THE PHILIPPINE HEALTHCARE DELIVERY SYSTEM PT. 1 Flashcards
organized plan of health services
Health Care System
rendering health care services to people
Health Care Delivery
network of health facilities and personnel which carries out the task of rendering health care to people.
Health Care Delivery System
complex set of organizations interacting to provide an array of health care services.
Philippine Health Care System
When was the World Health Organization constitution established?
April 7, 1948
Where is the headquarters of the World Health Organization?
Geneva, Switzerland
How many regional offices (and how many states) does the World Health Organization have and where are they located?
6 regional offices; 194 states; located in Africa, the Americas, Eastern Mediterranean, Europe, Southeast Asia,Western Pacific
How many country offices does the World Health Organization have?
147
specialized of the United Nations responsible for international global public health.
promotes/protects health of all people.
THE WORLD HEALTH ORGANIZATION
The _____ established the 8 MDGs.
United Nations
How many members established the 8 MDGs?
191 members
What does MDG stand for?
Millennium Development Goals
signed by 149 leaders at United Nations headquarters in New York.
goal is to combat disease, hunger, poverty, discrimination, etc. = global and national health problems.
8 Millennium Development Goals
When were the 8 MDGs started?
September 2000
When was the 8 MDGs initially to be achieved?
2015
What are the 8 MDGs?
- Eradicate extreme poverty and hunger.
- Achieve universal primary education
- Promote gender equality and empower women
- Reduce child mortality
- Improve maternal health
- Combat HIV/AIDS, malaria and other diseases
- Ensure environmental sustainability
- Develop global partnerships for development
Which MDG goals are not health-related?
2 and 3
_____ is essential to the achievement of these goals (MDG) and is a major contributor to the overarching goal of poverty reduction.
Health
Core Functions:
– ________ on matters critical to health and engaging in
partnerships where joint action is needed.
– __________ and promoting and monitoring their implementation.
– Articulating ____ and ____________.
– _____________, catalyzing change, and building sustainable institutional capacity.
– __________ and stimulating the generation, translation, and disseminating valuable knowledge.
Core Functions:
– Providing leadership on matters critical to health and engaging in
partnerships where joint action is needed.
– Setting norms and standards and promoting and monitoring their implementation.
– Articulating ethical and evidence-based policy options.
– Providing technical support, catalyzing change, and building
sustainable institutional capacity.
– Shaping the research agenda and stimulating the generation, translation, and disseminating valuable knowledge.
P
O
S
C
T
*Priorities
*Organization
*Standards
*Capacity
*Translation
addresses a number of social and environmental development issues.
SUSTAINABLE DEVELOPMENT GOALS
The Sustainable Development Goals are a set of __ goals defined by the ______ launched in _________.
The Sustainable Development Goals are a set of 17 goals defined by the United Nations launched in September 2015.
The goals are also known as ________.
“Transforming our World: the 2030 Agenda for Sustainable Development.”
– Use traditional health care practices;Western concept of healing were widely practiced
– Establishment of the first medical dispensary for indigent patients of Manila by Franciscan Friar Juan Clemente that was began in 1577
- Pre-Spanish and Spanish Periods (before 1898)
– Installation of water system in San Juan del Monte and Manila by
Dominican Father Juan de Pergero
- 1690
– Introduction of smallpox vaccination by Dr. Francisco de Balmis
- 1805
– Appointment of the first Medicos Titulares, equivalent to provincial health officers
- 1876
A Superior Board of Health & Charity was created by the Spaniards which established a hospital system & a board
of vaccination
* Graduation of the first cirujanos ministrantes from UST
- 1888
- Department of Public Works, Education & Hygiene was created by virtue of a decree signed by
- 1898, June 23
– Creation of the Board of Health of the Philippine Islands by the United States Philippine Commission through Act 157.
- 1901
– Foundation of La Gota de Leche by Asociacion Feminista Filipina
- 1905
– Creation of sanitary divisions by the Fajardo Act
- 1912
– Organization of the Social and Home Care Service unit of PGH
- 1915
– Establishment of municipal and charity clinics
- Before WWII
– Reorganization of DOH into bureaus
- 1947
– Approval of R.A.1082 (Rural Health Act) by the Congress
- 1954
– Enactment of R.A. 1891 amending certain provisions in the Rural Health Act
- 1957
– Restructure of the Philippine health care delivery system classifying health services
- 1970s
– Approval of R.A.1082 (Rural Health Act) by the Congress
- 1954
– Enactment of R. A. 1891 amending certain provisions in the Rural Health Act
- 1957
– Restructure of the Philippine health care delivery system classifying health services
- 1970s
– enactment of R.A. 7160 ( Local Government Code)
- 1991
–Launched the Health Sector Reform Agenda; Its implementation framework FOURmula One (F1) in 2005 and Universal Health Care in 2010
- 1999
– Signed to the United Nations Millennium Declaration
- September 2000
ROLES AND FUNCTIONS OF DOH
Serve as the national policy and regulatory institution. Provides leadership in the formulation, monitoring and
evaluation of national health policies, plans, and programs.
Serve as advocate in the adoption of health policies, plans and programs to address national and sectoral concerns.
Leadership in Health
ROLES AND FUNCTIONS OF DOH
Innovate new strategies in health.
