SAS14: Health Care System Flashcards
It is the organization of people, institutions, and resources that deliver, whose primary intent is to promote, restore or maintain health care services to meet the health needs of target populations.
Health Care System
It is all of the mechanisms, resources and processes that together meet the health needs of a population.
Health Care System
It is a mix of public and private health care providers and
facilities. It aims to provide accessible and affordable health care services to all Filipinos.
Philippine health care system
Health care delivery is decentralized, with the ________ overseeing public health programs and services.
Department of Health (DOH)
This includes government-owned hospitals and health centers that provide subsidized or free health care services to the public.
Public Sector
This comprises privately-owned hospitals, clinics, and medical professionals that offer health care services for a fee.
Private Sector
It is a government-owned agency that administers the National Health Insurance Program, providing health insurance coverage to Filipinos.
PhilHealth
What is the full name of PhilHealth?
Philippine Health Insurance Corporation
What are the components of the Health Care System?
Public Sector, Private Sector, & PhilHealth
This relies on various sources, including government budgets, PhilHealth contributions, out-of-pocket payments, and private health insurance.
Health Financing in the Philippines
All Filipino citizens are automatically enrolled in the National Health Insurance Program (NHIP) and are entitled to PhilHealth coverage.
Automatic Enrollment
This is a landmark legislation aimed at providing all Filipinos with equitable access to quality and affordable health care services.
Republic Act 11223 or Universal Health Care Act
When was the Universal Health Care Act signed into law in the Philippines?
February 2019
This plays a crucial role in providing financial risk protection and ensuring access to health care services for its members.
PhilHealth
The law expands the scope of PhilHealth benefits to include preventive, promotive, curative, rehabilitative, and palliative care services.
Expanding Coverage
Under the law, patients enrolled in PhilHealth are protected from “no balance billing” for services covered by the NHIP, meaning they should not be charged any additional fees beyond what PhilHealth covers.
No Balance Billing
The law includes provisions for the development and
deployment of health human resources to address shortages and ensure the availability of skilled health workers, particularly in underserved areas.
Health Human Resources Development
The law outlines various funding mechanisms to sustain the Universal Health Care program, including the annual appropriations from the national government, sin taxes, and contributions from PhilHealth members and the government.
Funding Mechanisms
Republic Act 11223 introduces reforms in health governance to ensure efficient and effective delivery of health services, including the strengthening of local health systems and the establishment of Health Technology Assessment (HTA) systems.
Health Governance Reforms
This represents a significant step towards achieving universal health coverage in the Philippines.
Republic Act 11223 or Universal Health Care Act
This is a government initiative to improve health care
infrastructure and upgrade facilities in public hospitals and health centers.
Health Facilities Enhancement Program (HFEP)
This is a conditional cash transfer program that includes health-related grants to eligible beneficiaries to improve health outcomes.
Pantawid Pamilyang Pilipino Program (4Ps)
This is utilizing technology to deliver health care services remotely, overcoming geographical barriers and improving access to specialist care.
Telemedicine
This is digitizing patient records to enhance efficiency, accuracy, and continuity of care across health care facilities.
Electronic Medical Records (EMRs)
This is implementing information systems for data collection, analysis, and monitoring to support evidence-based decision-making and health policy development.
Health Information Systems
What are the roles of technology in Philippine Health Care?
Telemedicine, Electronic Medical Records (EMRs), & Health Information System
