Module 4 Flashcards
is the totality of services offered by all health disciplines
Health Care System
is an organized plan of health services.
Health Care System
What are the types of Health care services?
Primary Prevention
Secondary Prevention
Tertiary Prevention
What are under primary prevention?
Health Promotion
Illness Prevention
What are secondary prevention?
Diagnosis
Treatment
What is under tertiary prevention?
Health Restoration
Rehabilitation
Palliative Care
is defined as the aggregate of institutions, organizations and persons who enter, the health care system
Health Care Delivery System
Totality of all policies, facilities, equipment, products, human resource and services which address the health needs, problems and concerns of people
Health Care Delivery System
Health Care Delivery System consisting of:
Public Sector
Private Sector
provides preventive care to help keep people healthy and provide treatment to treat diseases such as cancer or heart disease, illnesses such as colds or flu, or injuries.
Health Care Delivery System
forms the most visible function of the health system.
Health Care Delivery
is an organization of people, institutions, and resources to deliver health care services to meet the health needs of a target population.
Health Care Delivery System
Identifies DOH as the national authority on health providing technical and other resource assistance to concerned groups
Mandates DOH to perform the roles related to leadership in health, enabler and capacity builder and administrator of specific services
Executive No. 102
Transfers the responsibility for the delivery of basic services and facilities to the local government including health services and facilities making them selfreliant and active partners in the attainment of local goals through a more responsive and local government structure
R.A. No. 7160 ( Local Government Code)
Public Sector
Executive No. 102
R.A. No. 7160 ( Local Government Code)
Roles and Functions of the Department of Health
- Leadership in health
- Enabler and capacity- builder
- Administrator of specific services
•Serve as national policy and regulatory institution from which LGUs, NGOs and other members of the health sector involved in social welfare and development will anchor their health thrusts and directions
•Provide leadership in the formulation, monitoring and evaluation of national health policies, plans and programs
• Serve as advocate in the adoption of health policies, plans and programs to address national and local concerns
Leadership in health
•Innovate new strategies in health to improve effectiveness of health programs, initiate public discussion on health issues and undertaking and disseminate policy research outputs to ensure informed public participation in policy decisionmaking
• Exercise oversight functions and monitoring and evaluation of national health plans, programs and policies
• Ensure the highest achievable standards of quality health care, health promotion and protection
Enabler and capacity-builder
•Manage selected national health facilities and hospitals that shall serve as national referral centers, referrals for local health systems • Administer direct services for emergent health concerns that require new complicated technologies necessary for public welfare; administer special components of specific programs in as much as it will benefit and affect large segments of the population
• Administer health emergency response service including referral and networking system for trauma, injuries, catastrophic events, epidemic and other widespread public danger
Administrator of specific services
Filipinos are among the healthiest people in Southeast Asia by 2022, Asia by 2040
DOH Vision
To lead the country in the development of a peoplecentered, resilient and equitable health system
DOH Mission
Better health outcomes, financial risk protection, responsiveness
Goals
Financing, service delivery, governance and regulation
Strategic Pillars
Performance accountability
“PLUS”
Integrity, excellence and compassion
Values
Filipinos protected from healthrelated impoverishment
Financial Protection
Filipinos attain best possible health outcomes with less disparity
Better Health Status
Filipinos attain best possible health outcomes with less disparity
Better Health Status
Filipinos feel respected and valued in all of their interaction with the health system
Responsiveness
SERVICES THAT ADDRESS THE TRIPLE BURDEN OF DISEASE
Communicable
Noncommunicable, including malnutrition Diseases of rapid urbanization and industrialization
SERVICES THAT CORESPOND TO THE FULL SPECTRUM OF CARE FOR ALL LIFE STAGES
Promotive, preventive, curative, rehabilitative, palliative
Emphasis on the role of health promotion and primary care
Trigger behavioral shift towards healthy lifestyles
Adopt and scale-up community-based interventions
Create strategic partnerships to promote healthy homes, workplaces, schools and transport
INTERVENTIONS THAT MODIFY BUILT ENVIROMENT AND MOBILIZE COMMUNITIES
Appropriate, ethical and at par with clinical and non-clinical standards(Gatekeeping, Licensing and Accreditation, Clinical Practice Guidelines)
Physical access (Accessible location, transport assistance or telehealth)
Seamless continuum of services (Lower level facilities to end referral centers and vice-versa; Public and private exchanges; team-based approach)
Patient/client-friendly and culturally-sensitive services (No queues, by appointment only)
NETWORKS AS CONTRACTED UNITS OF PHILHEALTH. ACCOUNTABLE FOR ENSURING
Treat every Filipino as member unless proven otherwise
Strictly enforce no balance billing for poor and fixed copayment for non-poor
Cover services that contribute to high out of pocket payment
Position private health insurance/HMO plans as supplementary to NHIP
PHILHEALTH AS GATEWAY TO FINANCIAL ACCESS TO SERVICES AND PROTECTION FROM CATASTROPHIC SPENDING
SDG for HCDG
No. 2 Zero Hunger
No. 3 Health and Well-Being
No. 6 Clean Water and Sanitation
No. 13 Climate Action
- Increase access to quality essential health products and services
- Ensure equitable access to quality health facilities
- Ensure equitable distribution of human resources for health
- Engage Service Delivery Networks to deliver comprehensive package of health services.
