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Health System Flashcards

1
Q

Goals of Health System

A

Improving the health of people
Improving the responsiveness of health system
Fairness in financial contribution

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2
Q

2 components of improving the responsiveness of health system

A

Respect for people
Client Orientation

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3
Q

4 key functions of the health system

A

Stewardship
Financing
Human and Physical Resources
Organization and Management of Service Delivery

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4
Q

Relevance of the size of the total government health budget

A

Sets overall limit on what a government can spend

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5
Q

Relevance of financing mechanisms for funding the healthcare system

A

Determine what flexibility the government has for financing health care…

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6
Q

Relevance of the government health budget

A

Reflects how the government uses its tax resources.

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7
Q

Relevance of regulation of civil society programs

A

Facility or constrain the functioning of private voluntary organizations, NGOs, and community organizations.

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8
Q

Relevance of political support to raise awareness for specific health messages and behaviors

A

Can be powerful for stigmatized or polemic health initiatives and promoting high impact health interventions

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9
Q

Relation of adoption of specific health standards

A

Improve the quality of care, expand or constrain the number of providers, and facilitate the implementation of approaches

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10
Q

Relation of regulation of pharmaceuticals

A

Improve the medicine quality assurance and rational use of medicines.

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11
Q

Relevance of business regulations and taxation

A

Influences the degree to which private sectors participate in health care

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12
Q

Proponent of Bismark model

A

Otto Von Bismarck (1883)

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13
Q

Principles of Bismarck Model

A

Government is responsible for universal access to healthcare

Health policy is implemented by the smallest political and administrative units in society

Elected government officials negotiate the terms of medical care and reflect the interest of different medical professions

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14
Q

How does the insurance system work in the Bismarck Model?

A

Finance jointly by employers and employees through payroll taxes called “sickness funds”

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15
Q

Advantages of the Bismarck Model

A

Insured healthcare bills
Low administrative costs
Little waiting time to receive primary care services

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16
Q

Disadvantages of the Bismarck Model

A

Less healthcare services for citizens in rural areas
High employment taxes
Longer waiting time for secondary and tertiary services.

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17
Q

Proponent of the Beveridge Model

A

William Beveridge

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18
Q

Most organized health system in the world

A

Beveridge model

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19
Q

How does the Beveridge model work?

A

Citizens do not directly pay for their medical or other health-related bills.

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20
Q

What are the countries that use the Beveridge Model?

A

GB
Spain
Italy
Scandinavia
Finland
NZ
Hong Kong
Cuba

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21
Q

Advantages of the Beveridge Model

A

Accessible due to universal coverage
The government is responsible for healthcare
Free healthcare for citizens

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22
Q

Disadvantages of the Beveridge Model

A

Higher taxes for citizens
Compensation of healthcare quality
Long waiting lists

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23
Q

What are the countries that have the most well-developed public healthcare systems?

A

Denmark
Sweden
Canada
UK
Germany

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24
Q

System building blocks of WHO health system framework

A

Service Delivery
Health Workforce
Information
Medical Products, Vaccines, and Tech
Financing
Governance

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25
Overall goals of the WHO health system framework
Improved Health Responsiveness Social & Financial Risk Protection Improved Efficiency
26
Desirable attributes of the WHO health system framework
Multiple, Dynamic relationships Health system strengthening Access and Coverage Progress
27
Components of progress in the WHO health system framework
Good health services Well-performing health workforce Health information system Medical products Health financing Leadership
28
Public Health Care Delivery System
DOH - National LGU - Local
29
Private Health Care Delivery System
Profit Non-Profit
30
PhilHealth stands for
Philippine Health Insurance Corporation
31
When was PhilHealth created?
1995
32
When was the PhilHealth sponsored program established?
1998
33
A whole-of-society approach to health and wellbeing centred on the needs and preferences of individuals, families and communities.
Primary Health Care
34
“Everyone has the right to a standard of living adequate for the health and wellbeing of himself and of his family, including food, clothing, housing and medical care and necessary social services […]”
Article 25 of Universal Declaration on Human Rights
35
Elements of PHC
Education Water & Sanitation Nutrition Maternal & Child Health Immunization Prevention of endemic disease Treatment Drug availability
36
Healthcare services must be equally shared by all the people of the community irrespective of their race, creed or economic status.
Availability
37
Includes meaningful involvement of the community in planning, implementing and maintaining their health services.
Community Proportion
38
Involves all the important issues of health education, nutrition, sanitation, maternal and child health, and prevention and control of endemic diseases.
Health Promotion
39
Technology that is scientifically sound, adaptable to local needs, and acceptable to those who apply it and for whom it is used.
Appropriate technology
40
Improve the health of local people the PHC programme needs not only the health sector, but also the involvement of other sectors, like agriculture, education andhousing
Inter-sectoral collaboration
41
Principles of PHC
Accessibility Community Participation Health Promotion Appropriate Technology Inter-sectoral collaboration
42
To accomplish its mandate and roles the Department has the following power and functions based on:
Executive Order 102
43
Responsible for field operations of the Department in its administrative region and for providing catchment area with efficient and effective medical services
Center for Health Development
44
Roles of the Center for Health Development
Implement laws, regulations, policies, and programs Coordination with regional offices Act as main catalyst and organizer in the Inter Local Health Zone
45
Attached Agencies to the DOH
PhilHealth Dangerous Drugs Boards Philippine Institute of Traditional and Alterna Philippine National AIDS Council
46
Unit of the health system created for local health service management and delivery in the Philippines
Inter Local Health Zone (ILCHZ)
47
Purpose of ILHZ
re-integrate hospital and public health services for a holistic delivery of health services
48
Are the smaller, non departmentalized hospitals including emergency and regional hospitals.
Secondary Level of Healthcare facilities
49
Are the highly technological and sophisticated services offered by medical centers and large hospitals. These are the specialized national hospitals.
Tertiary Level of Healthcare Facilities
50
To whom are the services rendered for tertiary level of health care facilities
clients afflicted with diseases which seriously threaten their health and which require highly technical and specialized knowledge, facilities and personnel to treat effectively
51
first contacts of the community and initial links of health care.
Grassroot or Village Health Workers
52
Provide simple curative and preventive health care measures promoting healthy environment
Grassroot or Village Healthworkers
53
represent the first source of professional health care
Intermediate Level Health workers
54
provide support to front-line health workers in terms of supervision, training, supplies, and services
Intermediate Level Health workers
55
provide back up health services for cases that require hospitalization
First-line hospital personnel
56
Sectors most closely related to health include those concerned with:
Agricultural Education Public works Local governments Social Welfare Population Control Private Sectors
57
Rural Health Units
Primary Care
58
Regional Health Services District Health Services
Secondary Health Care
59
National Health Services
Tertiary Health Care
60

Health Informatics (5 decks)

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