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NCM104 > [MTL02]The Philippine Health Care Delivery System > Flashcards

[MTL02]The Philippine Health Care Delivery System Flashcards

1
Q

it is an organized plan of services

A

health care system

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2
Q

a network of health facilities and personnel that renders care services to people

A

health care delivery system

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3
Q

true or false

is Ph HC system a complex set of organizations interacting to provide an array of health services?

A

true

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4
Q

what is the primary function of DOH

A

3ps

  • promotion
  • protection,
  • preservation or restoration of the health
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5
Q

________is the totality of “societal services and activities designed to_______

A

HCDS; protect or restore health of IFGC (clientele)

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6
Q

HCDS includes:

A
  • government HF

- non-government HF

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7
Q

major concern of government HC

A

preventive HC

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8
Q

type of care provided by both government & private hospitals

A

curative care

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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

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10
Q

What is RA9502

A

-An act providing for cheaper and quality medicines

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11
Q

RA 8293 or

A

intellectual property code

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12
Q

RA 6675 or

A

Generics Act of 1988

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13
Q

RA 5921 or

A

Pharmacy Law

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14
Q

2 Republic act that affect the HCDS

A
  • RA 9439

- RA9502

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15
Q

True or False

Public health is generally regarded as a responsibility of the gov’t

A

True

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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
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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

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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
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19
Q

PH development plan, goals that was met

A

Poverty incidence declined from 25.2 percent in 2012 to 21.6 percent

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20
Q

what is HDi

A

summary measure for assessing long-term progress

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21
Q

3 basic dimensions of human development

A
  • long and healthy life
  • access to knowledge
  • decent standard of living
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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

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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.

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24
Q

the rank of PH in 2017 is shared with

A

South Africa

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25
Q

Between 1990 and 2017, Philippines’ HDI value increased from______ to _____ an increase of ______%

A

.586 to 0.699, an increase of 19.3 percent.

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26
Q

rank of PH in 2019 Human Development Report

A

106th out of the 189 countries

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27
Q

2019 human development index (HDI) value of

A

0.712

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28
Q

DOH pipeline is

A

Fourmula One Plus

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29
Q

Fourmula One Plus is

A

department’s strategic thrust for the Philippine Health Agenda

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30
Q

Fourmula One Plus is composed of _____ by

A

5 Pillars

Sec. Francisco Duque, MD

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31
Q

what are these 5 Pillars

A
  • Financing,
  • Regulation,
  • Service Delivery,
  • Governance
  • Performance Accountability
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32
Q

National Objectives for Health (NOH) 2017–2022 serves as

A

medium-term roadmap of the Philippines towards achieving universal healthcare (UHC)

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33
Q

NOH specifies the: (3)

A

the objectives, strategies and targets of the Department of Health (DOH)

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34
Q

F+1 ultimately leads to the _______

A

three major goals

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35
Q

3 major goals of the Philippine

Health Agenda:

A

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.

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36
Q

F1+ three strategic goals

A

[1] better health outcomes

[2] more responsive health system

[3] more equitable health care financing

37
Q

Strategic Framework

A

create mindmap

38
Q

DOH vision

A

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

39
Q

DOH mission

A

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

40
Q

the _______department of gov is responsible for:__________ through_________and ________

A
  • executive
  • ensuring access to basic public health
  • provision of qualityhealth care
  • regulation of all health services and products
41
Q

TheFOURmula One Pluswith the tagline

A

Boosting Universal Health Care

42
Q

Boosting Universal Health Care hints health reforms to a: (4)

A
  • more transparent
  • more inclusive
  • more coordinative
  • more synergistic agenda
43
Q

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

A

2005

44
Q

RA 11223 or _____ by

A

Universal Health Care

-Francisco T Duque MD

45
Q

He signed the UHC

A

President Rodrigo Duterte

46
Q

RA 11223 is an act:

A
  • automatically enrolls all Filipino citizens in the National Health Insurance Program
  • prescribes complementary reforms in the health system.
47
Q

National Health Insurance Program was established to provide ____ and ensure

A

-health insurance coverage

-affordable
-acceptable
-available
-accessible
health care services for all citizens of the Philippines.

