[MTL02]The Philippine Health Care Delivery System Flashcards
it is an organized plan of services
health care system
a network of health facilities and personnel that renders care services to people
health care delivery system
true or false
is Ph HC system a complex set of organizations interacting to provide an array of health services?
true
what is the primary function of DOH
3ps
- promotion
- protection,
- preservation or restoration of the health
________is the totality of “societal services and activities designed to_______
HCDS; protect or restore health of IFGC (clientele)
HCDS includes:
- government HF
- non-government HF
major concern of government HC
preventive HC
type of care provided by both government & private hospitals
curative care
What is RA 9439
act prohibiting the detention of patients in hospitals and medical clinics on grounds of nonpayment of hospital bills or medical expenses
What is RA9502
-An act providing for cheaper and quality medicines
RA 8293 or
intellectual property code
RA 6675 or
Generics Act of 1988
RA 5921 or
Pharmacy Law
2 Republic act that affect the HCDS
- RA 9439
- RA9502
True or False
Public health is generally regarded as a responsibility of the gov’t
True
according to Winslow’s classic 1920
definition,
public health is______
science and art of:
-preventing disease
- prolonging life
- promoting physical & mental health
- wellbeing
4 Basic principles to achieve improvement in Health
[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
The direction pursued by the DOH is guided by the (6)
- MDG
- SDG
- Philippine Development Plan
- Health Sector Reform Agenda
- Fourmula 1plus
- National Objectives for Health
PH development plan, goals that was met
Poverty incidence declined from 25.2 percent in 2012 to 21.6 percent
what is HDi
summary measure for assessing long-term progress
3 basic dimensions of human development
- long and healthy life
- access to knowledge
- decent standard of living
True or False
The Philippines has a high human development rank based on the latest United Nations Development Programme (UNDP) report.
true
Philippines’ HDI value for 2017
[human development level]
[position]
0.699— which put the country in the medium human development category—positioning it at 113 out of 189 countries and territories.
the rank of PH in 2017 is shared with
South Africa
Between 1990 and 2017, Philippines’ HDI value increased from______ to _____ an increase of ______%
.586 to 0.699, an increase of 19.3 percent.
rank of PH in 2019 Human Development Report
106th out of the 189 countries
2019 human development index (HDI) value of
0.712
DOH pipeline is
Fourmula One Plus
Fourmula One Plus is
department’s strategic thrust for the Philippine Health Agenda
Fourmula One Plus is composed of _____ by
5 Pillars
Sec. Francisco Duque, MD
what are these 5 Pillars
- Financing,
- Regulation,
- Service Delivery,
- Governance
- Performance Accountability
National Objectives for Health (NOH) 2017–2022 serves as
medium-term roadmap of the Philippines towards achieving universal healthcare (UHC)
NOH specifies the: (3)
the objectives, strategies and targets of the Department of Health (DOH)
F+1 ultimately leads to the _______
three major goals
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.
F1+ three strategic goals
[1] better health outcomes
[2] more responsive health system
[3] more equitable health care financing
Strategic Framework
create mindmap
DOH vision
Filipinos are among the healthiest people in Southeast Asia by 2022, and Asia by 2040
DOH mission
To lead the country in the development of a productive, resilient, equitable and people-centered health system
the _______department of gov is responsible for:__________ through_________and ________
- executive
- ensuring access to basic public health
- provision of qualityhealth care
- regulation of all health services and products
TheFOURmula One Pluswith the tagline
Boosting Universal Health Care
Boosting Universal Health Care hints health reforms to a: (4)
- more transparent
- more inclusive
- more coordinative
- more synergistic agenda
FOURmula ONE for Health(F1), a strategy for implementinghealthreforms, has been put into action by the different offices, bureaus, programs, and projects including attached agencies since
2005
RA 11223 or _____ by
Universal Health Care
-Francisco T Duque MD
He signed the UHC
President Rodrigo Duterte
RA 11223 is an act:
- automatically enrolls all Filipino citizens in the National Health Insurance Program
- prescribes complementary reforms in the health system.
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.
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
National Health Insurance Program include:
sustainable system of funds constitution
collection, management and disbursement for financing the availment of a basic minimum package
National Health Insurance Program shall be limited
paying for the utilization of health services by covered beneficiaries
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
PhilHealth
Article IV, Section 15 of RA 7875 as amended
tax-exempt Government Corporation attached to DOH
Health outcomes [PH] ranking in SEA Countries: [ave life expectancy]–2016
rank 7
Health outcomes [PH] ranking in SEA Countries: [maternal mortality]–2015
rank 6
Health outcomes [PH] ranking in SEA Countries: [infant mortality]–2016
rank 6
Health outcomes [PH] ranking in SEA Countries: [TB Incidence]–2016
rank 11 (worst)
ten leading causes or mortality PH 2016
mind map
ten leading causes of morbidity PH 2016
mind map
PH Health Agenda 2016-2022 “healthy Philippines 2022” theme
all for health towards health for all
goals of the PH health agenda
health system we aspire for
- financial protection
- better health outcomes
- responsiveness
goal of financial protection
protect the poor, marginalized and vulnerable from high cost HC
goal of better health outcomes
ensure that filipinos can attain the best possible health outcomes with no disparity
goal of responsiveness
filipinos must feel respected, valued and empowered in all of their interaction with health system
values of the PH health agenda
health system we aspire for
- equitable and inclusive to all
- user resources efficiently
- transparent and accountable
- provides high quality services
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
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
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
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
all for health towards health for all
+ investing in people
+ protection against instability
all for health towards health for all goals
+ universal health coverage
+ strengthen implementation of RPRH law
+ war against drugs
+ additional funds from PAGCOR
3 guarantees
+ service delivery network
+ universal health insurance
+ all life stages and triple burden of diseases
guarantee 1
all life stages and triple burden of diseases
what is all life stages and triple burden of diseases
[services for both the well & sick]
starting from pregnancy - elderly
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
all life stages and triple burden of diseases problems
communicable diseases
NCD & malnutrition
Disease of rapid urbanization and industrialization
communicable diseases
such as
HIV/Aids, TB, Malaria Dengue ebola zika lepto disease for elimination
NCD & malnutrition such as
+ cancer, DM, CVD,
+obesity, smoking, diet, sedentary lifestyle
+malnutrition
Disease of rapid urbanization and industrialization such as
\+ injuries \+ substance abuse \+ mental illness \+ pandemic \+travel medicine \+ health consequences of climate change or disaster
guarantee 2
service delivery network
service delivery network is
functional network of health facilities
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
guarantee 3
+ universal health insurance
what is universal health insurance
financial freedom when accessing services
services are financed predominantly by
philhealth
services are financed predominantly by philhealth
+ philhealth as gateway to free affordable care
+ simplify philhealth rules
+ philhealth as main revenue source for PCH providers
philhealth as gateway to free affordable care
100% filipino
formal sector premium paid through payroll
non formal paid though tax
simplify philhealth rules
no balance billing for poor & fixed co-payment for non-basic accommodation
all for health towards health for all goals strategy
ACHIEVE
