[MTL02]The Philippine Health Care Delivery System Flashcards
(88 cards)
1
Q
it is an organized plan of services
A
health care system
2
Q
a network of health facilities and personnel that renders care services to people
A
health care delivery system
3
Q
true or false
is Ph HC system a complex set of organizations interacting to provide an array of health services?
A
true
4
Q
what is the primary function of DOH
A
3ps
- promotion
- protection,
- preservation or restoration of the health
5
Q
________is the totality of “societal services and activities designed to_______
A
HCDS; protect or restore health of IFGC (clientele)
6
Q
HCDS includes:
A
- government HF
- non-government HF
7
Q
major concern of government HC
A
preventive HC
8
Q
type of care provided by both government & private hospitals
A
curative care
9
Q
What is RA 9439
A
act prohibiting the detention of patients in hospitals and medical clinics on grounds of nonpayment of hospital bills or medical expenses
10
Q
What is RA9502
A
-An act providing for cheaper and quality medicines
11
Q
RA 8293 or
A
intellectual property code
12
Q
RA 6675 or
A
Generics Act of 1988
13
Q
RA 5921 or
A
Pharmacy Law
14
Q
2 Republic act that affect the HCDS
A
- RA 9439
- RA9502
15
Q
True or False
Public health is generally regarded as a responsibility of the gov’t
A
True
16
Q
according to Winslow’s classic 1920
definition,
public health is______
A
science and art of:
-preventing disease
- prolonging life
- promoting physical & mental health
- wellbeing
17
Q
4 Basic principles to achieve improvement in Health
A
[1] Universal access to basic health services must be secured
[2] epidemiological shift (from infection to degenerative diseases) must be managed
[3] performance of health must be enhanced
[4] health and nutrition of high risk groups must be prioritized
18
Q
The direction pursued by the DOH is guided by the (6)
A
- MDG
- SDG
- Philippine Development Plan
- Health Sector Reform Agenda
- Fourmula 1plus
- National Objectives for Health
19
Q
PH development plan, goals that was met
A
Poverty incidence declined from 25.2 percent in 2012 to 21.6 percent
20
Q
what is HDi
A
summary measure for assessing long-term progress
21
Q
3 basic dimensions of human development
A
- long and healthy life
- access to knowledge
- decent standard of living
22
Q
True or False
The Philippines has a high human development rank based on the latest United Nations Development Programme (UNDP) report.
A
true
23
Q
Philippines’ HDI value for 2017
[human development level]
[position]
A
0.699— which put the country in the medium human development category—positioning it at 113 out of 189 countries and territories.
24
Q
the rank of PH in 2017 is shared with
A
South Africa
25
Between 1990 and 2017, Philippines’ HDI value increased from______ to _____ an increase of ______%
.586 to 0.699, an increase of 19.3 percent.
26
rank of PH in 2019 Human Development Report
106th out of the 189 countries
27
2019 human development index (HDI) value of
0.712
28
DOH pipeline is
Fourmula One Plus
29
Fourmula One Plus is
department's strategic thrust for the Philippine Health Agenda
30
Fourmula One Plus is composed of _____ by
5 Pillars
Sec. Francisco Duque, MD
31
what are these 5 Pillars
- Financing,
- Regulation,
- Service Delivery,
- Governance
- Performance Accountability
32
National Objectives for Health (NOH) 2017–2022 serves as
medium-term roadmap of the Philippines towards achieving universal healthcare (UHC)
33
NOH specifies the: (3)
the objectives, strategies and targets of the Department of Health (DOH)
34
F+1 ultimately leads to the _______
three major goals
35
3 major goals of the Philippine
| Health Agenda:
1) better health outcomes with no major disparity among population groups
2) financial risk protection for all especially the poor, marginalized and vulnerable
3) a responsive health system which makes Filipinos feel respected, valued and empowered.
36
F1+ three strategic goals
[1] better health outcomes
[2] more responsive health system
[3] more equitable health care financing
37
Strategic Framework
create mindmap
38
DOH vision
Filipinos are among the healthiest people in Southeast Asia by 2022, and Asia by 2040
39
DOH mission
To lead the country in the development of a productive, resilient, equitable and people-centered health system
40
the _______department of gov is responsible for:__________ through_________and ________
- executive
- ensuring access to basic public health
- provision of quality health care
- regulation of all health services and products
41
The FOURmula One Plus with the tagline
Boosting Universal Health Care
42
Boosting Universal Health Care hints health reforms to a: (4)
- more transparent
- more inclusive
- more coordinative
- more synergistic agenda
43
FOURmula ONE for Health (F1), a strategy for implementing health reforms, has been put into action by the different offices, bureaus, programs, and projects including attached agencies since
2005
44
RA 11223 or _____ by
Universal Health Care
-Francisco T Duque MD
45
He signed the UHC
President Rodrigo Duterte
46
RA 11223 is an act:
- automatically enrolls all Filipino citizens in the National Health Insurance Program
- prescribes complementary reforms in the health system.
47
National Health Insurance Program was established to provide ____ and ensure
-health insurance coverage
-affordable
-acceptable
-available
-accessible
health care services for all citizens of the Philippines.
