PRIMARY HEALTHCARE Flashcards

1
Q
  • is a whole-of-society approach to effective organize and
    strengthen national health systems to bring services for health
    and well-being closer to communities.
A

PRIMARY HEALTH CARE

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2
Q

3 COMPONENTS OF PRIMARY HEALTHCARE

A
  • Integrated health services to meet peoples health needs
    throughout their lives.
  • Addressing the broader determinants of health through
    multisectoral policy and action
  • Empowering individuals, families and communities to take
    charge of their
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3
Q
  • enables health systems to support a person’s health needs -
    from health promotion to disease prevention, treatment, rehabilitation, palliative care, and more
  • This strategy also ensures that health care is delivered in a
    way that is centered on people’s needs and respects their
    preferences.
A

PRIMARY HEALTH CARE

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4
Q
  • is widely regarded as the most inclusive, equitable and cost- effective way to achieve universal health coverage.
  • It is also key to strengthening the resilience of health systems
    to prepare for, respond to, and recover from shocks and crises.
A

PRIMARY HEALTH CARE

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5
Q

The principles of primary health care were first outlined in the
_______, a seminal milestone in global health.
Forty years later, global leaders ratified the Declaration
of Astana at the ________
which took place in Astana, Kazakhstan in October 2018

A

-Declaration of Alma-Ata in 1978,
-Global Conference on Primary Health Care

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6
Q

GOAL OF PRIMARY HEALTH CARE

A
  • Health for all filipinos by the year 2000 and health in the
    hands of the people by the year 2020.
  • An improved state of health and quality of life for all
    people attained through
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7
Q

(8) Objectives of Primary Health Care:

A
  • Improvement in the level of health care of the community
  • Favorable population growth structure
  • Reduction in the prevalence of preventable, communicable and other disease.
  • Reduction in morbidity and mortality rates especially among infants and children.
  • Extension of essential health services with priority given to the underserved sectors.
  • Improvement in Basic Sanitation
  • Development of the capability of the community aimed at self-reliance.
  • Maximizing the contribution of the other sectors for the
    social and economic development of the community.
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8
Q

(8) PRINCIPLES OF PRIMARY HEALTHCARE

A
  1. 4 A’s = Accessibility, Avaliability, Affordability & Acceptability, Appropriateness of health services
  2. Community Participation
  3. People are the center, object and subject of development
  4. Self-reliance
  5. Partnership between the community and the health agencies in the provision of quality of life
  6. Recognition of interrelationship between the health and development
  7. Social mobilization
  8. Decentralization
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9
Q

(8) ELEMENTS OF PRIMARY HEALTHCARE

A

EDUCATION
WATER AND SANITATION
NUTRITION
MATERNAL & CHILD HEALTH
IMMUNIZATION
PREVENTION OF DISEASE
TREATMENT
DRUG AVAILABILITY

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10
Q

-The amount of a particular disease that is usually present in a community. It is also called baseline.

A

Endemic Disease

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11
Q
  • An often sudden increase in the
    number of cases of a disease above what is normally
    expected in that population in a specific area
A

Epidemic Disease

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12
Q
  • An epidemic that has spread over
    several countries or continents and affects many people.
A

Pandemic Disease

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13
Q

Major Strategies of Primary Health Care

A
  1. Elevating Health to a Comprehensive and Sustained National Effort
  2. Promoting and Supporting Community Managed Health Care
  3. Increasing Efficiencies in the Health Sector
  4. Advancing Essential National Health Research
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14
Q

Four Pillars in Primary Health Care

A

Four Pillars in Primary Health Care
1. Active Community Participation
2. Intra and Inter-sectoral Linkages
3. Use of Appropriate Technology
4. Support mechanism made available

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15
Q

A health system consists of all organizations, people, and
actions whose primary intent is to ____, ______, _______

A

promote, restore, or maintain health.

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16
Q
  • It means that every government must have strategic
    policy frameworks, and these are combined with
    effective oversight, coalition building, regulation, attention to system design, and accountability
A

Stewardship involves leadership and governance.

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17
Q

COMPONENTS OF HEALTHCARE

A

 LEVELS OF HEALTH CARE FACILITY
 HEALTH CARE SERVICES BY EACH FACILITY
 ROLES OF HEALTH CARE PROVIDERS
 PHILIPPINES HEALTH CARE SYSTEM

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18
Q

(3) LEVELS OF HEALTH CARE FACILITY

A

Primary Health Care Facilities
Secondary Health Care Facilities
Tertiary Health Care Facilities

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19
Q
  • A. The Rural heath unit (RHU)
  • B. Their sub-centers
  • C. Chest Clinics
  • D. Tuberculosis clinics and Hospitals.
  • E. Puericulture Centers
  • F Malaria Eradication units and Schistosomiasis control Unit
  • G. Animal Bite Centers
  • H. Private Clinics and Community
A

Primary Health Care Facilities

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20
Q
  • Smaller, non-departmentalized hospitals including emergency
    room and regional hospitals.
  • Services offered to patients with symptomatic stages of
    disease, which require moderately specialized knowledge and technical resources for adequate treatment
A

Secondary Health Care Facilities

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21
Q
  • Highly technological services offered by medical centers and large hospitals.
  • Specialized National Hospitals
A

Tertiary Health Care Facilities

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22
Q

ROLES OF HEALTH CARE PROVIDERS (6)

A
  • Admin Staff
  • Nurse/Medical Assistant
  • Doctor
  • Medical Technologist/ Technician, Radiologist
  • Pharmacist
    *Billing officer
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23
Q

-Medical recording, make a reminder call, greet the patient and verify insurance information.

