healthcare delivery system Flashcards
• founded in 1948
• global office is located in Geneva, Switzerland
• building was inaugurated in 1966
• at present, the main headquarters is home to 2400 employees; is currently undergoing modernization, which will be completed in 2024
• works worldwide to promote health, keep the world safe, and serve the vulnerable
world health organization (WHO)
to ensure that a billion more people have universal health coverage, to protect a billion more people from health emergencies, and provide a further billion people with better health and well-being
WHO goal
the aim of this resolution is to achieve the 17 goals by 2030 with a view towards ending all forms of poverty, fighting inequalities, and tackling climate change while ensuring that no one is left behind
general assembly resolution A/RES/70/1 of 25 september 2015
to promote prosperity while protecting the planet
17 sustainable development goals
end poverty in all its forms everywhere
goal 1. end poverty
end hunger, achieve food security and improved nutrition, and promote sustainable agriculture
goal 2. zero hunger
ensure healthy lives and promote well being for all at all ages
goal 3. good health and well-being
ensure inclusive and equitable quality education and promote lifelong learning opportunities for all
goal 4. quality education
achieve gender equality and empower all women and girls
goal 5. gender equality
ensure availability and sustainable management of water and sanitation for all
goal 6. clean water and sanitation
ensure access to affordable reliable sustainable and modern energy for all
goal 7. affordable and clean energy
promote sustained inclusive and sustainable economic growth, full and productive employment and decent work for all
goal 8. decent work and economic growth
build resilient infrastructure, promote inclusive and sustainable industrialization, and foster innovation
goal 9. industry, innovation, and infrastructure
reduce inequality within and among countries
goal 10. reduced inequalities
make cities and human settlements inclusive, safe, resilient, and sustainable
goal 11. sustainable cities and communities
ensure sustainable consumption and production patterns
goal 12. responsible consumption and production
take urgent action to combat climate change and its impacts
goal 13. climate action
conserve and sustainably use the oceans, seas, and marine resources for sustainable development
goal 14. life below water
protect, restore and promote sustainable use of terrestrial ecosystems; sustainably manage forests, combat desertification, and halt and reverse land degradation, and halt biodiversity loss
goal 15. life on land
promote peaceful and inclusive societies for sustainable development, provide access to justice for all and build effective, accountable, and inclusive, institutions at all levels
goal 16. peace, justice, strong institutions
strengthen the means of implementation and revitalize the global partnership for sustainable development
goal 17. partnerships for the goals
largely financed through a tax-based budgeting system at both national and local levels and where healthcare is generally given free at the point of service
public sector
largely market-oriented and where healthcare is paid through user fees at the point of service
private sector
composition of the public sector…
national and local government agencies
with the devolution of health services, the local health system is now run by local government units
RA 7160
mainly to serve as an advisory body to the local executive and the sanggunian or local legislative council on health-related matters
function of LHBs (local health boards)
to lead the country in the development of a productive, resilient, equitable, and people-centered health system for universal healthcare
DOH mission
filipinos are among the healthiest people in southeast asia by 2022, and Asia by 2040
DOH vision
• leadership in health;
• enabler and capacity builder; and
• administrator of specific services
its mandate is to develop national plantls, technical standards, and guidelines on health. aside from being the regulator of all health services and products, the DOH is the provider of special tertiary health care services and technical assistance to health providers and stakeholders
three major roles in the health sector of DOH
believes in upholding truth and pursuing honesty, accountability, and consistency in performing its functions
integrity
continuously strive for the best by fostering innovation, effectiveness and efficiency, pro-action, dynamism, and openness to change
excellence
holds the quality of life, respect for human dignity is encouraged by working with sympathy and benevolence for the people in need
compassion and respect for human dignity
commits to achieving its vision for the health and development of future generations
commitment
performs its function in accordance with the highest ethical standards, principles of accountability, and full responsibility
professionalism
employees work together with a result-oriented mindset
teamwork
pursue sustainable development and care for the environment since it impinges on the health of the Filipinos
stewardship of the health of the people
• this system is being espoused by the department of health in order to ensure the quality of healthcare service at the local level
• a system of healthcare similar to a district health system in which individuals, communities and all other healthcare providers in a well-defined geographical area participate together in providing quality equitable and accessible healthcare with inter-local government unit partnership as the basic framework
inter local health system
to protect and promote the health of the public by ensuring a minimum quality of service rendered by hospitals and other regulated health facilities and to ensure the safety of patients and personnel
DOH AO 2012-0012 or rules and regulations governing new classification of hospitals and other health facilities
SCOPE OF SERVICES
a. clinical services;
— family medicine
— pediatrics
— internal medicine
—obstetrics and gynecology
—surgery
b. emergency services;
c. outpatient services;
d. ancillary and support services; such as, clinical lab, imaging facility, and pharmacy
general
SCOPE OF SERVICES
a. treatment of a particular type of illness or for a particular condition requiring a range of treatment
— philippine orthopedic center
— national center for mental health
— san lazaro hospital
b. treatment of patients suffering from diseases of a particular organ or groups of organs
— lung center of the philippines
— philippine heart center
— national kidney and transplant institute
c. treatment of patients belonging to particular groups such as children, women, elderly, and others
— philippine children’s medical center
—national children’s hospital
— dr. jose fabella memorial hospital
specialty
CLASSIFICATION OF OTHER HEALTH FACILITIES
a first-contact health care facility that offers basic services including emergency service and provision for normal deliveries
— w/in-patient beds
— infirmary
— birthing home
— without beds
category A: primary care facility
essential intrapartum and newborn care (EINC)
DOH AO 2009-0025 or adopting policies and guidelines on essential newborn care
basic emergency obstetric and newborn care (BEmONC)
DOH AO 2011-0014 or guidelines on the certification of health facilities with basic emergency obstetrics and newborn care
CLASSIFICATION OF OTHER HEALTH FACILITIES
a health facility that provide long-term care including basic human services like food and shelter to patients with chronic or mental illness, patients in need of rehabilitation owing substance abuse, people requiring ongoing health and nursing care due to chronic impairments, and a reduced degree of independence in activities of daily living
category B: custodial care facility
CLASSIFICATION OF OTHER HEALTH FACILITIES
• a facility that examines the human body or specimens from the human body (except laboratory for drinking water analysis) for the diagnosis, sometimes treatment of diseases
• the test covers the pre-analytical, analytical, and post-analytical phases of examination
— laboratory facility
— radiologic facility
— nucleur medicine facility
category C: diagnostic/therapeutical facility
CLASSIFICATION OF OTHER HEALTH FACILITIES
a facility with highly competent and trained staff that performs highly specialized procedures on an outpatient bases
category D: specialized out-patient facility
