Pri Health Care and the Philippine Health Care Delivery System Flashcards
“the attainment of the highest possible level of health is a most important worldwide social goal whose realization requires the action of many other social and economic sectors in addition to the health sector.”
the Alma-Ata Declaration of 1978
It is an approach to health beyond the traditional health care system that focuses on health equity-producing social policy.
PHC primary health care
Health human resource struggles with the problems of ____, ____ and ____
underemployment
scarcity and skewed distribution
what are the 8 elements of PHC
MINTWEPD
- Education concerning prevailing health problems and the methods of identifying, preventing, and controlling them
- Locally endemic disease prevention and control
- Expanded program of immunization against major infectious diseases
- Maternal and child health care, including family planning
- Essential drugs arrangement
- Nutritional food supplement, an adequate supply of safe and basic nutrition
- Treatment of communicable and non-communicable disease and promotion of mental health
- Safe water and sanitation
Other Elements of Primary Health Care
FREPPH
Expended options of immunizations
Reproductive health needs
Provision of essential technologies for health
Health promotion
Prevention and control of non-communicable diseases
Food safety and provision of selected food supplements
It is a fundamental human right
The declaration of Alma - Ata of 1978
organized plan of health services
health care system
(Miller-Keane, 1987)
an orgnization of people, institutions and resources that deliver healthcare services to meet the health needs of the target population
rendering of health care services to the people
health care delivery
(Williams-Tungpalan, 1981)
network of health facilities and personnel which carries out the task of rendering health care to the people
health care delivery system
(Williams- Tungpalan 1981)
complex set of organizations interacting to provide an array of health services in the Philippines
Philippine health care system
(Dizon,1977)
it is important healthcare derived from scientifically sound and socially acceptable methods
primary health care
who should the primary health care must be universally accessible to
indiv and is based on what the community and country can provide
ultimate goal of primary healthcare
is better health for all
what are the key elements to achieve the ultimate goal of primary health care
[PULS^]
universal coverage to reduce exclusion and social disparities in health (make sure everyone can access to healthcare) -fr ex: philhealth
leadership that enhances collaborative models of policy dialogue (encourage diff grps- stewerdships)
increased stakeholders participation (involve more ppl who are affected by health decisions)
publicly policy that integrates health into all sectors (recognise that things tside healthcare - edu, housing and enviro chuchu affect the health)
service delivery organized around people’s need and expectations
what are the basic objectives to launch and sustain pri healthcare as part of the comprehensive health system
improved the health of health care of the community
promote favourable population growth structure
reduce the morbidity and mortality rate especially among infants and children
reduce the prevalence of preventable, communicable and other diseases
improve basic sanitation
extend essential health services especially to understand sectors
develop the capability of the community to become self-reliant
encourage the contri of other secotors to the social and economic development of the community
provide equitable distribution of health care
ensure community participation and monitor adequacy and distribution of health workers who are supported locally and at the referral levels
recognize that the formal health sector needs other sectors in the promotion of health
use the appropriate technology which are accessible, feasible, affordable and culturally acceptable to the community
in the management of primary health care, briefly explain the functions in the process of management
[POSCD]
- planning
set priorities and determine performance targets
set direction
determine wht needs to be accomplished - organizing
designing the organization or the specific division
reporting r/s and intentional patterns
determine positions and teamwork assignment - staffing
acquiring & retaining human resources
develop and maintain workforce through strategies and tactics - controlling
monitor stuff activities and performances
take appropriate actions for corrective action to increase performance - directing
initiating action in the organization through the effective leadership, motivation and commmunication
management principles in relation to organizing
authority, responsibility and accountability
types of authority
centralization, decentralization and formalization
staffing
it refers to formal and legitimate right of manager to issue orders, make decisions and allocate resources to achieve desired outcomes of the organization
authority
it is the duty of the employee to preform the assigned tasks and activities
responsibility
(it pertains to the attitude)
it means reporting and justification of task outcomes to higher management by those people with authority
accountability
type of authority
line authority:
managers issue orders
responsible for the result
subordinates obeys and responsible only for executing the order
functional authority:
for managers that have power only over a specific set of activities
staff authority:
given to specialists in their areas of expertise. the staff manager simply advises, recommends and counsels
For example:
A safety officer can tell everyone in every department how to follow safety rules, even though they’re not the boss of each department,
These people have functional authority. They’re not in charge of everything, but for their specific area (like safety or IT), they can make decisions that affect the whole company.
Key differences:
Line authority involves direct orders and clear responsibility.
Functional authority is limited to specific areas but can cross department lines.
Staff authority is about giving expert advice without making final decisions.
it refers to the concentration of planning and decision making to the top of the organization
centralization
refers to the delegation of planning and decision making to the lower branches of the organization
decentralization
refers to written documentation provided for the direct control of the employees
formalization
