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NCM 104 CHN > PRELIMS_PHILIPPINE HEALTH CARE DELIVERY SYSTEM > Flashcards

PRELIMS_PHILIPPINE HEALTH CARE DELIVERY SYSTEM Flashcards

1
Q

give the 6 components of health system

A
  1. Service delivery
  2. Health workforce
  3. Information
  4. Medical products, vaccines, technologies
  5. Financing
  6. Leadership
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2
Q

responsible in leading healthcare system worldwide

A

World Health Organization (WHO)

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3
Q

Philippines belongs to what WHO branch? and headquarters location?

A

Western Pacific Branch

Headquarters= Manila

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4
Q

What is the objective of WHO?

A

attainment by all people of the highest possible level of health

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5
Q

describe WHO

  • what is it?
  • date of inauguration?
  • how many country and reginal offices?
A 
✅ Global health organization 
	-under the United Nations
✅April 7, 1948
	-WHO day
✅150 country offices and six world regional offices
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6
Q

give 5 core functions of WHO

A
  • leadership
  • research
  • norms
  • ethical and evidence-based policy
  • technical support, catalyzing change, sustainable institutional capacity
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7
Q

what goal did DOH based their programs to achieve SDG?

A

No. 3 SDG= Good health and Well being

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8
Q

describe 17 sustainable developmental goals

A

✅Agenda=2030
✅continue Millenium Developmental Goals (the implemented year 2000-2015)
➜2016 to 2030 (SDG) to be achieved

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9
Q

why do we need to know Ph health care delivery system components?

A

Nurse is essential member to the health workforce (largest number of manpower) so its important to understand the dynamics or relationship among all its components

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10
Q

describe DOH

A

National agency mandated to lead the health sector= assuring quality health care for all Filipinos

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11
Q

DOH vision

A

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

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12
Q

doh Mission

A

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

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13
Q

give 5 roles of DOH in Leadership in health

A
  1. Planning and formulating policies
  2. Monitoring and evaluating the implementation of health programs
  3. health promotion and healthy lifestyle
  4. technical authority i
  5. health care financing and implementing the National Health Insurance Law
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14
Q

give 3 major roles of doh

A

I.LEADERSHIP IN HEALTH
II.ENABLER AND CAPACITY BUILDER
III.ADMINISTRATOR OF SPECIFIC SERVICES

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15
Q

give 3 roles of DOH in II.ENABLER AND CAPACITY BUILDER

A

logistical support
2. health and medical research
training and education of health care providers

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16
Q

give 4 roles of DOH in III. ADMINISTRATOR OF SPECIFIC SERVICES

A

administrator of selected health facilities
Provide specific program
Develop strategies
leadership in health emergency preparedness

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17
Q

describe local health boards

A

➜every municipality/city has autonomy

➜they have the ability to manage yung kanya kanya nilang health sector sa mga city nila in collab with DOH

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18
Q

describe Local Government Code (RA 7160) (4)

A

➤ Local autonomy

➤ Local governments to attain their fullest development as self-reliant communities
-decide on their own but based on DOH policies and standards

➤ Devolution of basic services from the national government to LGUs
-DOH gives power to the LGU’s to manage their health sector of their area of responsibility
=kada city= mayors= city health offices

➤ Creation of Provincial Health Board and the City/Municipal Health Boards or Local health Boards

	- work closely with DOH
	- city health office dapat meron lahat
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19
Q

describe the 3 functions of local health board

A
  1. budgetary allocations
  2. advisory committee
    -advice or give updates about the health situation in
    city or province
  3. Creating committees
    -committees for family planning, reproductive
    health, disability, infectious diseases etc.
    -composed of nurses, physicians, midwives
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20
Q

Commonly known as health center

A

RURAL HEALTH UNIT (RHU)

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21
Q

satellite health offices of RURAL HEALTH UNIT (RHU)

A

barangay health centers/stations

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22
Q

Responsibility of RURAL HEALTH UNIT (RHU)

A
  1. Preventive and promotive health services

2. Supervision of Barangay Health Stations

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23
Q

composed of what people: RHU?

A

✅physician
✅nurses
✅midwife
✅barangay officers

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24
Q

describe Barangay health sattion

A

➤ First-contact health care facility that offers basic
services at the barangay level

➤ Satellite station of the RHU

➤ Manned by volunteer Barangay Health Workers (BHWs)

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25
Q

First-contact health care facility that offers basic

services at the barangay level

A

1.BARANGAY HEALTH STATION

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26
Q

Satellite station of the RHU

A

1.BARANGAY HEALTH STATION

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27
Q

Manned by volunteer Barangay Health Workers (BHWs)

