M7 Flashcards
supervises the government corporate hospitals, specialty and regional hospitals
DOH
runs the military hospitals
DEPARTMENT OF NATIONAL DEFENSE
the country’s social health insurance
PHILHEALTH
underscores people centered and integrated delivery of quality and affordable health services at appropriate levels of care.
PROVISION OF ESSENTIAL HEALTH CARE
encompasses access to quality essential health products and services, quality health facilities, capable human resources for health (HRH) and functional service delivery networks (SDNs), which link all these elements to expand access to comprehensive care. (NOH, 2017-2022)
SERVICE DELIVERY
It refers to the “function of health system concerned with the MOBILIZATION, accumulation and allocation of money to COVER THE HEALTH NEEDS OF THE PEOPLE,
individually and collectively
HEALTH FINANCING
Under the _____, every Filipino citizen is AUTOMATICALLY INCLUDED in the National Health Insurance Program.
UHC ACT
financed by the NATIONAL GOVERNMENT through DOH and provided free of charge at the point of service while at the local level, such services are financed by the LGUs and supported by the DOH
POPULATION-BASED HEALTH SERVICES
financed primarily through PREPAYMENT MECHANISMS such as social health insurance, private health insurance and HMO plans. This classification of payors and services provides a clear delineation of the roles of the key stakeholders in the health system
INDIVIDUAL-BASED HEALTH SERVICES
FOUR MAJOR MODELS FOR HEALTH CARE SYTEMS
- Beveridge Model
- Bismarck Model
- National Health Insurance Model
- Out-of-Pocket Model
provides health care for ALL CITIZENS and is financed by the government through tax payments.
This “SOCIALIZED MEDICINE” model is currently found in Great Britain, Spain, and New Zealand
BEVERIDGE MODEL
uses an INSURANCE SYSTEM and is usually financed jointly by EMPLOYES AND EMPLOYEES through payroll deduction.
BISMARCK MODEL
has elements of BOTH THE BEVERIDGE AND BISMARCK MODELS. It uses PRIVATE-SECTOR PROVIDERS, but payment comes from a GOVERNMENT-RUN INSURANCE PROGRAM that all citizens fund through a premium or tax.
These universal insurance programs tend to be LESS EXPENSIVE and have lower administrative costs than American-style for-profit insurance plans
NATIONAL HEALTH INSURANCE MODEL
also CONTROL COSTS by
LIMITING THE MEDICAL SERVICES they pay for and/or requiring patients wait to be treated. The classic system can be found in Canada
NATIONAL HEALTH INSURANCE
what is FOUND IN THE MAJORITY OF THE WORLD. It is used in countries that are too POOR OR DISORGANIZED to provide any kind of national health care system. In these countries, those that have money and can pay for health care get it, and those that do not stay sick or die. In rural regions of Africa, India, China, and South America, hundreds of millions of people go their whole lives without ever seeing a doctor
OUT-OF-POCKET MODEL
