Pri Health Care and the Philippine Health Care Delivery System

Question 1

“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.”

Answer 1

the Alma-Ata Declaration of 1978

Question 2

It is an approach to health beyond the traditional health care system that focuses on health equity-producing social policy.

Answer 2

PHC primary health care

Question 3

Health human resource struggles with the problems of ____, ____ and ____

Answer 3

underemployment
scarcity and skewed distribution

Question 4

what are the 8 elements of PHC

Answer 4

MINTWEPD

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 5

Other Elements of Primary Health Care

Answer 5

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

Question 6

It is a fundamental human right

Answer 6

The declaration of Alma - Ata of 1978

Question 7

organized plan of health services

Answer 7

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

Question 8

rendering of health care services to the people

Answer 8

health care delivery
(Williams-Tungpalan, 1981)

Question 9

network of health facilities and personnel which carries out the task of rendering health care to the people

Answer 9

health care delivery system
(Williams- Tungpalan 1981)

Question 10

complex set of organizations interacting to provide an array of health services in the Philippines

Answer 10

Philippine health care system
(Dizon,1977)

Question 11

it is important healthcare derived from scientifically sound and socially acceptable methods

Answer 11

primary health care

Question 12

who should the primary health care must be universally accessible to

Answer 12

indiv and is based on what the community and country can provide

Question 13

ultimate goal of primary healthcare

Answer 13

is better health for all

Question 14

what are the key elements to achieve the ultimate goal of primary health care

Answer 14

[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

Question 15

what are the basic objectives to launch and sustain pri healthcare as part of the comprehensive health system

Answer 15

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

Question 16

in the management of primary health care, briefly explain the functions in the process of management

Answer 16

[POSCD]

1. planning
   set priorities and determine performance targets
   set direction
   determine wht needs to be accomplished
2. organizing
   designing the organization or the specific division
   reporting r/s and intentional patterns
   determine positions and teamwork assignment
3. staffing
   acquiring & retaining human resources
   develop and maintain workforce through strategies and tactics
4. controlling
   monitor stuff activities and performances
   take appropriate actions for corrective action to increase performance
5. directing
   initiating action in the organization through the effective leadership, motivation and commmunication

Question 17

management principles in relation to organizing

Answer 17

authority, responsibility and accountability

types of authority

centralization, decentralization and formalization

staffing

Question 18

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

Answer 18

authority

Question 19

it is the duty of the employee to preform the assigned tasks and activities

Answer 19

responsibility
(it pertains to the attitude)

Question 20

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

Answer 20

accountability

Question 21

type of authority

Answer 21

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.

Question 22

it refers to the concentration of planning and decision making to the top of the organization

Answer 22

centralization

Question 23

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

Answer 23

decentralization

Question 24

refers to written documentation provided for the direct control of the employees

Answer 24

formalization

Question 25

process of staffing

Answer 25

assign indiv to respective positions identified in the management plan

assess required competencies

recruit qualified personnel

improve existing service and programs

Question 26

VISION
Health as a right:

Answer 26

Health for all Filipinos by the year 2000 and health in the hands of the people by the year 2020

Question 27

MISSION
The mission of DOH, in partnership with the ppl, is to ensure ____, ____, ____ to health care by ….

Answer 27

Equity, quality and access

By making services available
By arousing community awareness
By mobilizing resources
By promoting the means to better health

Question 28

Briefly explain the levels of health care facilities

Answer 28

Primary level of health care facilities
Secondary level of health care facilities
Tertiary level of health care facilities

Question 29

Factors on the various categories of health workers among countries and communities

Answer 29

Available health manpower resources
Local health needs and problems
Political and financial feasibility

these factors work together to determine what types of health workers are present in different areas

ex: Factors on the various categories of health workers among countries and communities

Question 30

3 levels of primary healthcare workers

Answer 30

Village or grassroot health workers:
First contact
Initial links of health care
Simple curative and preventive measures promoting healthy environment
Community health workers/ traditional birth attendants

Intermediate level health worker:
First source of professional health care
Provide support to front line health workers in terms of supervision, training, supplies and services
Medical practitioners, nurses, midwives

First line hospital personnel:
Provide backup health services for cases that require hospitalization
Establish close contact with intermediate level health workers of village health workers
Nurses, dentist, pharmacists and other health professionals