Philippine Healthcare Delivery Service Flashcards
An organized plan of health services (Miller- Keane, 1987)
Health Care System
Rendering health care services to the people (Williams-Tungpalan, 1981)
Health Care Delivery
The network of health facilities and personnel which carries out the task of rendering health care to the people (Williams- Tungpalan, 1981)
Health Care Delivery System
A complex set of organizations interacting to provide an array of health services (Dizon, 1977)
Philippine Health Care System
Government corporate, specialty and regional hospitals
Department of Health (DOH)
District and provincial hospitals
Provincial LGU
Rural health units, health centers and barangay health stations
Municipal LGU
Rural health units, health centers and barangay health stations, city hospitals
City LGU
The principal national health agency in the Philippines.
Department of Health (DOH)
Responsible for ensuring access to basic public health services to all Filipinos through the provision of quality health care and regulation of providers of health goods and services.
Department of Health (DOH)
provide policy direction, strategic plan, regulatory service standard, and guidelines for health
Department of Health (DOH)
under this clinical laboratories are attached to the DOH because it is the central government agency which is authorized to regulate the operation and maintenance of the laboratory
Clinical Laboratory Law
ATTACHED AGENCIES AND HOSPITALS: development of traditional and alternative health care
Philippine Institute for Traditional and Alternative Health Care (PITAHC)
ATTACHED AGENCIES AND HOSPITALS: to ensure the nutritional well-being of all Filipinos in which they do policies; creating a body or team for nutrition
National Nutrition Council (NNC)
ATTACHED AGENCIES AND HOSPITALS: a program of the government to help people pay for health services, especially for those who cannot afford
Philippine Health Insurance Corporation (PHIC; PhilHealth)
ATTACHED AGENCIES AND HOSPITALS: under the HIV Law; primarily task to ensure the implementation of the Philippines’ response to HIV and AIDS situation
Philippine National AIDS Council (PNAC)
hospital for pulmonary diseases
Lung Center of the Philippines (LCP)
hospital for renal diseases, dialysis, organ transplantation (kidney, liver, pancreas, stem cells, bone marrow)
National Kidney and Transplant Institute (NKTI)
hospital for pediatric care and research services
Philippine Children’s Medical Center (PCMC)
hospital for cardiovascular care
Philippine Heart Center (PHC)
responsible for managing and implementing local health programs and services
Local Government Units
Provide limited range of services
specialty hospitals
the regulation and licensure agency of the government; health status of the population
Local Government Units
the Code devolves or transfers the responsibility for the delivery of various aspects of basic services to local governments.
LGU 1991
Helps to improve the health status of the
population
LGU 1991
according to DOH, the ideal nurse to patient ratio is what?
12 patients : 1nurse
during the year 2021, how many nurses are there in the Philippines?
88, 519
during the year 2021, how many midwifes are there in the Philippines?
41, 500
during the year 2021, how many physicians are there in the Philippines?
28, 817
during the year 2021, how many medical technologists are there in the Philippines?
12, 904
according to Filipino Nurses United, the covid patient ratio to nurses is what?
3 patients : 1 nurse
what is the ratio of critical patients to nurses?
1 patient : 1 nurse
involves different layers of financial resources and regulatory bodies to provide health service
Health Financing
4 main sources of funds
- National and Local
- Insurance
- HMO
- Out of the pocket
fund from National and Local
taxes
Funds from Insurance
PhilHealth
Funds from HMO
Health Maintenance Organization
Funds out of the pocket
- user fees
- salary
- income
- loans
Republic Act 10351
Sin Reform Law
Helps finance the Universal Health Care
program of the government, simplified the current excise tax system on alcohol and tobacco products and fixed long standing structural weaknesses, and addresses public health issues relating to alcohol and tobacco consumption.
Sin Reform Law
SSS and GSIS is under this
Sin Reform Law
Established in 1995
PhilHealth
provide health insurance coverage and ensure affordable, acceptable, available and accessible health care services for all citizens of the Philippines.
PhilHealth
A tax-exempt Government Corporation attached to the Department of Health for policy coordination and guidance.
PhilHealth
who are the members of PhilHealth?
- Employees and Self-employed individuals
- Senior Citizens
- People subsidized by local government.