A

Admin Staff

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24
Q
  • Record the patient’s weight and
    vital signs, escort the patient to examination room and record the reason of visit.
A

Nurse/Medical Assistant

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25
Q

-Examines and talks with the patient to develop a diagnosis and plan of care.

A

Doctor

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26
Q

-performs test of the attending physician and collect the samples for analysis and write up the test result. After the test the attending physician will discuss the result with the patient.

A

Medical Technologist/ Technician, Radiologist

27
Q

-fills the prescription and give an information
about the medication.

A

Pharmacist

28
Q

-bill the patient’s insurance for the visit

A

Billing officer

29
Q

PHILHEALTH DIFFERENT MEMBERSHIP (5)

A
  • Senior Citizens
  • The Informal Economy
  • Formal Sector
    *Indigents
    *Sponsored Members
30
Q
  • A category open to those who are 60 years of age or older, and who do not qualify as Lifetime Members
A

SENIOR CITIZENS

31
Q
  • Self-employed people, migrant workers, and overseas Filipino workers; expats who are legally living in the Philippines are eligible to join PhilHealth in this category
A

The Informal Economy

32
Q
  • Workers employed by public and private
    companies.
A

Formal Sector

33
Q
  • Impoverished people subsidized by the national government.
A

Indigents

34
Q
  • People subsidized by their local governments
A

Sponsored Members:

35
Q

_______ was a drug, which after years of extensive animal tests, was first marketed as an over-the-counter sedative: it came to be used by pregnant women in many countries during the late 1950s and early 1960s as a treatment for morning sickness. By the time the drug was banned, more than 10,000 children had been born with major _____-related problems.

A

Thalidomide

36
Q

A common pattern of limb deformities, termed
phocomelia from the Greek word for ‘seal limbs’, emerged including shortening or missing arms with hands extending from the shoulders, absence of the thumb and the adjoining bone in the lower arm and similar problems with the lower extremities. The drug also caused abnormalities in the eyes, ears, heart, genitals, kidneys, digestive tract (including the lips and mouth), and nervous system.

A

Thalidomide

37
Q
  • Also known as whooping cough. highly contagious bacterial infection.
  • incubation: 5-15 days
A

PERTUSSIS

38
Q

Treatment for Pertussis

A

Antibiotics
Macrolides:
erythromycin, clarithromycin, and azithromycin

39
Q

– is a functional network of health-care providers, including public sector and private sector which range from traditional healers to the most technologically
advanced hospitals

A

HEALTH SYSTEM

40
Q
  • is the sector of economy made up companies that specialize in products and services related to health and medical care.
A

HEALTHCARE SECTORS

41
Q

(10) Different Health Sectors

A

 Bureau of Health Devices and Technology (BHDT)
 Bureau of International Health Cooperation
 Food and Drugs Administration
 Bureau of Local Health system and Development (BLHsD)
 Bureau of Quarantine and International Health Surveillance
 National Center for Mental Health (NCMH)
 National Epidemiology Center ( NEC )
 National Nutrition Council (NNC)
 Philippine National Aids Council ( PNAC)
 Philippine Institute of Traditional and Alternative Health Care (pitahc)

42
Q
  • It was created in 1999 to perform the same functions
    of the FDA but for medical devices.
  • Conducts licensing and accreditation of health and
    health- related devices and technology.
A

 Bureau of Health Devices and Technology (BHDT)

43
Q
  • Promotes and sustains international partnership
    through agreements and other instrumentalities.
  • Enhances policies, plans, agreements and systems for
    international cooperation or partnership.
  • Monitor Bilateral or Multilateral Agreements.
A

 Bureau of International Health Cooperation

44
Q
  • Was created under Department of Health to license, monitor, and regulate the flow of food, drugs, cosmetics, medical devices.
  • Responsible for protecting the public health by
    ensuring the safety, efficacy, and security of human
    and veterinary drugs, biological products, and medical
    devices; by ensuring the safety our nation’s food
    supply and products that
A

 Food and Drugs Administration

45
Q
  • Responsive, collaborative, sustainable, and resilient
    local health systems for all Filipino.
  • Identify and assess priorities in local health systems
    development.
  • Develop policies, guidelines and standards on
    sustainable local health systems.
  • Ensure multi-stakeholder participation in local health
    development.
  • Monitor and evaluate functionality of local health
    system
A

 Bureau of Local Health system and Development (BLHsD)

