Lesson 2: Health Care System

Question 1

According to ____, a____ is an arrangement of parts, and their interconnections come together for a purpose

Answer 1

Bertalanffy (1968), “system”

Question 2

Health system consist of many parts:

Answer 2

Community
Department or ministries of health
Health care providers
Health service organizations
Pharmaceutical companies
Health financing bodies
Other organizations related to health

Question 3

According to _____, _____ is the combination of resources, organization, financing and management that culminate in the delivery of health services to the population

Answer 3

Roemer (1991), health system

Question 4

According to _____, _____ is all the organizations, institutions and resources that are devoted to producing health actions.

Answer 4

WHO Report (2000), health system

Question 5

According to WHO, _____ is defined as any effort, whether in personal health care, public health services or through intersectoral initiatives, whose primary purpose is to _______

Answer 5

Health action, to improve health

Question 6

What are the goals and function of health system according to WHO

Answer 6

1. Improve the health of the population
2. Improve the responsiveness of the health system to the population it serves
3. Fairness in financial contribution

Question 7

It is the overarching goal

Answer 7

Improving population health

Question 8

What are the inequitable disparities in health.

Answer 8

Gender
Occupation
Geographic location
Ethnicity
Sexual orientation
Income

Question 9

Concept that the health system provides services in a manner that people want or desire and engage people as active partners.

Answer 9

Responsiveness

Question 10

Four vital health systems function

Answer 10

Health service provision
Health service inputs
Stewardship
Health financing

Question 11

It is the most visible product of the health care system

Answer 11

Health service provision

Question 12

• Managing resources
• the assembling of essential resources for delivering health

Answer 12

Health service input

Question 13

Other name for stewardship?

Answer 13

Overall system oversight

Question 14

It sets of the context and policy framework for the overall health system

Answer 14

Stewardship

Question 15

This includes collecting revenues, pooling financial risk, and allocating revenue

Answer 15

Health financing

Question 16

Different types of health financing

Answer 16

Revenue collection
Risk pooling
Strategic purchasing

Question 17

-collection of money to pay for health care services
- general taxation

Answer 17

Revenue collection

Question 18

• collection and management of financial resources in a way that spreads financial risk to individual to all members
• used by insurance company
• core function of health insurance mechanism

Answer 18

Risk pooling

Question 19

Types of risk pooling

Answer 19

Bismarck Model (1883)
Beveridge Model (1942)

Question 20

Bismarck method was named after?

Answer 20

Prussian Chancellor Otto von Bismarck

Question 21

The insurers are called?

Answer 21

Sickness funds

Question 22

• It is financed jointly by employers and employees through payroll deduction.
• It is mainly used by Germany, France, Belgium, Netherlands, Japan, Switzerland

Answer 22

Bismarck Model

Question 23

Beveridge model is named after?

Answer 23

William Beveridge

Question 24

• It is financed by the government through tax payments
• It is used by Great Britain, Spain, most of Scandinavia, New Zealand, Hongkong, and Cuba

Answer 24

Beveridge Model

Question 25

Purchasers use collected and pooled financial resources to finance or buy health care services for their members

Answer 25

Strategic purchasing

Question 26

Building blocks of WHO health system framework

Answer 26

Service Delivery Health Workforce Information Medical products, Vaccine, Technology Financing Leadership and Governance

Question 27

Outcomes of WHO health system framework

Answer 27

Improved Health Responsiveness Information and Financial risk protection Improved Efficiency

Question 28

Deliver effective, safe, quality personal and non-personal health interventions

Answer 28

Service Delivery

Question 29

One which works in ways that are responsive, fair, and efficient to achieve the best health outcomes possible

Answer 29

Health workforce

Question 30

Ensures production, analysis, dissemination

Answer 30

Information

Question 31

Ensures equitable access to essential ______ of assured quality, safety, efficacy and cost-effectiveness, and their scientifically sound and cost-effective use.

Answer 31

Medical products, vaccines, and technologies

Question 32

Raises adequate funds for health

Answer 32

Financing

Question 33

Involves ensuring strategic policy frameworks exist and are combined with effective stewardship

Answer 33

Leadership and Governance

Question 34

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

Answer 34

1970: Primary Health Care for all

Question 35

Promoted participatory management of the local health care system

Answer 35

1979: L.O.I. 949 “Adoption of Primary Health Care”

Question 36

Integrated public health and hospital services

Answer 36

1982: E.O. 851 “Reorganization of DOH”

Question 37

Prevention and nutrition to promote breastfeeding

Answer 37

1986: Milk Code 1986

Question 38

Prescriptions are written using the generic name of the drug in an attempt to lower expenditure on drugs by promoting and purchasing non-branded medicines

Answer 38

1988: R.A. 6675 “the Generics Act”

Question 39

Transfer of responsibility of health service provisions to the local government units

Answer 39

1991: R.A. 7160 “Local Governance Code”

Question 40

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

Answer 40

1995: R.A. 7875 “National Health Insurance Act”

Question 41

Major organizational reconstructing of the DOH to improve the way health care is delivered, regulated, and financed

Answer 41

1996: Health Sector Reform Agenda

Question 42

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

Answer 42

2005: FOURmula One (F1) for Health

Question 43

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

Answer 43

2008: R.A 9502 “ Access to Cheaper and Quality Medicines Act ”

Question 44

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

Answer 44

2010: A.O. 2010-0036 “Kalusugang Pangkalahatang”

Question 45

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

Answer 45

2013: Sin Taxes for Health

Question 46

All Filipinos are guaranteed equitable access to quality and affordable health care services

Answer 46

2019: R.A. 11223 “Universal Health Care Law”

Question 47

____ is mandated to provide national policy direction and develop national plans, technical standards, and guidelines of health.

Answer 47

Department Of Health (DOH)

Question 48

THe Philippine is divided under LGC of 1991 is composed of:

Answer 48

- 78 provincial governors - 138 city mayors - 1,496 municipal mayors - 42,025 barangay chairpersons - 17 regions

Question 49

- “All for Health Towards Health For All” is the rally point for its vision of a healthy Philippines by 2020 - It expanded the scope of the Universal Health Care

Answer 49

The Philippine Health Agenda (DOH A.O. 2016-0038)

Question 50

This includes the four key medium-term plans to translate the vision of aspirations for the Filipinos and the country.

Answer 50

The Philippine Developmental Plan 2017-2022

Question 51

This is a collective long-term plan which envisions a better life for the Filipinos and the country in the next 25 years

Answer 51

NEDA AmBisyon Natin 2040

Question 52

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

Answer 52

Sustainable Developmental Goals 2030