HEALTHCARE DELIVERY SYSTEM Flashcards
1
Q
Philippine Orthopedic Center
A
specialty, particular illness
2
Q
Lung Center of the Philippine
A
specialty, particular organ
3
Q
National Kidney & Transplant Institute
A
specialty, particular organ
4
Q
Philippine Heart
Center
A
specialty, particular organ
5
Q
National
Center for Mental Health
A
specialty, particular illness
6
Q
National Kidney & Transplant Institute
A
specialty, particular organ
7
Q
San Lazaro Hospital
A
specialty, particular illness
8
Q
Benavides Cancer
Institute
A
specialty, particular illness
9
Q
Philippine
Children’s Medical Center
A
specialty, particular group
10
Q
National Center
for Geriatric Health
A
specialty, particular group
11
Q
National Children’s Hospital
A
specialty, particular group
12
Q
Dr.Jose Fabella Memorial Hospital
A
specialty, particular group
13
Q
first-contact healthcare facility
A
Primary Care Facility
14
Q
performs highly specialized procedures on an outpatient basis
A
Specialized Outpatient Facility
15
Q
specialized, primary, diagnostic, or custodial: dialysis centers
A
Specialized Outpatient Facility
16
Q
specialized, primary, diagnostic, or custodial: home for the aged
A
Custodial Care Facility
17
Q
specialized, primary, diagnostic, or custodial: long term care for patients w/ chronic conditions
A
Custodial Care Facility
18
Q
specialized, primary, diagnostic, or custodial: activities of daily living (ADL) patients
A
Custodial Care Facility
19
Q
specialized, primary, diagnostic, or custodial: water analysis
A
Diagnostic/Therapeutic Facility
20
Q
specialized, primary, diagnostic, or custodial: human body specimen testing
A
Diagnostic/Therapeutic Facility
21
Q
specialized, primary, diagnostic, or custodial: normal deliveries
A
Primary Care Facility
22
Q
specialized, primary, diagnostic, or custodial: emergency service
A
Primary Care Facility
23
Q
specialized, primary, diagnostic, or custodial: dental clinic
A
Specialized Outpatient Facility
24
Q
Hospital General Services
A
- clinical pathology
- rehabilitation
- clinical neurophysiology laboratory
- outpatient department
- pharmacy
- treatment room
- radiological sciences
- CT scan
- diagnostic radiology
- magnetic resonance imaging (MRI)
- nuclear medicine
- ultrasound
25
provides long-term care to patients with chronic conditions requiring
ongoing health and nursing care
Custodial Care Facility
26
for the examination of the human body, specimens from the human body
for the diagnosis, sometimes treatment of disease
Diagnostic/Therapeutic Facility
27
this will enable local governments to attain their fullest development as self-reliant
communities and make them more effective partners in the attainment of national
goals
RA 7160 (Local Government Code)
28
under what is the provincial government: responsible for administration of provincial
and district hospital
provincial health board
29
under what is municipal and city government
city/municipal health boards
30
rural health centers (RHU)
municipal and city government
31
satellite outposts-barangay health stations (BHS)
municipal and city government
32
act by which the national government confers power and authority upon the
various LGUs to perform specific functions and responsibilities
Devolution
33
advantage of devolution
allows local leaders to have a greater hand in the future of
communities
34
disadvantage of devolution
fragmentation of the HC delivery system in the Philippines
35
decision-making and accountability on basic government services closer to the
people
Devolution
36
the Manila Health Department is concerned mainly with the promotion of health and the prevention of diseases
to the Manila constituent with a special focus on...?
poor families
37
does Manila Health Department offer its services to diseased patients?
no, they focus on prevention of the disease instead
38
Maternal and Child Health
Maternal Care
● Safe Motherhood and Women’s Health
● Expanded Program on Immunization
● Control of Acute Respiratory Infections
● Control of Diarrheal Diseases
● Under Five Clinic/Growth Monitoring
● Breastfeeding Promotion
● Nutrition
39
Communicable Disease Control
● Tuberculosis
● Leprosy
● STD
● Dengue
40
Non-Communicable Disease Control
● Cardiovascular Disease
● Cancer Control Program
● Primary Eye Care
● National Voluntary Blood Donation
● Diabetes Mellitus Control
41
why is dengue a communicable disease?
