WORKIMM - Lesson 1: The Healthcare Delivery System Flashcards
Consist of all organization, people, and actions whose primary intent is to promote, restore, or maintain health.
HEALTH SYSTEM
What the 6 building blocks of Health System
- Service Delivery
- Health Workforce
- Information
- Medical products, vaccines, and, technologies
- Financing
- Leadership and governance or Stewardship
Refers to the network of health facilities and personnel which carries out the task of rendering health care to the people.
HEALTH CARE DELIVERY SYSTEM
Specialized agency of the UnitedNations (UN)
WORLD HEALTH ORGANIZATION (WHO)
What is the WHO Constitution
Its objective is the attainment by all people of the highest possible level of health (WHO, 2006)
WHO Core functions: 1 and 2
1) Providing leadership on matters critical to health and engaging in partnerships where joint actions is needed.
2) Shaping the research agenda and stimulating the generation, translation, and disseminating valuable knowledge.
WHO Core functions: 3, 4, and 5
3) Setting norms and standards and promoting and monitoring their implementation.
4) Articulating ethical and evidence-based policy options
5) Providing technical support, catalyzing change, and building sustainable institutional capacity
Past decade, WHO with DOH (ano programs na naimplement nila?)
- MDGs (Millennium Development Goals) [8 in total] - rich countries
- SDGs 2016 (Sustainable Development Goals) [17 in total] - applicable to all countries including the poor ones
What SDG ensures healthy lives and promote well-being for all at all ages
- SDG Goal 3: Good Health and Well-Being
- Aim: achieve universal health coverage, and provide access to safe and affordable medicines and vaccines for all.
What year is the target date completion of SDG?
2030
Main governing body of health services in the country
Department of Health (DOH)
What are the three (3) major roles in the health sector of DOH?
(1) leadership in health
(2) enabler and capacity builder
(3) administrator of specific services
What are the three (3) major roles in the health sector of DOH?
(1) leadership in health
(2) enabler and capacity builder
(3) administrator of specific services
Composed of for-profit and nonprofit agencies
Private Sector
Composed of for-profit and nonprofit agencies
Private Sector
What is the purpose of Private Sector
Provides all levels of services and accounts for a large segment of health service providers in the country
Financing of health services (3 major groups):
- Government (National and Local)
- Private Sources
- Social Health Insurance
RA 7875
National Health Insurance Act of 1995 or the creation of PhilHealth
Purpose of PhilHealth
Aims for universal health coverage for all Filipino citizens
First-contact health care facility that offers “basic services” including emergency services and provision for normal deliveries
Primary Care Facility
Provides “long-term care” 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 need of rehabilitation
Custodial Care Facility
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
Diagnostic/therapeutic facility
Performs “highly specialized procedures” on an outpatient basis
Specialized Outpatient Facility
Describe LEVEL 1 HOSPITAL
- Most basic
- Cater to patients who need “minor” care and supervision
- Must include: operating room, post-operative room, maternity facilities, isolation facilities, dantal clinic, pharmacy, etc.
Describe LEVEL 2 HOSPITAL
- Need for a referral
- Contains all facilities of Level 1
- Additional facilities: ICU, NICU, HRPU
- Respiratory therapy services
- Clinical laboratory
Describe LEVEL 3 HOSPITAL
- Teaching or training hospital
- Contains all facilities of LEVEL 2
- Ambulatory Surgical Clinic, Blood bank, Dialysis, Clinical Laboratory
Treatment of patients suffering from diseases of a particular organ or group of organs
SPECIALTY HOSPITAL (Philippine Heart Center, Lung Center of the Philippine, and National Kidney & Transplant Institute)
The Department is concerned mainly on promotion of health and prevention of diseases to the Manila constituents with special focus on poor families.
MANILA HEALTH DEPARTMENT
Commonly known as a “health center”
RURAL HEALTH UNIT
Ratio of 1 RHU to population
1 RHU: 20,000 population
Type of level as a healthcare facility of RHU
Primary Level
RA 7160 (Local Government Code)
LOCAL HEALTH BOARD
This will enable local governments to attain their fullest development as self-reliant communities and make them more effective partners in the attainment of national goals
LOCAL HEALTH BOARD
Local Health Board created..?
1) Provincial Health Board
2) City/Municipal Health Boards
Responsible for administration of provincial and district hospitals
Provincial Governments
In charge of the Primary Care
- Rural Health Centers (RHU)/ Health Center
- Satellite Outposts – Barangay Health Stations (BHS)
Municipal and City Governments
Act by which the national government confers power and authority upon the various LGUs to perform specific functions and responsibilities.
Devolution
Advantage and disadvantage of devolution?
- Advantage: allowed local leaders to have a greater hand in the future of communities
- Disadvantage: fragmentation of the health care delivery system in the Philippines
Set of activities undertaken by a healthcare provider or facility in response to its inability to provide the necessary health intervention to satisfy a patient’s need
Referral
Ensures the continuity and complementation of health and medical services
Functional Referral System
Movement of a patient from the health center of first contact and the hospital at first referral level.
Two- way referral system
Occur within the health facility, from one health personnel to another
Internal Referral
Movement of a patient from one health facility to another
External Referral
2 types of External Referral
1) Vertical – patient referral may be from a lower to a higher level of health facility or other way round
2) Horizontal – patient is referred between similar facilities indifferent catchment areas
Republic Act 11036
Mental Health Act
What date was and where was the Mental Health Act created?
July 24, 2017, Metro Manila
A collection of people who interact with one another and whose common interests or characteristics form the basis for a sense of unity or belonging (Allender et al,2009, p.6)
COMMUNITY
A group of people who share something in common and interact with one another , who may exhibit a commitment with one another and may share a geographic boundary (Lundy and Janes 2009,p16)
COMMUNITY
Implementation of intervention program to the identified problems in the community setting
COMMUNITY IMMERSION
