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intro to hcp. > m1 | m2 | m3 > Flashcards

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1
Q

it denotes the industry itself; describing a specific facility or system

A

Healthcare

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2
Q

refers to the provider’s actions (of delivering care)

A

Health care

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3
Q

Quality of health services vary by which two determining factors?

A

facility and region

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4
Q

a government-owned company; oversees public healthcare in the Philippines

A

PhilHealth

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5
Q

Enumerate.

Philhealth covers the following treatments/procedures:

A
  • in-patient care
  • non-emergency procedures
  • lab tests (by UH Act on 2019)
  • consultations (by UH Act on 2019)
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6
Q

Which government bill was passed that urged PhilHealth to expand its coverage in treatment/procedure subsidies?

A

Universal Healthcare Act (2019)

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7
Q

Who are entitled to enjoy the national program provided by the Universal Healthcare Act?

A

All Filipino citizens

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8
Q

This pertains to the function of a health system concerned with the mobilization, accumulation, and allocation of money to cover the health needs of the people, individually and collectively, in the health system.

A

Health financing

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9
Q

Enumerate.

What are the four main sources of health financing?

A
  • national and local government
  • insurance (government and private)
  • use fees/out-of-pocket
  • donors
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10
Q

PhilHealth is also known as?

A

PHIC
Philippine Health Insurance Corporation

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11
Q

What program was insitutionalized and signaled towards a “single-payer” premium based insurance system?

A

NHIP
National Health Insurance Program

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12
Q

Who managed the NHIP?

A

PHIC or PhilHealth

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13
Q

Year Range.

During which period did the share of out-of-pocket expenditure increase from 47% - 57%, at the same time decreasing the share of local and national subsidies?

A

1997-2007

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14
Q

This type of expenditure is much more prominent among patients confined in public health facilities.

A

Out-of-pocket expenditure

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14
Q

Identify.

Top source of payment when confined in…
Public v.s Private
hospitals

A

Public: Salary/Income
Private: Savings

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15
Q

More than half of the medical expenditure (out-of-pocket) was spent on which component?

A

Medicine

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16
Q

During both 1997 and 2007, what source of fund has the highest and lowest percentage?

A

Highest: Out-of-pocket
Lowest: Social health insurance

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17
Q

Which financial agent has the highest level and share in the 2020 health expenditure of PNHA?

A

Household

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18
Q

What financing agent has the lowest level and share in terms of health expenditure in the 2020 PNHA report?

A

Insurance Corporations

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19
Q

In the context of health financing, who is reponsible for collecting premiums, accrediting providers, setting the benefits packages and providing payment mechanisms, processing claims, and reimbursing providers for their services?

A

PhilHealth

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20
Q

Enumerate in order; 1 - 2 - 3 respectively.

According to the 2020 PNHA report, what are the top 3 health care providers?

A
  1. Hospitals
  2. Pharmacies
  3. Providers of preventive care (EMS)
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21
Q

True or False: An enormous number of Filipinos rely on private healthcare.

A

False

Filipinos rely much on public healthcare. [3rd world country issue :/ ]

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22
Q

It pertains to an organized plan of health services

A

Healthcare system

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23
Q

It is the rendering of health care services to the people; a network of health facilities and personnel which renders care to the patients

A

Healthcare delivery system

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24
Q

It is the principal health agency in the Philippines and they ensure access to basic public health services to all Filipinos.

A

DOH
Deparment of Health

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25
Q

Enumerate.

What are the four functions of the DOH?

A
  • Promotion
  • Protection
  • Preservation
  • Restoration
    [of health through the provision and delivery of services]
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26
Q

Enumerate.

What are the mandates (responsibilities) of the DOH?

A
  • to form and develop national health policies
  • issuance of rules, licenses, etc.
  • promulgations of conceptions and priorities
  • to develop programs, advocacies, and projects
27
Q

What is the mission and vision of the DOH?

A

Vision: Filipinos (will) be among the healthiest people in SE Asia (by 2022) and the Asia (by 2040)
Mission: The development of productive, resilient, equitable, people-centered health system for Universal Healthcare

28
Q

Identify: Mandate, Function, Vision, or Mission? |of the DOH

promulgation of national health standards, goals, priorities and indicators

29
Q

Identify: Mandate, Function, Vision, or Mission? |of the DOH

To lead the country in the development of a productive, resilient, equitable, and people-centered health system for UHC.

30
Q

Identify: Mandate, Function, Vision, or Mission? |of the DOH

The promotion and preservation of the health of the people through the provision and delivery of health services.

31
Q

Identify: Mandate, Function, Vision, or Mission? |of the DOH

issuance of rules and regulations, licenses, and accreditations

32
Q

Identify: Mandate, Function, Vision, or Mission? |of the DOH

Filipinos are among the healthiest people in SE Asia by 2022, and Asia by 2040

33
Q

Identify: Mandate, Function, Vision, or Mission? |of the DOH

The protection and restoration of the health of the poeple through the provision and delivery of health services.

