office (Chartered Cities)
- City Hospitals
- Health Centers
- Barangay Health Stations

City Health Office (Components City)
- City Hospitals
- Health Centers
- Barangay Health Stations

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20
Q

Pertains to the arrangement of parts and their interconnections

A

System

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21
Q

Health Care System includes: (8)

A

Community
Department of Health
Health Providers
Health Service Organization
Different pharmaceutical companies
Health financing bodies
Organization related to health
Governance

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22
Q

The department that are responsible for the policies for health, provision of health service, health promotion, education, and financing.

A

DOH (Department of Health )

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23
Q

Improvement of health ; It could be personal or public

A

Health Action

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24
Q

Health System should strive for equity in health ; People should be protected from existing and emerging health risk and ready to be resilient

A

Improving the Health of Population

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25
Q

Sources of inequitable disparity in health may include

A
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26
Q

Disparities are most effectively reduced when they are

A

recognized and their minimization is an explicit national goal

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27
Q

How to properly get rid of those disparities

A

Organize our healthcare system

28
Q

GIDA

A

Geographically Isolated and Disadvantaged Areas

29
Q

represents the concept that the health system provides services in the manner that people want or desire and engages people as active partners.

A

Responsiveness

30
Q
A

Respectfulness
Dignity
Confidentiality
Autonomy,
and timeliness in the delivery of health services

31
Q

Non- discriminative and human
Responsiveness represents the concept that the health system provides services in the manner that people want or desire and engages people as active partners.
Values: respectfulness, dignity, confidentiality, autonomy, and timeliness in the delivery of health services
Maximizes people’s autonomy and control

A

Improving the Responsiveness of the Health System to the Population it serves

32
Q

can provide financial and social assistance to give the people a essential health services that they need

A

Ideal Healthcare System

33
Q

Paying for health care should not impoverish individuals or families
All systems must be financed, and there must be adequate funding in the system to provide essential services
WHO definition - fairly financed health system is one that does not deter individuals from receiving needed care due to payments required at the same time of service;
One in which each individual pays approximately the same percentage of their income for needed services

A

Fairness in Financial Contribution

34
Q

Most visible product of the health care

A

Public and Private Hospitals

35
Q

Most visible product of the health care (public and private hospitals)
Promote health and try to avert illness through education and preventive measure
“ Delivering health services is thus an essential part of what the system does- but it is not what the system is’ (WHO 2000)

A

Health Service Provision

36
Q

“ Delivering health services is thus an essential part of what the system does- but it is not what the system is’

A

WHO, 2000

37
Q

Management of resources
Assembling of essential resources for delivering health services
Human resources, medication, and medical equipment

A

Health Service Inputs

38
Q

Overall system oversight sets the context and policy framework for the overall health system
Public health surveillance and health system performance - Data - Health status
Government responsibility

A

Stewardship

39
Q

Stewardship Core Function:

A
  1. Identifying health priorities for allocation of public resources
  2. Identifying an institutional framework
  3. Coordinating activities with other system related to external health care
  4. Analyzing health priorities and resource generation trends and their implications
  5. Generating appropriate data effective decision-making and policy-making on health matters
40
Q

refers to how financial resources are used to ensure that the health system can adequately cover the collective health needs of every person

A

Health Financing

41
Q

Different mechanism of health financing

A

Revenue Collection
Risk Pooling
Strategic Purchasing

42
Q

Collection of money to pay for health care services
General taxation, donor financing, mandatory payroll contributions, mandatory or voluntary risk-rated contributions, direct household out-of-pocket expenditures, and other forms of personal savings

A

Revenue Collection

43
Q

Collection and management of financial resources in a way that spreads financial risks from an individual to all pool members

A

Risk Pooling

44
Q

Way most risk-pooling organizations or purchasers use collected and pooled financial resources to finance or buy health care services for their members

A

Strategic purchasing

45
Q

Two main model of Risk Pooling

A

Bismarck Model
Beveridge model

46
Q

It uses an insurance system usually financed jointly by employers and employees through payroll deduction; Insurance system- sickness fund- Private sector

A

Bismarck Model ( Bismarck’s Law on Health Insurance of 1883 )

47
Q

Bismarck Model, who made this model

A

Otto von Bismarck

48
Q

A type health insurance plans have to cover everybody, and they don’t make a profit

A

Bismarck-type health insurance

49
Q

The Bismarck model is found in what places

A

Germany
France
Belgium
Netherlands
Japan
Switzerland
and, to a degree, in Latin America

50
Q

social reformer who designed Britain’s National Health Service

A

William Beveridge

51
Q

Health care is provided and financed by the government through tax payments, just like the police force or the public library
Hospitals and Clinics are owned by the government; some doctors are government employees, but there are also private doctors who collect their fees from the government

A

Beveridge model

52
Q

Beveridge model

A

Great Britain
Spain,
most of Scandinavia and New Zealand,
Hongkong and Cuba

53
Q

mandated to provide national policy direction and develop national plans, technical standards, and guidelines of health.

A

Department of Health (DOH)

54
Q

Department of Health is mandated to provide national policy direction and develop national plans, technical standards, and guidelines of health.
Provides technical assistance, capacity building and advisory service for disease prevention and control and supplies medicines and vaccines
Devolution/ Decentralized - LGUs were granted autonomy and responsibility for their own health services
National Health programs are coordinated by the DOH through the LGUs

A

Leadership and Governance

55
Q

LGUs were granted autonomy and responsibility for their own health services

A

Devolution/ Decentralized

56
Q

programs are coordinated by the DOH through the LGUs

A

National Health Programs

57
Q

national health system consisted of a three-tiered system under the direct control of the DOH: tertiary hospitals at the national and regional levels; provincial and district hospitals and city and municipal health centers; and barangay (village) health centers

A

Centralized

58
Q

The DOH, LGUs and the private sector participate, cooperate and collaborate in the care of the population

A

Decentralized

59
Q

DOH functions

A
  1. Developing health policies and programs;
  2. Enhancing partners’ capacity through technical assistance;
  3. Leveraging performance for priority health programs among these partners;
  4. Developing and enforcing regulatory policies and standards;
  5. Providing specific programs that affect large segments of the population;
  6. Providing specialized and tertiary level care
60
Q

“ All for Health Towards Health For All”

A

The Philippine Health Agenda (DOH Administrative Order 2016-0038)

61
Q

“ matatag, maginhawa, at panatag na buhay”

A

The Philippine Development Plan 2017-2022

62
Q

Building a prosperous, predominantly middle-class society where no one is poor
Promoting a long and health life
Becoming smarter and more innovative
Building a high-trust society

A

NEDA AmBisyon Natin 2040

63
Q

all Filipinos are guaranteed equitable access to quality and affordable health care goods and services, and protected against financial risk. President Duterte

A

R.A. 11223 or the Universal Health Care Law

64
Q

What is the risk pooling of the Philippines

A

It has multiple risk pooling model

65
Q

LGUs have to give

A
  1. basic health service
  2. health promo
  3. preventive units
66
Q

Example of free nationalize center

A

PGH Philippine General Hospital

67
Q

3 health system guarantes

A
  • individual level interest for all stages
  • access to health information
  • financial through UHL