A

1.BARANGAY HEALTH STATION

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28
Q

give example of activities in the BHS

A

✅immunizations

✅check up for pregnant women

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29
Q

GIVE 8 roles and functions of a rural health unit

A
  1. MUNICIPAL HEALTH OFFICER
  2. ADMINISTRATOR OF RHU
  3. COMMUNITY PHYSICIAN
  4. MEDICO-LEGAL OFFICER
  5. PUBLIC HEALTH NURSE (PHN)
  6. RURAL HEALTH MIDWIFE (RHM)
  7. BARANGAY HEALTH WORKER (BHW)
  8. RURAL SANITATION INSPECTOR
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30
Q

describe 1. MUNICIPAL HEALTH OFFICER

A

Rural Health Physician

➤ Heads the health services at the municipal level

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31
Q

➤ Prepares the municipal health plan and budget
➤ Monitors the implementation of basic health services
➤ Management of the RHU staff

A

2.ADMINISTRATOR OF RHU

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32
Q

describe 2.ADMINISTRATOR OF RHU

A

➤ Prepares the municipal health plan and budget
➤ Monitors the implementation of basic health services
➤ Management of the RHU staff

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33
Q

➤ Conducts epidemiological studies
➤ Formulates health education campaigns on disease prevention
➤ Prepares and implements control measures or rehabilitation plans

A

3.COMMUNITY PHYSICIAN

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34
Q

describe 3.COMMUNITY PHYSICIAN

A

Conducts epidemiological studies
➤ Formulates health education campaigns on disease prevention
➤ Prepares and implements control measures or rehabilitation plans

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35
Q

describe 4.MEDICO-LEGAL OFFICER

A

Handles legal cases related to health in the community

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36
Q

Supervises and guides all RHMs in the municipality

A

5.PUBLIC HEALTH NURSE (PHN)

37
Q

Prepares the FHSIS quarterly and annual reports of the municipality for submission to the Provincial Health Office

A

5.PUBLIC HEALTH NURSE (PHN)

38
Q

describe FHSIS

A

Field Health Services Information System
=gives profile of the community
=nursing documentation

39
Q

Utilizes nursing process in responding to health care needs, including needs for health education and promotion, of individuals, families, and catchment community

A

5.PUBLIC HEALTH NURSE (PHN)

40
Q

Collaborates with the other members of private businesses, NGOs, and people’s organizations to address the community’s health problems

A

5.PUBLIC HEALTH NURSE (PHN)

41
Q

give the functions of a public health nurse

A

➤ Supervises and guides all RHMs in the municipality
➤ Prepares the FHSIS quarterly and annual reports of the municipality for submission to the Provincial Health Office—> DOH
➤ Utilizes nursing process in responding to health care needs, including needs for health education and promotion, of individuals, families, and catchment community
➤ Collaborates with the other members of private businesses, NGOs, and people’s organizations to address the community’s health problems

42
Q

Also known as Public Health Midwife (PHM)

A

6.RURAL HEALTH MIDWIFE (RHM)

43
Q

Manages the BHS and supervises and trains the BHW

A

6.RURAL HEALTH MIDWIFE (RHM)

44
Q

Provides midwifery services and executes health care programs and activities for women of reproductive age ,including
✅family planning counseling and services

A

6.RURAL HEALTH MIDWIFE (RHM)

45
Q

give other functions of PHM or RHM

A

➤ Conducts patient assessment and diagnosis for referral or further management
➤ Performs health information, education and communication activities
➤ Organizes the community
➤ Facilitates barangay health planning and other community health services

46
Q

➜trained health care provider (no licence)

➜volunteers

A

7.BARANGAY HEALTH WORKER (BHW)

47
Q

give functions and limitations of a barangay health worker

A

Functions: child care, family planning, health education, vital signs (limited)
No: medication administration, assessment

48
Q

➤ Trained in preventive health care

➤ Equipped with basic skills for prevention and management of common diseases

A

7.BARANGAY HEALTH WORKER (BHW)

49
Q

describe the RA 7883 or the Barangay Health Workers’ Benefit and Incentives Act

A

-may additional benefits or incentives (insurance) kasi they don’t have basic salary

50
Q

what law gives benefits to barangat health workers?

A

RA 7883 or the Barangay Health Workers’ Benefit and Incentives Act

51
Q

➤ Interface between the community and the RHU

A

7.BARANGAY HEALTH WORKER (BHW)

52
Q

➤ Assist in providing basic services at BHS and RHU

A

7.BARANGAY HEALTH WORKER (BHW)

53
Q

Recommended ratio of BHW to catchment population

A

1 BHW :20 households

54
Q

Advocacy, monitoring, and regulatory activities, such as inspection of water supply and unhygienic household conditions

A

8.RURAL SANITATION INSPECTOR

55
Q

ensures healthy physical environment in the municipality

A

8.RURAL SANITATION INSPECTOR

56
Q

1 RHU/HC Physician

A

20,000 Population ratio

57
Q

1 Public Health Nurse

A

10,000 Population ratio

58
Q

1 Public Health Midwife

A

5,000 Population ratio

59
Q

1 Public Health Dentist

A

50,000 Population ratio

60
Q

1 RHU

A

20,000 Population ratio

61
Q

1 BHS

A

5,000 Population ratio

62
Q

Describe a Level 1 primary hospital

A
  • less than 50 bed capacity
  • maliit na hospital
  • limited services
  • no ICU and blood bank
  • laboratories are basic diagnostic
  • provinces= small clinics
  • cater in-patient but limited bed capacity (10-20)
63
Q