48
Q

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

A

National Health Insurance Program

49
Q

National Health Insurance Program include:

A

sustainable system of funds constitution

collection, management and disbursement for financing the availment of a basic minimum package

50
Q

National Health Insurance Program shall be limited

A

paying for the utilization of health services by covered beneficiaries

51
Q

National Health Insurance Program shall be prohibited from:

this is according article __ section ___

A

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
Q

PhilHealth

Article IV, Section 15 of RA 7875 as amended

A

tax-exempt Government Corporation attached to DOH

53
Q

Health outcomes [PH] ranking in SEA Countries: [ave life expectancy]–2016

A

rank 7

54
Q

Health outcomes [PH] ranking in SEA Countries: [maternal mortality]–2015

A

rank 6

55
Q

Health outcomes [PH] ranking in SEA Countries: [infant mortality]–2016

A

rank 6

56
Q

Health outcomes [PH] ranking in SEA Countries: [TB Incidence]–2016

A

rank 11 (worst)

57
Q

ten leading causes or mortality PH 2016

A

mind map

58
Q

ten leading causes of morbidity PH 2016

A

mind map

59
Q

PH Health Agenda 2016-2022 “healthy Philippines 2022” theme

A

all for health towards health for all

60
Q

goals of the PH health agenda

health system we aspire for

A
  1. financial protection
  2. better health outcomes
  3. responsiveness
61
Q

goal of financial protection

A

protect the poor, marginalized and vulnerable from high cost HC

62
Q

goal of better health outcomes

A

ensure that filipinos can attain the best possible health outcomes with no disparity

63
Q

goal of responsiveness

A

filipinos must feel respected, valued and empowered in all of their interaction with health system

64
Q

values of the PH health agenda

health system we aspire for

A
  1. equitable and inclusive to all
  2. user resources efficiently
  3. transparent and accountable
  4. provides high quality services
65
Q

Milestone of PH Health Agenda

A
  • 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
Q

persistent Inequalities in health outcomes

A

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
Q

restrictive and impoverishing healthcare costs

A

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
Q

poor quality and undignified care synonymous with public clinics and hospitals

A
  • 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
Q

all for health towards health for all

A

+ investing in people

+ protection against instability

70
Q

all for health towards health for all goals

A

+ universal health coverage

+ strengthen implementation of RPRH law

+ war against drugs

+ additional funds from PAGCOR

71
Q

3 guarantees

A

+ service delivery network

+ universal health insurance

+ all life stages and triple burden of diseases

72
Q

guarantee 1

A

all life stages and triple burden of diseases

73
Q

what is all life stages and triple burden of diseases

A

[services for both the well & sick]

starting from pregnancy - elderly

74
Q

all life stages and triple burden of diseases includes

A

+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
Q

all life stages and triple burden of diseases problems

A

communicable diseases

NCD & malnutrition

Disease of rapid urbanization and industrialization

76
Q

communicable diseases

such as

A 
HIV/Aids, TB, Malaria
Dengue
ebola
zika
lepto
disease for elimination
77
Q

NCD & malnutrition such as

A

+ cancer, DM, CVD,

+obesity, smoking, diet, sedentary lifestyle

+malnutrition

78
Q

Disease of rapid urbanization and industrialization such as

A 
\+ injuries
\+ substance abuse
\+ mental illness
\+ pandemic 
\+travel medicine
\+ health consequences of climate change or disaster
79
Q

guarantee 2

A

service delivery network

80
Q

service delivery network is

A

functional network of health facilities

81
Q

services are delivered by network that are

A

+ 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
Q

guarantee 3

A

+ universal health insurance

83
Q

what is universal health insurance

A

financial freedom when accessing services

84
Q

services are financed predominantly by

A

philhealth

85
Q

services are financed predominantly by philhealth

A

+ philhealth as gateway to free affordable care

+ simplify philhealth rules

+ philhealth as main revenue source for PCH providers

86
Q

philhealth as gateway to free affordable care

A

100% filipino

formal sector premium paid through payroll

non formal paid though tax

87
Q

simplify philhealth rules

A

no balance billing for poor & fixed co-payment for non-basic accommodation

88
Q

all for health towards health for all goals strategy

A

ACHIEVE

NCM104 (7 decks)

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