Initiate public discussions on health issues.
Disseminate policy research outputs.
Exercise oversight functions and monitoring and evaluation of national health plans, programs, and policies.
Ensure the highest achievable standards of quality health care, health promotion and health protection.
Enabler and Capacity Builder
ROLES AND FUNCTIONS OF DOH
Manages selected national health facilities and hospitals and referral centers.
Administer direct services for emergent health concerns that require new complicated technologies.
Administer health emergency response services.
Administrator of Specific Services
Vision of DOH
The DOH is the ____, _____ and ____ promoting Health for All in the Philippines.
Vision of DOH
The DOH is the leader, staunch advocate and model promoting Health for All in the Philippines.
Mission of DOH
Guarantee _____, _____ and ____ health for all Filipinos, especially the ____ and shall lead the ___ for excellence in health.
Mission of DOH
Guarantee equitable, sustainable and quality health for all Filipinos, especially the poor and shall lead the quest for excellence in health.
Core Values of DOH (7)
- Integrity
- Excellence
- Compassion and respect for human dignity
- Commitment
- Professionalism
- Teamwork
- Stewardship of the health of the people
LOCAL HEALTH SYSTEM
HISTORICAL BACKGROUND
* For over __ years after post war independence, the Philippine health care system was administered by a central agency based in ____; this provided the singular sources of resources, policy direction, technical and administrative supervision to all health facility nationwide.
40; Manila
LOCAL HEALTH SYSTEM
HISTORICAL BACKGROUND
* In ___, major shift took place – Local Government Code known as _______, under this law, all structures, personnel and budgetary allocations from the provincial health level down to the barangays were devolved (transfer or delegate; from central to local/regional) to the local government units to facilitate health service delivery.
1991; Republic Act 7160
LOCAL HEALTH SYSTEM
*_______ made local government executives responsible to operate local health services;
* New centers of ________ emerged – provincial, city, municipal governments, including an autonomous regional government and a metropolitan authority.
* _________ operate the hospital system - Provincial and District Hospitals; while ________ operate the Health Centers (HC) Rural Health Units(RHU) and Barangay Health Stations (BHS).
Devolution; authority for local health services; Provincial governments; city/municipal governments
Rules and regulations governing classification of Hospitals and other Health Facilities in the Philippines (Approved in ______, 2012).
DOH Administrative Order No. 2012-0012; July 18
CLASSIFICATION OF HEALTH FACILITIES (DOH AO-0012A)
Level 1
Level 2
Level 3
Level 4
OLD
CLASSIFICATION OF HEALTH FACILITIES (DOH AO-0012A)
Reclassify to other Health Facilities
Level 1
Level 2
Level 3
NEW
Levels of Health Care Delivery and the Rural Health Unit
Provides services for all kinds of all illnesses, injuries, or deformities. Services offered are classified as level 1, level 2, or level 3.
- General Hospital
CLASSIFICATION OF HOSPITALS
According to Ownership:
Created by law. May be under DOH, DND, DOJ, PNP, LGU, SUCs, and others
A. Government
CLASSIFICATION OF HOSPITALS
According to Ownership:
May be a single proprietorship, partnership, corporation, cooperative, foundation, religious, non-government organization and others.
Private
CLASSIFICATION OF HOSPITALS
According to Functional Capacity:
Specializes in a particular disease or condition or in one type of patient.
Private
CLASSIFICATION OF HOSPITALS
According to Functional Capacity:
Provides medical and surgical care to the sick and injured and maternity care and shall have as minimum, the following clinical services: medicine, pediatrics, obstetrics, emergency services, out- patient and ancillary services.
General Hospital
EXAMPLES OF SPECIALTY HOSPITALS
National Orthopedic Hospital
National Center for Mental Health
San Lazaro Hospital
Particular Disease
EXAMPLES OF SPECIALTY HOSPITALS
Lung Center
Philippine Heart Center
National Kidney and Transplant Institute
Particular Organs
EXAMPLES OF SPECIALTY HOSPITALS
Philippine Children’s Medical Center
National Children’s Hospital
Dr. Jose Fabella Memorial Hospital
Particular Group of Patients
CLASSIFICATION OF HOSPITALS
According to Trauma Capability:
A. DOH licensed hospital designated as a ______.
B. DOH licensed hospital within the _____ which receives trauma patients for transport to the point of care or a trauma center.
A. Trauma Capable Facility - DOH licensed hospital designated as a trauma center.
B. Trauma Receiving Facility - DOH licensed hospital within the trauma service area which receives trauma patients for transport to the point of care or a trauma center.
Other Health Facilities
A first-contact health care facility offers basic services including emergency services and provision for normal deliveries
- Primary Care Facility (Category A)
Other Health Facilities
Provides long-term care, including basic services, to patients with chronic conditions requiring ongoing health and nursing care due to impairment and a reduced degree of independence in ADLs, and patients in rehabilitation.
- Custodial care facility (Category B)
Other Health Facilities
For the examination of the human body, specimens from the human body for the diagnosis, sometimes treatment of disease, or water for drinking water analysis.
Laboratory facility, radiologic facility, nuclear medicine facility
- Diagnostic/therapeutic facility (Category C)
Other Health Facilities
Performs highly specialized procedures on an outpatient basis.
• Specialized Outpatient Facility