46
Q

 Bureau of Local Health system and Development (BLHsD) is divided into 2

A
  1. Health System Development Division (HSDD)
  2. Health Systems monitoring and Evaluation
47
Q
  • Identify and assess priorities in local health systems
    development.
  • Develop policies, guidelines and standards on
    sustainable local health systems.
  • Ensure multi-stakeholder participation in local health
    development.
  • Monitor and evaluate functionality of local health
    system.
A
  1. Health System Development Division (HSDD)
48
Q
  • Develop policies, plans and standards to build and
    enhance capacity for local health leadership and
    governance.
  • Provide technical assistance to monitor and evaluate
    local health system performance.
  • Promote beat practices in local health systems
    development for wide-spread replication.
A
  1. Health Systems monitoring and Evaluation
49
Q
  1. International Health Surveillance Division
  2. Special Services Division
  3. Port and Airport Health Services Division
  4. Administrative Division
A

 Bureau of Quarantine and International Health
Surveillance

50
Q
  • Conducts surveillance and institutes measures to
    prevent the entry of diseases subject to International
    Health Regulations and other emerging and re- emerging diseases and health concerns from other
    countries that may impact on public health in the
    Philippines.
  • Provides technical assistance and supervision, consultative and advisory services on health and
    sanitation programs in international ports and their
    immediate environment.
  • Conducts medical examination on aliens and foreign
    based Filipino for immigration purposes.
A

 Bureau of Quarantine and International Health
Surveillance

51
Q
  • Established in 1925 through Public Works Act 3258. - Was first called INSULAR PSYCHOPATIC HOSPITAL
  • Dedicated to delivering preventive, curative and
    rehabilitative mental health care services.
A

 National Center for Mental Health (NCMH)

52
Q
  • Also known as Epidemiology Bureau
  • Develop and evaluate surveillance systems and other
    health information systems.
  • Collect, analyze and disseminate reliable and timely
    information on the health status.
  • Investigate disease outbreaks and other threats to
    public health.
  • Network public health laboratories in support of
    epidemiological and
A

 National Epidemiology Center ( NEC )

53
Q

 National Epidemiology Center ( NEC ) is divided into 3

A
  1. Applied Epidemiology Health Management Division
  2. Public Health Surveillance Division
  3. Survey, Monitoring and Evaluation Division
54
Q
  • Investigate and respond to epidemics and other urgent public health threats as the need arises.
  • Develop and maintain field of epidemiology training program for public health workers.
  • Collect and maintain resource materials on epidemiology, surveillance, management and
    monitoring and evaluation in public health.
A
  1. Applied Epidemiology Health Management Division
55
Q
  • Undertake notifiable disease surveillance through
    Philippine Integrated Disease and Response.
A
  1. Public Health Surveillance Division
56
Q
  • Provide statistical services to priority health
    programs of the DOH.
  • Monitoring non-behavioral risk factors priority non- communicable diseases through globally standardized
    survey.
  • Monitor HIV and AIDS Registry and Integrated HIV
    Behavioral and Serologic Surveillance, size estimates
    and Most At-Risk Population.
  • Provide program health indicators information
A
  1. Survey, Monitoring and Evaluation Division
57
Q
  • Formulate national food and nutrition policies and
    strategies.
  • Coordinate planning, monitoring and evaluation of
    the national nutrition program.
  • Coordinate the hunger mitigation and malnutrition
    prevention program to achieve relevant Millennium
    Development Goals.
  • Coordinate the release of funds, loans, and grants
    from government organizations and nongovernment
    organizations.
A

 National Nutrition Council (NNC)

58
Q
  • was created to advise the government on the
    development of policies to prevent and control
    HIV/AIDS.
  • It is composed of high ranking government officials, the head of nongovernmental organization, members
    of the HIV/AIDS network, and a representative of an
    organization of people living with HIV.
A

 Philippine National Aids Council ( PNAC)

59
Q

3 Committees created by PNAC

A
  1. Committee on Policy Development-
  2. Committee on Law and Ethics-
  3. AIDS Health Rights Desk
60
Q
  • prevention and
    control strategy.
A
  1. Committee on Policy Development
61
Q
  • support for legal environment for people with HIV/ AIDS.
A
  1. Committee on Law and Ethics
62
Q
  • will act from its base in the Department of Health to provide free legal assistance to poor people whose rights have been violated.
  • Helps to disseminate accurate information on
    HIV/AIDS.
A
  1. AIDS Health Rights Desk
63
Q
  • Encourage scientific research and develop traditional
    and alternative health care system.
  • Promote and advocate the use of traditional, alternative, preventive, and curative health care
    modalities.
  • Develop and coordinate skills training courses for
    various forms of traditional and alternative health care
    modalities.
  • Formulate standards, guidelines and code of ethics
    practice.
  • Formulate polices for the protection of indigenous
    and natural health resources and technology from
    unwanted exploitation.
  • Formulate policies to strengthen the role of
    traditional and alternative health care delivery system. - Promote traditional and alternative health care in
    international and national conventions in coordination
    with Department of Tourism and as well as non- government and local government units.
A

 Philippine Institute of Traditional and Alternative Health
Care (pitahc)