- Indigents
what are the illnesses that covered by Philhealth?
- Hemodialysis
- Outpatient Blood Transfusion
- Thyroidectomy
- Tonsillectomy
- Newborn Care
- Kidney transplantation
one of the main providers for funds in healthcare
Sin Reform Law
helps reduce our expenses in health such as professional and consultation fee to the doctors, laboratory tests, and hospital costs
PhilHealth
what is the goal of PhilHealth?
ensure a sustainable national health insurance program for all
what are the 3 dimensions of PhilHealth based on WHO
- Who gets covered or qualified?
- What is covered?
- How much is covered?
a health and life insurance of employee in a private company for discounts, check-ups, laboratory tests, and hospital bills
Health Maintenance Organization
a company that allows people to be insured to avail medical services in exchange for a fixed monthly or annual fee.
Health Maintenance Organization
acts as the middleman between the client and healthcare providers such as hospitals, clinics, laboratories, doctors, therapist, etc.
Health Maintenance Organization
It can lower overall costs by being able to offer large number of potential clients to hospitals and physicians
Health Maintenance Organization
They can negotiate for lesser prices on treatment, services, and medicines. In return, healthcare providers have a database of customers that would avail their services.
Health Maintenance Organization
the first recognized trade association of Health Maintenance Organization (HMOs) in the Philippines.
Association of Health Maintenance Organization of the Philippines, Inc. (AHMOPI)
example of accredited HMOs in the PH
- maxicare
-PhilCare - kaiser
- InLife
- general
- Life & Health
- Lacson & Lacson
- MedAsia
- Pacific Cross
- CocoLife
- eTiQa
- Intellicare
- Avega
- MediCare Plus
- PhilHealth
- A.M.P.I.N.G
- Goldenstate Maternity Clinic
- Dona SOledad Lying-in , Inc
- DOnsol Lying-in & Family Planning Center, Inc
- PAG-IBIG
examples of Public healthcare under department of health
- National Health Services Regional District and Rural Health Services
- Rural Health Units
- Barangay Health Centers
examples of Private healthcare under department of health
- Private Clinic General
- Private Hospital Specialty
- Private Hospital
T or F: there are more public hospitals than private hospitals
F (sabi ng DOH mas marami private)
top of the pyramidal health structure is what?
Tertiary National Health Care Services
What are the middle part of the pyramidal health structure?
o Secondary Health District
o Regional Health Services
o Care Rural (Local Hospital) Services
What are the bottom part of the pyramidal health structure?
o Rural Health Units
o Primary Barangay Health Stations
what type of ownership is created by law, under the national government, DOH, LGU, Department of National Defense, Philippine National Police, Department of Justice, State Universities and Colleges (SUCs), Government Owned and Controlled Corporations (GOCC)
Public or government ownership
what type of ownership is owned, established, and operated with funds through donation, principal, investments or other means by any individual, corporation, association, or organization. It may be a single proprietorship, partnership, corporation, cooperative, foundation, religious, non- government organization.
private
first contact health care facility; they offer
basic services
primary care facility
include general medicine, pediatrics, obstetrics and gynecology, surgery and anesthesia
clinical services
examples of primary care facility
- Infirmary
- Birthing home
- Outpatient Clinic
- OFW Clinic
- Dental Clinic
providing a long-term care to patients that has chronic diseases, including basic human needs such as food and shelter, as well as rehabilitation
custodial care facility
provides particular forms of treatment, surgical procedure and intensive care
custodial care facility
examples of custodial care facility
- Custodial Psychiatric Care Facility
- Substance/ Drug Abuse Treatment and Rehabilitation Center
- Sanitarium (Leprosarium and Nursing Home)
covers the testing (pre-analytical, analytical,
and post-analytical)
Diagnostic / Therapeutic facility
Examines the human body/ specimens from human body.
Diagnostic / Therapeutic facility
examples of Diagnostic / Therapeutic facility
- Laboratory Facility (drug testing, newborn screening, and HIV testing)
-Radiologic facility - nuclear medicine facility
Performs highly specialized procedures on an
out-patient basis
Specialized Out-Patient Facility
examples of Specialized Out-Patient Facility
- Dialysis Clinic
- Stem Cell Facility
- Fertilization Center
- Physical Medicine
- Rehabilitation Center
small clinic or a specialty room in college institutions
Infirmary
a health facility that provides emergency treatment and care to the sick and injured, as well as clinical care and management to mothers and newborn babies.
