Philippine Health Care Delivery System

Question 1

is a fundamental human right as cited in the Alma-Ata Declaration of 1978

Answer 1

HEALTH CARE

Question 2

HEALTH CARE is a fundamental human right as cited in the

Answer 2

Alma-Ata Declaration of 1978

Question 3

is defined by Miller & Keane (1987) as “an organized plan
of health services.”

Answer 3

Health care system

Question 4

Health care is defined by _____ as “an organized plan
of health services.”

Answer 4

Miller & Keane (1987)

Question 5

____ as defined by Williams-Tungpalan (1981), is the “rendering
of health services to the people.”

Answer 5

Health care delivery

Question 6

health care delivery as defined by ______ is the “rendering
of health services to the people.”

Answer 6

Williams-Tungpalan (1981)

Question 7

_____ is “the network of health facilities and personnel which carries out the task of
rendering health care to the people.”

Answer 7

Health care delivery

Question 8

is an important health care derived from scientifically
sound and socially accepted methods (WHO, Alma-Ata Declaration).

Answer 8

Primary health care

Question 9

It must
be universally accessible to all individuals and is based on what the
community and country can provide.

Answer 9

Primary health care

Question 10

primary health care is an important health care derived from scientifically
sound and socially accepted methods _____

Answer 10

(WHO, Alma-Ata Declaration).

Question 11

• It deals with social policy targets health equity with the ultimate goal of
  better health for all.

Answer 11

primay health care

Question 12

The five key elements to achieve these goal as identified by WHO are as
follows:

Answer 12

1. universal coverage to reduce exclusion and social disparities in health;
2. service delivery organized around people’s needs and expectations;
3. public policy that integrates health into all sectors;
4. leadership that enhances collaborative models of policy dialogue; and
5. Increased stakeholder participation

Question 13

EIGHT ESSENTIAL ELEMENTS OF PHC

Answer 13

1.Education concerning prevailing health problems and the methods
of identifying, preventing and controlling them
2.Locally endemic disease prevention and control
3.Expanded program of immunization against major infectious
diseases
4.Maternal and child health care including family planning
5.Essential drugs arrangement
6.Nutritional food supplement, an adequate supply of safe and basic
nutrition
7.Treatment of communicable and non-communicable disease and
promotion of mental health
8. Safe water and sanitation

Question 14

Other elements of Primary Health Care

Answer 14

1.Expended options of immunizations
2.Reproductive health needs
3.Provision of essential technologies for health
4.Health promotion
5.Prevention and control of non-communicable diseases
6.Food safety and provision of selected food supplements

Question 15

Principles of Primary Health Care
Basic objectives to launch and sustain PHC:

Answer 15

1. Improve the level of health care of the community
2. Promote favorable population growth structure
3. Reduce the morbidity and mortality rates especially among
   infants and children
4. Reduce prevalence of preventable, communicable, and other
   diseases
5. Improve basic sanitation
6. Extend essential health services especially to underserved
   sectors
7. Develop the capability of the community to become self-reliant
8. Encourage the contribution of other sectors to the social and
   economic development of the community
9. Provide equitable distribution of health care
10. Ensure community participation and monitor adequacy and
    distribution of health workers who are supported locally and at the
    referral levels
11. Recognize that the formal health sector needs other sectors in
    the promotion of health (multi-sectoral approach)
12. Use the appropriate technology which are accessible, feasible,
    affordable, and culturally acceptable to the community

Question 16

management of the primary health care:

Answer 16

1. planning
2. organizing
3. staffing
4. controlling
5. directing

Question 17

Process of Management:

Health care managers usually carry out the following functions in the process of
management:

Answer 17

1. Planning
2. Organizing
3. Staffing
4. Controlling
5. Directing

Question 18

setting priorities and determining performance targets. Managers
are usually required to set direction and determine what needs to be done

Answer 18

planning

Question 19

refers to designing the organization or the specific division, unit, or
service for which the manager is responsible. Involves determining positions and
teamwork assignments, and distributing authority and responsibility

Answer 19

organizing

Question 20

refers to acquiring and retaining human resources, and developing
and maintaining the workforce through various strategies and tactics

Answer 20

staffing

Question 21

refers to monitoring staff activities and performance and taking
the appropriate actions for corrective actions to increase performance

Answer 21

controlling

Question 22

focuses on initiating action in the organization through the effective
leadership, motivation, and communication of managers

Answer 22

directing

Question 23

Management Principles in Relation to
Organizing:

Answer 23

1. authority
2. two types of authority
3. Centralization, Decentralization, and Formalization
4. staffing

Question 24

Authority refers to the formal and legitimate right of a manager
to issue orders, make decisions, and allocate resources to
achieve desired outcomes of the organization.

Answer 24

1. Authority, responsibility, and accountability

Question 25

refers to the formal and legitimate right of a manager
to issue orders, make decisions, and allocate resources to
achieve desired outcomes of the organization.

