Health Care System Flashcards

1
Q

Is a complex network of organizations, institutions, resources, and people whose primary purpose is to improve health

A

health System

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2
Q

he defined health system as “The combination of resources, organization, financing and management that culminates in the delivery of health services to the population.”

A

Milton I. Roemer 1883

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3
Q

Defined health system as “All the organizations, institutions, resources and people whose primary purpose is to improve health”

A

WHO, 2000

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4
Q

Roemer Model of Health Services System

A

Organization of Programs (PriMoVo)
Management (HALeR)
Economic Support (PeChaI ni SoGo Fo)
Resource Production ( MaFaCK)
Delivery of Services (Primary, Secondary, Tertiary)

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5
Q

WHO 3 Main Goals of Health System

A
  1. Improve the health of the population
  2. Improve health care system’s responsiveness
  3. Provide Fair Health Financing
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6
Q

FOUR VITAL HEALTH SYSTEM FUNCTIONS (DOH)

A

Health Service Provision
Health Service Input
Stewardship
Health Financing

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7
Q

Any service, not limited to clinical services, aimed at improving the health of populations

A

Health Service

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8
Q

Preventive measures as well as promotion of a healthy way of living to avoid illnesses are also part of the best system.

A

Health Service Provision

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9
Q

Generating the essential physical resources for the delivery of health services ▪ ○ Medications, human resources, and medical equipment

A

Health Service Inputs / Managing Resources

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10
Q

Sets the direction, context, and policy framework

A

Stewardship

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11
Q

Raising and pooling resources to pay for health services

A

Health Financing

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12
Q

Health Financing Components

A

Revenue Collection
Risk Pooling
Strategic Purchasing

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13
Q

2 components of Revenue Collection

A

Public health system- tax payments
Social Security organization - mandatory contributions from workers and employers

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14
Q

objective of Risk Pooling

A

Manage these revenues to
equitably and efficiently pool health risks

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15
Q

Objective of Strategic purchasing

A

Assure the purchase of
health services in an allocatively and technically efficient manner.

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16
Q

Spread financial risks from an individual to all pool members
● Core function of health insurance companies

A

Risk Pooling

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17
Q

2 models of Risk pooling

A

Beveridge Model (Beveridge Report 1942)
Bismarck Model (Bismarck’s Law on health insurace of 1883)

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18
Q

Risk pooling organizations use collected funds and pooled financial resources to finance health care services for the members.

A

Strategic Purchasing

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19
Q

SYSTEM BUILDING BLOCKS

A

Service Delivery
Leadership and Governance
Information
Financing
Health Products, Vaccines
Healthcare Workforce

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20
Q

Mandated to provide the appropriate direction for the nation’s health care industry

A

Department of Health

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21
Q

What is The Philippine Health Agenda 2016-2022

A

“All for health towards health for all” rally point by 2020

22
Q

What is The Philippine Development Plan 2017-2022

A

Includes 4 key medium- term plans to translate the vision of aspirations for the Filipinos and the country

23
Q

What is Sustainable Development Goals 2030

A

Compilation of 17 developmental goals

24
Q

What is NEDA AmBisyon Natin 2040

A

This is a collective long- term plan which envisions e better life in the next 25 years

25
Q

Enumerate the Historical background

A

1970- Primary health Care for All
1979- Adoption of :Primary Health care l (LOI 949)
1982- Reorganization of DOH (EO 851)
1986- The Milk Code
1988- The Generics Act (RA 6675)
1991- The Local Government Code (RA 7150)
1995- National Health Insurance Act (RA78750
1999- Health Sector Reform Agenda
2005- FOURmula 1
2008- Access to Cheaper and Quality Medicines Act (RA9502)
2010 - Kalusugang Pangkalahatan (AO 2010- 0036)
2013- Sin Taxes for Health
2019- Universal Health Care Law

26
Q

Developed a largely centralized government- funded and operated health care system

A

Primary health Care for All 1970

27
Q

Promoted participatory management of the local health care system

A

Adoption of Primary Health care 1979 (LOI949)

28
Q

Integrated public health and hospital services

A

Reorganization of DOH 1982 (EO851)

29
Q

Prevention and nutrition to promote breastfeeding

A

Milk Code 1986

30
Q

Prescriptions are written using the generic name of the drug

A

Generics Act (RA 6675) 1988

31
Q

Transfer of responsibility of health services provisions to local government units

A

Local Government Code (RA 7160) 1991

32
Q

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

A

National Health Insurance Act (RA 7875) 1995

33
Q

Major organizational restructing of the DOH to improve the way health care is delivered

A

Health Sector Reform Agenda 1999

34
Q

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

A

FOURmula One (F1) for Health 2005

35
Q

Promotes and ensures access to affordable quality drugs and medicines for all

A

Access to Cheaper and Quality Medicines act (RA9502) 2008

36
Q

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

A

Kalusugang Pangkalahatan (AO2010- 0036) 2010

37
Q

Generating extra revenue for DOH by discouraging harmful consumption of alcohol and tobacco

A

Sin Taxes for Health

38
Q

Enrolling all Filipino citizens automatically in the National Health insurance program administered by PhilHealth

A

Universal Health Care Law

39
Q

Stats in the PH

A

78 provinces
138 cities
1496 municipalities
42025 barangays

40
Q

LGUs are grouped into

A

17 regions

41
Q

Take care of their own health services and are given autonomy under the LGC of 1991 (RA 7160)

A

LGU’s

42
Q

formal statements produced and supported by senior management

A

Policies

43
Q

mandatory actions or rules that give formal policies,
support, and direction

A

Standards

44
Q

recommendations to users when specific standards do not apply

A

Guidelines

45
Q

Health outcomes

A

Improved Efficiency
● Social & Financial Risk Protection
● Improved Equality of Health
● Responsiveness

46
Q

Uses an insurance system where he sickness funcd finances both the
employers and the employees

A

Bismarck Model (1883) by Otto von Bismarck

47
Q

Health care is provided and funded by the government through tax payments

A

Beveridge Model(1942) by William Beveridge

48
Q

Collection of money to pay for health care services

A

Revenue Collection

49
Q

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

A

Risk Pooling

50
Q

Risk-pooling organizations use collected funds and pooled financial resources to finance health care services for the members

A

Strategic Purchasing

51
Q

Involve the oversight, policy making, and strategic direction necessary to guide the health system and ensure its accountability and responsiveness
● Main responsibility of the government

A

Stewardship