Describe a Level 2 (secondary)

A

have more than 100 bed capacity

  • extended services: Laboratories, MRI, CT Scan
  • OB services, medicine surgery
  • operating room and blood bank
64
Q

Describe Level 3 (teaching/training hospitals/ tertiary)

A

-bigger hospital designed as a teaching hospital for practice like student nurses and doctors

65
Q

examples of level 3 hospitals

A

Manila Doctors, San Juan De dios, Pasay Gen

66
Q

examples of specialty hospital

A 
§ Philippine Orthopedic Center
§ National Center for Mental Health 
§ San Lazaro Hospital 
§ Lung Center of the Philippines 
§ Philippine Heart Center 
§ National Kidney and Transplant Institute.
67
Q

First-contact health care facility that offers basic services including emergency services and provision for normal deliveries

A

1.Category A: PRIMARY CARE FACILITY

68
Q

describe a primary care facility

A

First-contact health care facility that offers basic services including emergency services and provision for normal deliveries

69
Q

differentiate with in patient beds to without beds on a primary care facility give examples

A

With In-patient beds –– a short stay facility where a short (average of 1 – 3 days) length of time is spent by patients before discharge.
Examples:
o Infirmary
o Birthing home

• Without Beds – a facility where medicine, medical and/or dental examination/treatment is dispensed. Examples:
o Medical Out-patient Clinic
o Medical Facility for Overseas Workers and
Seafarers (OFW Clinic)
o Dental Clinic

70
Q

what service does a facility in a category b status provide

A

rovides long term care, including basic human services like food and shelter to patients:
➤with chronic or mental illness,
➤ patients in need of rehabilitation owing substance abuse,
➤ people requiring ongoing health and nursing care due to chronic impairments
➤ reduced degree of independence in activities of daily living.

71
Q

give examples of 2.CUSTODIAL CARE FACILITY

A 
Examples:
o Custodial Psychiatric Care Facility;
o Substance/Drug Abuse Treatment and 
Rehabilitation Center;
o Sanitarium/Leprosarium;
o Nursing Home.
72
Q

describe a Category C: DIAGNOSTIC/THERAPEUTIC FACILITY

A

Examination of the human body, specimens from the human body for the diagnosis and Treatment of disease

73
Q

give 4 classifications of diagnostic or therapeutic facility

A

Water for drinking water analysis
Laboratory
Radiology
Nuclear Medicine

74
Q

examples of laboratories in a category c facility

A
  • Human Immunodeficiency Virus (HIV)Testing
  • Blood Service Facility;
  • Drug Testing Laboratory;
  • Newborn Screening Laboratory;
75
Q

examples of radiology in a category c facility

A
  • Ionizing Machines as X-Ray, CT scan,
    mammography
  • Non-Ionizing Machines as MRI,
    ultrasound
76
Q

give examples of SPECIALIZED OUTPATIENT FACILITY

A
  • dialysis clinic,
  • ambulatory surgical clinic,
  • cancer chemotherapeutic center/clinic,
  • cancer radiation facility,
  • physical medicine and rehabilitation center
77
Q

what is out-patient beds?

A

a client can go home after the procedure

78
Q

describe an inter local health zone

A

organized arrangement of coordination of different sectors in the LGU in a certain locale

collaboration among different health care facilities within a local

79
Q

collaboration among different health care facilities within a local

A

INTER LOCAL HEALTH ZONE

80
Q

why should a community establish a inter local health zone

A
  1. mprove health status and coverage
  2. accessibility
  3. efficiency
81
Q

differentiate internal vs external health referral system

A

Internal

  • within the facility or hospital
  • one unit or station

External

  • movement of the patient to another facility
  • health center to hospital
  • transfer outside the facility
82
Q

-activities undertaken by a health care provider or facility in response to its inability to provide the necessary intervention of patient’s need.

A

Health Referral

83
Q

describe a health referral

A

activities undertaken by a health care provider or facility in response to its inability to provide the necessary intervention of patient’s need.

84
Q

Involves movement of a patient from the health center of first contact and the hospital at first level referral

A

Health Referral

85
Q

Engages all health facilities from the lowest to the highest level.
Level 1 to 3: hospitals
Category A to D: facilities

A

Health Referral

86
Q

give 2 factors to make COMPREHENSIVE TWO-WAY REFERRALSYSTEM more effective

A

➜well established intact collaborative inter local health zone
➜should include well functioning communication system and transport system

87
Q

when do you refer a patient?

A
  1. Mas expert intervention
    a) Specialized care is needed
  2. Need for technical examination not available in health center
    a) MRI
    b) CT scan
    c) Surgery
    d) Need in patient or out patient facility
88
Q

describe an ideal scenario for COMPREHENSIVE TWO-WAY REFERRAL SYSTEM

A

Ideally once px goes to primary care facility (health centers) tapos na refer sa hospital

- hospital needs to update primary care facility
- there should be feedback

NCM 104 CHN (5 decks)

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