Answer 25

authority

Question 26

_____ is the duty of the employee to perform the
assigned tasks and activities

Answer 26

responsibility

Question 27

______ means reporting and justification of task
outcomes to higher management by those people with authority.

Answer 27

Accountability

Question 28

Types of Authority

Answer 28

a. Line Authority
b. Functional Authority
c. Staff Authority

Question 29

_____ managers issue orders to their
subordinates and are responsible for the results

Answer 29

Line Authority

Question 30

______ is for managers that have
power only over a specific set of activities.

Answer 30

Functional Authority

Question 31

______ is given to specialists in their areas of
expertise. These managers simply advises, recommends,
and counsels.

Answer 31

Staff Authority

Question 32

_____refers to the concentration of planning and
decision-making to the top of the organization.

Answer 32

Centralization

Question 33

_____ refers to the delegation of planning and
decision-making to the lower branches of the organization.

Answer 33

Decentralization

Question 34

______ refers to a written documentation provided for
the direct control of the employees.

Answer 34

Formalization

Question 35

As regards to the process of staffing, the functions of the manager
are:

Answer 35

a. Assign individuals to respective positions identified in a
management plan

b. Assess required competencies through

c. Recruit qualified personnel

d. Improve existing services and programs by

Question 36

b. Assess required competencies through:

Answer 36

• identification of the key result areas (KRA’s) per major activity
• determination of competencies and qualifications

Question 37

d. Improve existing services and programs by:

Answer 37

• reviewing and adjusting the requirements accordingly
• matching the competency requirements vis-a-avis the
  responsible personnel assigned to the activity

Question 39

____ is ”a complex set of organizations
interacting to provide an array of health services.”

Answer 39

THE PHILIPPINE HEALTH CARE SYSTEM

Question 40

The DOH has the responsibility to create, plan, implement, and systematize
national health policies, advocacies, and programs.

Answer 40

The Department of Health Mandate (E.O. No. 119, Sec. 3)

Question 41

The primary function is to promote, protect, and preserve or restore people’s health by giving health services
and by monitoring and motivating health service providers.

Answer 41

The Department of Health Mandate (E.O. No. 119, Sec. 3)

Question 42

A global leader for attaining better health outcomes, competitive and
responsible health care system, and equitable health financing

Answer 42

DOH vision by 2023

Question 43

To guarantee equitable, sustainable and quality health for all Filipinos,
especially the poor, and to lead the quest for excellence in health

Answer 43

DOH Mission by 2023

Question 44

LEVELS OF HEALTH CARE FACILITIES

Answer 44

1. Primary level of health care facilities.
2. Secondary level of health care facilities.
3. Tertiary level of health care facilities.

Question 45

1. Primary level of health care facilities:

Answer 45

a) Units operated by the DOH which include the rural health units, their
respective sub-centers, chest clinics, malaria eradication units, and
schistosomiasis control units;
b) Puericulture center operated by the League of Puericulture Centers;
c) Units operated by the Philippine Tuberculosis Society such as the
tuberculosis clinics and hospitals;
d) Clinics operated by Philippine Medical Association;
e) Clinics operated by large industrial firms for their employees;
f) Health centers and community hospitals operated by the Philippine
Medical Care Commission; and
g) Other health facilitates operated by voluntary religious and civic groups

Question 46

These are the smaller, non-departmentalized hospitals. These
are emergency and regional hospitals were adequate treatments
are offered for patients with symptomatic stages of diseases.

Answer 46

2. Secondary level of health care facilities

Question 47

These are the specialized national hospitals which offer highly
technological and specialized knowledge, facilities and personnel
are treated here.

Answer 47

3. Tertiary level of health care facilities

Question 48

LEVELS OF PRIMARY HEALTH CARE WORKERS

Answer 48

1. Grassroot or Village Health Workers
2. Intermediate Level Health Workers
3. First-Line Hospital Personnel

Question 49

Factors affecting the categories of health workers:

Answer 49

• The availability of health manpower resources
• The presence of health care concerns and needs of the locality
• The issue of financial and political feasibility

Question 50

• Initial links of the community to health care

Answer 50

1. Grassroot or Village Health Workers

Question 51

• Provide preventive healthcare measures and simple curatives to promote a healthy
  environment

Answer 51

1. Grassroot or Village Health Workers

Question 52

• Encourage programs/activities such as food production programs to improve the socio-
  economic level of the community

Answer 52

1. Grassroot or Village Health Workers

Question 53

• Volunteers, community health workers, traditional birth attendants

Answer 53

1. Grassroot or Village Health Workers

Question 54

• First source of professional health care

Answer 54

2. Intermediate Level Health Workers

Question 55

• Attend to health problems which are already beyond the competence of the village workers

Answer 55

2. Intermediate Level Health Workers

Question 56

• Provide supervision, training, supplies, and services that provide support to front-line health
  workers

Answer 56

2. Intermediate Level Health Workers

Question 57

• Medical practitioners, nurses, midwives

Answer 57

2. Intermediate Level Health Workers

Question 58

• When hospitalization is required, they serve as the backup health service providers

Answer 58

3. First-Line Hospital Personnel

Question 59

• The intermediate level workers or village health workers are in close contact with them

Answer 59

3. First-Line Hospital Personnel

Question 60

• Physicians with specialty, nurses, dentist, pharmacists, and other health professionals

Answer 60

3. First-Line Hospital Personnel