Infirmary
A health facility that provides maternity service
on pre-natal and post-natal care, normal spontaneous delivery, and care of newborn babies.
Birthing Home
A health facility that provides medical service, nursing care, pharmacological treatment and psychological intervention for mentally ill
patients.
Acute-Chronic Psychiatric Care Facility
A health facility that provides long-term care, including basic human services such as food and shelter, to chronic mentally ill patients.
Custodial Psychiatric Care Facility
number of Barangay Health Station (BHS) in the Philippines
22, 613
how many percent of the BHS do not have access to a PCF (primary care facility) within 30 minutes
50%
what areas with BHS do not have access to PCG within 30 minutes
- BARMM
- Bicol
- MiMAROPA
T or F: The current bed to population in PH is comparable to those of the poorest countries of the world
true
hospital bed ratio in the PH is what?
1.2 : 1000
what is the recommended hospital bed ratio based on WHO
20 beds : 10, 000 people
Primary Health Care for All (1970)
effectively organize and strengthen national health systems to bring services for health and wellbeing closer to communities.
Primary Health Care for All (1970)
enables health systems to support a person’s health needs – from health promotion to disease prevention, treatment, rehabilitation, palliative care and more.
Primary Health Care for All (1970)
what is the aim of Primary Health Care for All (1970)
universal health coverage
Executive Order 51 is also known as what
Milk Code of 1986
Milk Code of 1986 was signed by whom
President Corazon Aquino on October 20, 1986
T or F: PH is the first one to have the Milk Code in terms of neighboring countries in Asia
True
Goal of Milk Code
to protect and enhance the well-being of the mothers and newborn by actively enforcing the Milk Code
National Breastfeeding month in the Philippines
August
Intensify the dissemination of information on breastfeeding and proper nutrition, it bans donations, samples or distribution of other promotional giveaways by milk companies to the health workers and others in the healthcare system
Milk Code
This law aims to supply and promote a low price and quality medicine or generic drugs; promoting drug safety
GENERICS LAW (1990)
This law aims to supply and promote a low price and quality medicine or generic drugs; promoting drug safety
GENERICS LAW (1990)
Promote, require and ensure the production of an adequate supply, distribution, use and acceptance of drugs and medicines identified by their generic names
GENERICS LAW (1990)
also known as Government Owned and Controlled Corporations (GOCCs) Good Governance Act of 2011
Good Governance Act 2011 (RA 10149)
This act recognize the corporations as a significant tools for development of the economy
Good Governance Act 2011 (RA 10149)
sets the normative standards of development
Good Governance Act 2011 (RA 10149)
Safeguard the State’s ownership rights and ensure that the operations of GOCCs are transparent and responsive to the needs of the public
Good Governance Act 2011 (RA 10149)
It aims to actively exercise the ownership rights in GOCCs and to promote growth by ensuring that operations are consistent with national development policies and programs.
Good Governance Act 2011 (RA 10149)
signed by President Rodrigo Duterte
Universal Health Care Law 2019 (RA 11223)
This law creates an expansion of health services and financial coverage for the health needs of Filipino; reduces the out-of-the-pocket expenditures
Universal Health Care Law 2019 (RA 11223)
A comprehensive and progressive reforms that will ensure every Filipino is healthy, protected from health hazards and risks, and has access to affordable, quality, and readily available health service that is suitable to their needs
Universal Health Care Law 2019 (RA 11223)
A comprehensive and progressive reforms that will ensure every Filipino is healthy, protected from health hazards and risks, and has access to affordable, quality, and readily available health service that is suitable to their needs
Universal Health Care Law 2019 (RA 11223)
means International Organization for Standardization
ISO
ISO for Quality Management
System Certification
ISO 9001:2015
ISO for Health and Safety Standard
ISO 45001:2018
ISO for Laboratory Testing Standard
ISO 17025:2017
It offers a methodical and systematic approach towards service delivery in health care.
ISO
The certification offers reliable improvements to
service delivery in the healthcare system.
ISO