34
Q

Identify: Mandate, Function, Vision, or Mission? |of the DOH

development of special health programs, projects and advocacy for legislation on health policies and programs

35
Q

Identify: Mandate, Function, Vision, or Mission? |of the DOH

formulation and development of national health policies, guidelines, standards, and manual of operations for healthservices and programs

36
Q

It is a basic human right guaranteed by the Philippine Consitution of 1987 (Article II, Section 15).

37
Q

What type of delivery system does the Philippines employ in healthcare services?

A

Dual health delivery system
[Public and Private Sectors]

39
Q

Compare.

How are public and private sectors generally funded in terms of health care?

A

Public: tax-based budgeting system
Private: user fees/out-of-pocket

40
Q

True or False: PhilHealth or the Philippine Health Insurance Corporation purchases services from both the public and private sectors.

41
Q

Enumerate.

What are the three levels of healthcare facilities?

A
  • primary level
  • secondary level
  • tertiary level
42
Q

Identify the level of healthcare facility and its healthcare sector.

General private hospital

A
  • secondary level
  • private healthcare
43
Q

Identify the level of healthcare facility and its healthcare sector.

National health services

A
  • tertiary level
  • public healthcare
44
Q

Identify the level of healthcare facility and its healthcare sector.

RHUs and BHCs

A
  • primary level
  • public healthcare
45
Q

Identify the level of healthcare facility and its healthcare sector.

specialty private hospital

A
  • tertiary level
  • private healthcare
46
Q

Identify the level of healthcare facility and its healthcare sector.

regional, district, and rural health serivces

A
  • secondary level
  • public healthcare
47
Q

Identify the level of healthcare facility and its healthcare sector.

private clinic

A
  • primary level
  • private healthcare
48
Q

These are the smaller, non-departmentalized hospitals including emergency and regional hospitals; they offer services to patients with symptomatic stages of disease

A

secondary level of healthcare facilities

49
Q

They pertain to highly technological and sophisticated services offered by medical centers and large hospitals; these are the specialized national hospitals.

A

tertiary level of healthcare facilities

50
Q

How does the referral process work?

A

The referral process usually starts off from the primary level going higher, however, it also depends on the patient’s first point of visit and availability of facilities and services .

51
Q

Enumerate.

What are the three levels of primary healthcare workers?

A
  • villlage or grassroot health workers
  • intermediate level health workers
  • first line hospital personnel
52
Q

Identify which level of primary HC worker.

They provide back up health services for cases that require hospitalization

A

first line hospital personnel
physicians w/ specialty, nurses, dentists, pharmacists, other health professionals

53
Q

Identify the level of healthcare facility and its healthcare sector.

They provide simple curative and preventive health care measures and are the first contacts of the community and initials links of health care.

A

village or grassroot health care workers
community health worker, volunteers, traditional birth attendants

54
Q

Identify the level of healthcare facility and its healthcare sector.

They represent the first source of professional health care; provide support to front-line health workers in terms of supervision, training, supplies, and services.

A

intermediate level health workers
medical practitioners, nurses, and midwives

55
Q

What do you call a change in the health of an individual, group of people,or population that is attributable to an intervention or series of interventions?

A

health outcome measure

56
Q

Enumerate.

Name the seven categories of health outcome measures.

A
  • mortality
  • safety of care
  • timeliness of care
  • re-admissions
  • patient experience
  • effectiveness of care
  • efficient use of medical imaging
57
Q

Identify which health outcome measure is being described.

  • pertains to medical mistakes
  • how safe medical care is provided or rendered
A

Safety of care

58
Q

Identify which health outcome measure is being described.

  • measures the number of deaths related to a specific condition
  • a positive read if it decreases; meaning treatment-procedures are getting better
59
Q

Identify which health outcome measure is being described.

  • Patient-reported outcome measures (PROMs) fall under this category
  • this provides a more realistic gauge of patient satisfaction
A

Patient experience

60
Q

Identify which health outcome measure is being described.

  • assess how quickly or promptly a patient has access to care
A

Timeliness of care

61
Q

Identify which health outcome measure is being described.

  • looks at how often people have to go back to the hospital shortly after being discharged
  • addresses the question “Is the treatment effective?”
A

Re-admissions

62
Q

Identify which health outcome measure is being described.

  • how wisely are medicaltest/imaging techniques utilized to avoid unnecessary tests and procedures
  • this plays a central role in the global healthcare system
A

Efficient use of medical imaging

63
Q

Identify which health outcome measure is being described.

it evaluates two things:
- compliance with best practice care guidelines
- achieved outcomes

A

Effectiveness of care

64
Q

Enumerate.

What are the three essentials for successful healthcare outcomes measurement?

A
  • data transparency
  • integrated care and transitions of care
  • data interoperability
65
Q

Enumerate.

What are the Healhcare Quadruple Aims?

A
  • improved clinician experience
  • lower costs
  • better outcomes
  • improved patient experience

intro to hcp. (10 decks)

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