the mosquito may contract the virus from an infected person and spread it to people it has bitten
42
reality of RHU: POPULATION ratio
1:45,000
43
aka health center
rural health unit
44
focus: preventive and promotive health services and the supervision of Barangay Health
Stations (BHSs) under its jurisdiction
Rural Health Unit
45
ideal RHU: POPULATION ratio
1:20,000
46
- ensures the continuity and complementation of health and medical services
- engages all facilities from lowest to highest
Functional Referral System
47
movement of a patient from the health center of first contact to the hospital at
first referral level
Two-way Referral System
48
occur within the health facility, from one health personnel to another
Internal Referral
49
movement of a patient from one health facility to another
External Referral
50
set of activities undertaken by a healthcare provider or facility in response to its
inability to provide the necessary health intervention to satisfy a patient’s need
Referral
51
External Referral
patient is referred between similar facilities in different catchments
areas
52
patient referral may be from a lower to a higher level of health facility or
other way round
Vertical Referral
53
A Health System is a combination of (1), (2), (3), and (4) that culminates in the delivery of health services to the population
resources, organization, financing, and management
54
offers services for a specific disease or type of illness, organ, and patient
(children), elderly, women
specialty hospitals
55
2 roles of A Health Care Delivery System
1. provides resources and treatments that help people when sick or
injured
2. helps them stay healthy through preventive care
56
we want for optimal health of the person
promotion
57
applicable to people vulnerable to disease when we want then to avoid getting sick
prevention
57
person is sick, we want to heal them
intervention/treatment
57
3 aims of HC Delivery System
promotion, prevention, intervention/treatment
58
WHO provides what on health matters
global leadership
59
-WHO Constitution: objective is the attainment by all people of the... of health?
highest possible level of health
60
aims to provide healthcare medications through research
WHO
61
WHO core function (summary)
- leadership on critical health matters
-shaping research agenda
- engaging in partnership when needed
- setting norms and standards for implementation
- catalyzing change
- articulating ethical and evidential-based policies
62
MDGs became SDGs in what year
2016
63
Ensure healthy lives and promote well-being for all at all
ages
SDG 3
64
SDG 3
- achieve universal health coverage, provide access to
safe and affordable medicines and vaccines for all;
supporting research and development for vaccines is an
an essential part of this
- prevention and treatment education, immunization
campaigns, and sexual and reproductive healthcare
- commitment to end the epidemics of AIDS tuberculosis,
malaria, and other communicable diseases by 2030
65
true or false: DOH is only limited to public sectors because its funded by the government
engkk (false)
65
follows a dual health system: public and private sectors
The Philippine Healthcare Delivery System
66
largely financed through a tax-based budgeting system where
government facilities deliver health services under the national and local
governments
Public Sector (under the DOH)
67
provides guidance and technical assistance to LGUs
through the Center for Health Development in each of the
17 regions
DOH
68
3 major roles of DOH
leadership in health, enabler and capacity builder, administrator of specific services
69
DOH is the provider of special----------heath care services and-----------assistance to health providers and stakeholders
special tertiary health, technical assistance
70
public or private sector: military hospitals
public sector
71
Department of National Defense
public sector
72
RA 7875 (creation of philhealth)
National Health Insurance Act of 1995
73
composed of profit and nonprofit agencies
Private Sector
74
market-oriented, where health is generally paid for through user fees at
the point of service
Private Sector
75
tax-exempt government corporation attached to the DOH for policy
coordination and guidance
Philippine Health Insurance Corporation
75
aims for universal health coverage for all Filipino citizens
Philippine Health Insurance Corporation
76
Health Human Resources in the Public Sector
○ 61% Nurses
○ 91% Midwives
○ 51% Medical Technologists
77
Infrastructures
- 1224 Hospitals
- 2587 City/Rural Health Centers
- 20,216 Village Health Stations
- 64% Level 1 Hospitals
- 10% Level 3 Medical Centers and Teaching Hospitals
- ⅔ Hospital Beds in Luzon including NCR
- 23: 10000 (hospital beds to people) NCR
- 8.2:10000 (Luzon)
- 7.8:10000 (Visayas)
- 8.3;10000 (Mindanao)
77
Health Human Resources in the Public Sector
61% Nurses, 91% Midwives, 51% Medical Technologists
78
ideal DOCTORS: PATIENT ratio
1:10k
79
reality of DOCTORS: PATIENT ratio
1:26k
80
ideal NURSE: PATIENT ratio
1:12
81
reality of NURSE: PATIENT ratio
1: 50 and above
82
rules and regulations governing the new classification of hospitals and other
health facilities in the Philippines
DOH Administrative Order 2012-0012
83
general hospitals
level 1-3
84
- provides services for all kinds of illnesses, injuries, or deformities
general hospitals
85
Level 1 Hospital
- operating room
- post-operative recovery room
- maternity facilities
- isolation facilities
- dental clinic
- blood station (but no blood bank)
- clinical laboratory
- Level 1 Imaging facility (X-ray): standard imaging facility
- Pharmacy
86
Level 3 Hospital
- contains all the facilities of Level 2 with specialized facilities:
- physical medicine and rehabilitation unit
- ambulatory surgical clinic
- dialysis facility
- respiratory therapy vices
- blood bank
- clinical laboratory
- Level 3 Imaging facility (interventional radiology)
87
Level 2 Hospital
- contains all the facilities of Level 1 with additional facilities:
- ICU for critically ill patients
- NICU
- HRPU (high risk pregnancy unit)
- respiratory therapy services
- specialist doctors for OB-Gyne, pediatric services,
medicine, surgery their subspecialty and ancillary services
- clinical laboratory
- Level 2 Imaging facility [mobile X-ray and contrast
examinations
88
teaching& training hospitals
level 3 hospital