Strategic Pillars of the FOURmula One Plus for Health
The new Global Goals, and the broader sustainablity agenda, go much further than the MDGs, addressing the root causes of poverty and the universal need for development that works for all people
otherwise known as the Global Goals , build on the Millennium Development Goals (MDGs), eight anti-poverty targets that the world committed to achieving by 2015
2030 Agenda for Sustainable Development
means that all individuals and communities receive the health services they need without suffering financial hardship
enables everyone to access the services that address the most significant causes of disease and death, and ensures that the quality of those services is good enough to improve the health of the people who receive them
Protecting people from financial consequences
Universal Health Coverage (UHC)
Reproductive, maternal, newborn and child health
• family planning
•antenatal and delivery care
• full child immunization
•health-seeking behaviour for pneumonia.
Infectious diseases
• tuberculosis treatment
•HIV antiretroviral treatment
•Hepatitis treatment
•use of insecticide-treated bed nets for malaria prevention
•adequate sanitation
Noncommunicable diseases
•prevention and treatment of raised blood pressure
•prevention and treatment of raised blood glucose
•cervical cancer screening
• tobacco (non-)smoking
Service capacity and access
•basic hospital access
•health worker density
•access to essential medicines
•health security: compliance with the International Health Regulations.
an approach to health and well-being centered on the needs and circumstances of individuals, families and communities. It addresses comprehensive and interrelated physical, mental and social health and wellbeing.
primary health care
• Ensuring people’s health problems are addressed comprehensively throughout life course in an integrated manner of service delivery across all levels of care
• Systematically addressing broader determinants of health (social, economic, environmental as well as people’s characteristics and behaviors)
• Empowering individuals, families and communities to optimize their health, as advocates for healthy policies, s co-developers of health and social services through their participation and as self-carers and caregivers to others
Three components of PHC definition
based on values
•Health as fundamental human right
•Health as individual collective responsibility •Health as an equal opportunity
•Health as an essential element of socioeconomic development
Philosophy
Thqt include
•Education
•Food supply and nutrition
•Safe water and sanitation
•MCH care family planning
•Immunization
•Disease prevention and control
•Treatment of common diseases
•Essential drugs
SERVICES
that is part of the health care system that takes place in the community
Structure
Translated into action through
•Partnership with the community
•Intersectoral coordination
•Appropriate technology
•Suitable health manpower
•Self-reliance
•Equitable distribution of health resources •Appropriate health system infrastructure
To achieve health that is
•Accessible to everyone
•Acceptable and affordable to everyone
•Based in community or workplace
Set of interventions to operationalize policies and standards towards prevention of public health problems
Public Health Programs of the DOH
Categorized into four major programs
•family health services
•control of communicable diseases
•control of non-communicable diseases •environmental health and sanitation
Type of Healthcare Agencies and Services
-public health
•Physicians’Office
•Ambulatory Care Centers
•Occupational Health Clinics
•Hospitals
•Subacute Care Facilities
•Extended (Long-Term) Care Facilities
•Retirement and Assisted Living Centers
•Rehabilitation Centers
•Home Healthcare Agencies
•Day Care Centers
•Rural Care
•Hospice Services
•Crisis Centers
•Mutual Support ang Self- Help Groups
Providers of Healthcare
•Nurse
•Alternative (Comolementary) Care Provider
•Assistive Personnel
•Case Manager
•Dentist
•Dietitian or Nutritionist
•Emergency Medical Personnel
•Occupational Therapist
•Paramedical Technologist
•Pharmacist
•Physical Therapist
•Physician
•Physician Assistant
•Podiatrist
•Respiratory Therapist
•Social Worker
•Spiritual Support Personnel
Factors Affecting Healthcare Delivery
•Increasing Numbers of older adults
•Advances in Technology
•Economics
•Women’s Health
•Uneven Distribution of Services
•Access to Health Insurance
•The homeless and the Poor
•Health Insurance Portability and Accountability (HIPAA)
•Demographic changes
Provides direct client care under the direction of an RN, physician, or other licensed practitioner
Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN)
Provide direct client care as NP’s, nurse midwives, certified registered nurse anesthetists, and clinical nurse specialists
These nurses have education and certification that depending on state regulations may allow them to provide primary care, prescribe medications, and receive third-party ( insurance) reimbursement directly for their services
Advanced Practice Registered Nurses
Examine specimens such as urine, feces, blood and discharges from wounds to provide exact information that facilitates the medical diagnosis and the prescription of a therapeutic regimen
Laboratory Technologists
Assists with a wide variety of xray film procedures, from simple chest radiography to more complex fluoroscopy
Radiologic Technologists