48
serve as the means for the healthy to help pay for the care of the sick and for those who can afford medical care to subsidize those who cannot
National Health Insurance Program
49
National Health Insurance Program include:
sustainable system of funds constitution
collection, management and disbursement for financing the availment of a basic minimum package
50
National Health Insurance Program shall be limited
paying for the utilization of health services by covered beneficiaries
51
National Health Insurance Program shall be prohibited from:
this is according article __ section ___
providing health care directly
from buying and dispensing drugs and pharmaceuticals
from employing physicians and other professionals for the purpose of directly rendering care
from owning or investing in health care facilities
Article III, Section 5 of RA 7875 as amended
52
PhilHealth
Article IV, Section 15 of RA 7875 as amended
tax-exempt Government Corporation attached to DOH
53
Health outcomes [PH] ranking in SEA Countries: [ave life expectancy]--2016
rank 7
54
Health outcomes [PH] ranking in SEA Countries: [maternal mortality]--2015
rank 6
55
Health outcomes [PH] ranking in SEA Countries: [infant mortality]--2016
rank 6
56
Health outcomes [PH] ranking in SEA Countries: [TB Incidence]--2016
rank 11 (worst)
57
ten leading causes or mortality PH 2016
mind map
58
ten leading causes of morbidity PH 2016
mind map
59
PH Health Agenda 2016-2022 "healthy Philippines 2022" theme
all for health towards health for all
60
goals of the PH health agenda
health system we aspire for
1. financial protection
2. better health outcomes
3. responsiveness
61
goal of financial protection
protect the poor, marginalized and vulnerable from high cost HC
62
goal of better health outcomes
ensure that filipinos can attain the best possible health outcomes with no disparity
63
goal of responsiveness
filipinos must feel respected, valued and empowered in all of their interaction with health system
64
values of the PH health agenda
health system we aspire for
1. equitable and inclusive to all
2. user resources efficiently
3. transparent and accountable
4. provides high quality services
65
Milestone of PH Health Agenda
- devolution
- use of genetic
- milk code
- philhealth [1995]
- DOH resources to promote local health system devt
- Fiscal autonomy for gov't hospitals
- good governance programs [ISO,IMC, PGS]
- funding of UHC
66
persistent Inequalities in health outcomes
2000 mothers die yearly due to pregnancy complications
Fil child born to poorest family 3 times more likely to reach his 5th bday
3/10 children are stunted
67
restrictive and impoverishing healthcare costs
1.5 M families yearly are pushed to poverty due to health care expenditures
fil forego or delay care due to fees or payments
4000 php / month health care expenses is consdered catastrophic for single income families
68
poor quality and undignified care synonymous with public clinics and hospitals
- long wait times
- limited autonomy to choose provider
- less than hygienic restrooms; lacking amenities
- privacy and confidentiality taken lightly
- poor record-keepig
- overcrowding and under provision of care
69
all for health towards health for all
+ investing in people
+ protection against instability
70
all for health towards health for all goals
+ universal health coverage
+ strengthen implementation of RPRH law
+ war against drugs
+ additional funds from PAGCOR
71
3 guarantees
+ service delivery network
+ universal health insurance
+ all life stages and triple burden of diseases
72
guarantee 1
all life stages and triple burden of diseases
73
what is all life stages and triple burden of diseases
[services for both the well & sick]
starting from pregnancy - elderly
74
all life stages and triple burden of diseases includes
+first 100 days
+ reproductive and sexual health
+ maternal, newborn & child health
+ exclusive breastfeeding
+ food & micronutrient supplementation
+ immunization
+adolescent health
+ geriatric health
+ health screening
+promotion and information
75
all life stages and triple burden of diseases problems
communicable diseases
NCD & malnutrition
Disease of rapid urbanization and industrialization
76
communicable diseases
| such as
```
HIV/Aids, TB, Malaria
Dengue
ebola
zika
lepto
disease for elimination
```
77
NCD & malnutrition such as
+ cancer, DM, CVD,
+obesity, smoking, diet, sedentary lifestyle
+malnutrition
78
Disease of rapid urbanization and industrialization such as
```
+ injuries
+ substance abuse
+ mental illness
+ pandemic
+travel medicine
+ health consequences of climate change or disaster
```
79
guarantee 2
service delivery network
80
service delivery network is
functional network of health facilities
81
services are delivered by network that are
+ fully functional [complete equip, med, HCP]
+ compliant with clinical practice guidelines
+ available 24/7 even during disasters
+ practicing gatekeeping
+ located close to people [mobile clinic or subsidize transportation cost]
+ enhanced by telemedicine
82
guarantee 3
+ universal health insurance
83
what is universal health insurance
financial freedom when accessing services
84
services are financed predominantly by
philhealth
85
services are financed predominantly by philhealth
+ philhealth as gateway to free affordable care
+ simplify philhealth rules
+ philhealth as main revenue source for PCH providers
86
philhealth as gateway to free affordable care
100% filipino
formal sector premium paid through payroll
non formal paid though tax
87
simplify philhealth rules
no balance billing for poor & fixed co-payment for non-basic accommodation
88
all for health towards health for all goals strategy
ACHIEVE
