L2 Flashcards

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 SYSTEM

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2
Q

Components of a Health System

A
  • Community
  • Department or ministries of health
  • Health care providers
  • Health service organizations
  • Pharmaceutical companies
  • Health financing bodies
  • Other organizations related to health sector
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3
Q

Health system is “all the organizations,
institutions, resources, and people whose
primary purpose is to improve health”

A

WORLD HEALTH ORGANIZATION REPORT (2000)

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4
Q

Goals of a Health System

A
  1. Improving the health of population
  2. Improving the responsiveness of the health
    system
  3. Providing fair health financing
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5
Q

o The overarching goal of a health
system
o Populations must be protected from
existing and emerging health risks
o Strive for equity in health by
minimizing inequitable disparities

A

Improving the health of populations

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6
Q

o Responsiveness refers to providing
satisfactory health services and
engaging people as active partners.
o Health systems have an obligation to
respond to the legitimate non-health
needs and expectations of populations
o Maximizes people’s autonomy and
control

A

Improving the responsiveness of the health
system

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7
Q

o An ideal health system provides social
and financial risk protection in health
o According to the World Health
Organization, each individual pays
approximately the same % of their
income for needed services regardless
of social status in life.

A

Providing fair health financing

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8
Q

Functions of a Health System

A
  1. Health service provision
  2. Health service inputs
  3. Stewardship
  4. Health Financing
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9
Q

Also known as managing resources,
means generating the essential
physical resources for the delivery of
health services:

A

Health service inputs

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10
Q

Also known as overall system oversight,
is the main responsibility of the
government

A

Stewardship

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11
Q

Includes raising and pooling
funds/resources to pay for health
services

A

Health Financing

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12
Q

3 types of health financing

A

i. Revenue collection
ii. Risk pooling
iii. Strategic purchasing

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13
Q

o Revenue is the money earned from
payments for health care services
o Mechanisms:
▪ General taxation
▪ Donor financing
▪ Mandatory payroll
contributions
▪ Direct household out-ofpocket expenditures
▪ Other forms of personal
savings

A

Revenue collection

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14
Q

o Form of risk management which aims
to spread financial risks from an
individual to all pool members

A

Risk pooling

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15
Q

an insurance system where the sickness fund
finances both the employers and employees
through payroll (salary) deduction

A

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

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16
Q

Bismarck Model (Bismarck’s Law on Health
Insurance of 1883)Model after Prussian chancellor,

A

Otto von Bismarck

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17
Q

Bismarck Model Underlying principle:

A

health insurance covers
everybody

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18
Q

Bismarck Model model widely used:

A

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

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19
Q

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

A

Beveridge Model (Beveridge Report or the Social
Insurance and Allied Services of 1942

20
Q

Beveridge Model (Beveridge Report or the Social
Insurance and Allied Services of 1942
named after

A

William Beveridge

21
Q

the social
reformer responsible for designing Britain’s Social
Security System and the National Health Service

A

William Beveridge

22
Q

Beveridge Model Underlying principle:

A

healthcare is a basic human
right

23
Q

Countries with Beveridge Model:

A

Hong Kong, Great Britain,
Spain, New Zealand, Cuba, Scandinavia

24
Q

o Use collected funds and pooled
financial resources wisely to finance
health care services
o Minimize costs and maximize quality
o Important part of boosting efficiency
and profitability in your company/
institution
o Save more by getting the best deals

A

Strategic purchasing

25
Q

WHO Health System Framework

A

Service Delivery
Leadership and governance
Financing
Health products, vaccines, and technologies
Health workforce
Information

26
Q

– refers to the timely delivery of
quality and cost-effective personal and nonpersonal health services

A

Service Delivery

27
Q

the task of ensuring
effective stewardship of the entire health system

A

Leadership and governance

28
Q

appropriate funding for health care
services to guarantee that people can use health
services when needed without fear of having not
enough resources to pay for them

A

Financing

29
Q

– made
accessible through uninterrupted supply, wellmanaged pharmaceutical services, and education
on proper use of medication

A

Health products, vaccines, and technologies

30
Q

includes individuals and groups
working towards the achievement of the best
health outcomes by being responsive, fair, and
efficient

A

Health workforce

31
Q

analyzes, disseminates, and uses
reliable and relevant information on health status,
determinants, and systems performance

A

Information

32
Q

Promoted participatory
management of the local
health care system

A

Adoption of Primary Health Care
Strategy (LOI 949); 1979

33
Q

Integrated the components of
health care delivery into its
field operations (former
Ministry of Health)

A

Reorganization of DOH (EO 851; 1982

34
Q

Ushered the writing of
prescriptions using the generic
name of the drug

A

The Generics Act (RA 6675) ; 1988

35
Q

Transferred the responsibility
of providing health service to
the local government units

A

Local Government Code (RA 7160); 1991

36
Q

Instituted a national health
insurance mechanism for
financial protection with
priority given to the poor

A

National Health Insurance Act (RA
7875); 1995

37
Q

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

A

Health Sector Reform Agenda; 1999

38
Q

Adopted an operational
framework to undertake
reforms with speed, precision,
and effective coordination and
to improve the Philippine
health system

A

FOURmula One (F1) for Health; 2005

39
Q

Promoted and ensured access
to affordable quality drugs and
medicine for all

A

Universally Accessible Cheaper and
Quality Medicines Act (RA 9502); 2008

40
Q

Provided universal health
coverage and access to quality
health care for all Filipinos

A

Kalusugang Pangkalahatan or
Universal Health Care (AO 2010-0036); 2010

41
Q

Mandated to provide the appropriate direction
for the nation’s healthcare industry

A

Department of Health (DOH)

42
Q

Regional health offices supervise ____ duties

A

LGUs

43
Q

“All for Health Towards Health for All” as the rallying
point for its vision of a Healthy Philippine by 2022.

A

The Philippine Health Agenda 2016-2022
(DOH Administration Order 2016-0038)

44
Q

This is the first of the four key medium-term
plans to translate the vision of a “matatag,
maginhawa, at panatag na buhay” for the
Filipinos and the country

A

The Philippine Development Plan 2017-2022

45
Q

This plan focuses on four areas: building a
prosperous, predominantly middle-class
society where no one is poor; promoting a long
and healthy life; becoming smarter and more
innovative; and building a high-trust society

A

NEDA (National Economic Development
Authority) AmBisyon Natin 2040

46
Q

A compilation of 17 developmental goals that
targets to end poverty, fight inequality and
injustice, and confront issues involving climate
change and its effects

A

Sustainable Development Goals 2030

47
Q
A