The Health System Flashcards

1
Q

delta checking

A

compare the previous result with the current result

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2
Q

what are the different levels of govt of the health system

A

Provincial level:
main responsibility for healthcare in many countries. They set overall policies and manage major health programs.

Municipal level: This refers to larger towns or cities. They often run local health departments and may operate some hospitals or clinics.

City level: Individual cities might have their own health initiatives or services, especially in larger urban areas.

It allows for both broad coordination (at the provincial level) and local responsiveness (at municipal and city levels).
Different levels can focus on different aspects of healthcare, from large-scale planning to day-to-day community needs.
It helps in allocating resources and responsibilities effectively across a wide area.

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3
Q

examples of provincial, municipal and city level in the philippines

A

provincial:
Provincial Health Service
- oversees health program
- manage provincial hospitals
- coordinate with MHO

municipal:
Municipal Health Office
- manage local health centers
- implement vaccination programs
- provide pri healthcare services

city:
City Health Departments
- run hospitals
- manage health centers in diff barangays
- implement city wide health programs

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4
Q

it is the combination of of resources, organization, financing, and management (____) that culminates in the delivery of health services to the population.

A

(legislative)
Health System
- Roemer, 1991

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5
Q

define legislative

A

refers to the process of making laws or rules by a group of elected representatives. In simpler terms, it means the creation of laws or regulations by a governing body, such as a parliament or congress. This process typically involves the drafting, debating, and voting on proposed laws by members of the legislative body. The resulting laws are then enforced by the executive branch of government or other authorities.

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6
Q

in the health system, every country has a national health system which reflects their ….

A

history (beliefs n theories abt how a country’s economy shld be managed)
economic development
political ideology

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6
Q

what are the Roemer Model of Health Service System

A
  1. Organization of Programs –
    PriMOVo
  2. 4 Process in Management –
    HALeR
  3. Economic Support – where we get
    finances
  4. Resource Production – MaFaCK
  5. Delivery of services – most crucial
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7
Q

briefly explain Organization of Program

A

PriMOVo
private hospitals
ministry of health
other public agencies
voluntary agencies

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8
Q

briefly explain 4 Process in Management

A

HALeR
health planning (set goals and how to achieve them)
administration (organise resources)
- supervision (monitor n control the progress)
- coordination (work tgt with diff organisations)
- consultation
legislation (create and enacting laws)
regulation (rules n regulation guidelines established by gov. agencies)

legislation is the creation of laws, while regulation is the set of rules and procedures that put those laws into practice.

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8
Q

briefly explain Economic Support

A

where we got finances: PechaI So Go Fo
personal households
charities
insurance
social security
government tax revenue
foreign aids

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9
Q

briefly explain Resources Production

A

MaFaCK
manpower (healthcare workers)
facilities (hospitals and other healthcare settings)
commodities (drugs, medical equipment and supplies)
knowledge (research and development of new treatments and technologies )

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9
Q

briefly explain Delivery of Services

A

must crucial
- primary care (for prevention)
- secondary care (detection and treatment)
- tertiary care (specialized and advanced treatment)
- long term care (chronic conditions and ongoing support)

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9
Q

All the organizations, institutions,
resources, and people whose
primary purpose is to improve
health.

A

World Health Organization , 2000

Redefined their main purpose according to the definition of a health system.

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9
Q

factors that make a well built health system

A

○ Trained health workers
○ Well-maintained infrastructure
○ Reliable supply of medicines and technologies
○ Backed by adequate funding

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10
Q

How do u know DOH is really working?

A

An ideal health systems provide social and financial risk of protection to be ideal ( but without discrimination of social status)

An ideal health system, like the Department of Health (DOH), should provide protection against social and financial risks to ensure everyone’s health and well-being, regardless of their social status. This means that everyone should have equal access to healthcare services and financial support, without discrimination based on their social class or background.

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11
Q

what is an ideal health system

A

that provides social and financial risk to be ideal

12
Q

what are the 3 Main Goals of a Health System (WHO)

A
  1. improving the health of populations
    - vaccines
    - provision of vitamins
  2. improving the responsiveness of the health system
    - feedback and evaluation system
  3. providing for health financing
    - PhilHealth, Medicare, HMO - health maintenance organization (Insurance System)
13
Q

Building Blocks in Health System Framework

A

service delivery
- private health system (SSS)
- public health system (GSIS)

Health workforce
Medical products, vaccine and technologies
Information
Leadership and governance
Financing

14
Q

LOI

A

letter of instruction

15
Q

it is a formal statements produced and supported by senior management.

A

policies

16
Q

mandatory actions or rules that give formal policies support and direction

A

standards

17
Q

step by step, recommendations to users when specific standards do not apply.

A

guidelines

18
Q

PH Health System History

A
  1. Primary healthcare for all
  2. Adoption of PHC strategy (LOI 949)
  3. Reorganization of DOH (EO 851)
  4. The generics act (RA 6675)
  5. Local government code (RA 7160)
  6. National health insurance act (RA 7875)
  7. Health sector reform agenda
  8. FOURmula one for health
  9. Access to cheaper and quality medicine act (RA 9502)
  10. Universal health care ( AO 2010- 0036)
  11. Sin taxes for health
  12. Universal health care law
19
Q

in the ph health system, what are the major areas of the health reform initiatives

A

health service delivery
health regulation
health financing

these health reforms targeted addressing issues (poor accessibility, inequity and inefficiency)

20
Q

what are the differences between municipal and cities

A

municipal:
generally smaller and less populated
limited funds
simpler administration
basic services but may have fewer specialized offerings
more focused on agriculture or small scale business

cities:
larger size and population
larger budgets and more resources
complex govt structures with more departments
wide range of services due to more resources
are often centers of commerce and industry
highly urbanized, independent component

21
Q

Provincial govt. -
City and municipal health govt. -

A

Provincial govt. -
mandated to provide secondary hospital care through provincial and district hospitals.

City and municipal health govt. -
charged in providing primary health care,
including maternal and child-care nutrition services through public and primary health care centers linked to barangay health centers or health outposts.

22
Q

what to rely on for their primary care

A

rely on the public health and primary health care centers for their primary care

This means that people should primarily use the government-run public health clinics and primary care facilities for their basic, everyday healthcare needs. These centers provide essential preventive services and initial treatment, rather than relying solely on more expensive private hospitals.

23
Q

briefly explain the clustering of municipalities

A

aims to protect the public or collective health of their community, assure the constituents access to a range of services necessary to meet healthcare needs of individuals and to manage their limited resources for health more efficiently and equitably

For the effective delivery of integrated health care and ensure smooth coordination between and among cities, municipalities and barangays

Comprise a well defined population (by the level of governance) in a rural or urban areas and all institutions and sectors whose activities contribute to improved health care delivery in that zone

Inter-local health zone composed of bagumubayan , insulan, tacurong, Esperanza and sen, Ninoy Aquino (B.I.T.E.S) - sultan kudarat

24
Q

this classifies all cities into one of 3 legal categories

A

the local govt code of 1991 (RA 7160)

25
Q

briefly explain the cities that classifies all cities into one of 3 legal categories

A
  1. Charted City - highly urbanized

a. thr r currently 33 highly urbanized cities, 16 of which are located in metro manila

  1. Component city – rural city

a. Do not meet the preceding requirements are deemed part of the province in which they are geographically located.

b. If located along the two or more provinces, it shall be considered part of the province of which it used to be a municipality.

  1. Independent component city

a. Shall be independent of the province.

b. minimum of 200 000 inhabitants and latest annual income of 50 million

c. boundaries of 2 or more provinces

d. excluded from voting provincial officials