WORKIMM - Lesson 1: The Healthcare Delivery System

Question 1

Consist of all organization, people, and actions whose primary intent is to promote, restore, or maintain health.

Answer 1

HEALTH SYSTEM

Question 2

What the 6 building blocks of Health System

Answer 2

1. Service Delivery
2. Health Workforce
3. Information
4. Medical products, vaccines, and, technologies
5. Financing
6. Leadership and governance or Stewardship

Question 3

Refers to the network of health facilities and personnel which carries out the task of rendering health care to the people.

Answer 3

HEALTH CARE DELIVERY SYSTEM

Question 4

Specialized agency of the UnitedNations (UN)

Answer 4

WORLD HEALTH ORGANIZATION (WHO)

Question 5

What is the WHO Constitution

Answer 5

Its objective is the attainment by all people of the highest possible level of health (WHO, 2006)

Question 6

WHO Core functions: 1 and 2

Answer 6

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.

Question 7

WHO Core functions: 3, 4, and 5

Answer 7

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

Question 8

Past decade, WHO with DOH (ano programs na naimplement nila?)

Answer 8

• 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

Question 9

What SDG ensures healthy lives and promote well-being for all at all ages

Answer 9

• 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.

Question 10

What year is the target date completion of SDG?

Answer 10

2030

Question 11

Main governing body of health services in the country

Answer 11

Department of Health (DOH)

Question 12

What are the three (3) major roles in the health sector of DOH?

Answer 12

(1) leadership in health
(2) enabler and capacity builder
(3) administrator of specific services

Question 13

What are the three (3) major roles in the health sector of DOH?

Answer 13

(1) leadership in health
(2) enabler and capacity builder
(3) administrator of specific services

Question 14

Composed of for-profit and nonprofit agencies

Answer 14

Private Sector

Question 15

Composed of for-profit and nonprofit agencies

Answer 15

Private Sector

Question 16

What is the purpose of Private Sector

Answer 16

Provides all levels of services and accounts for a large segment of health service providers in the country

Question 17

Financing of health services (3 major groups):

Answer 17

• Government (National and Local)
• Private Sources
• Social Health Insurance

Question 18

RA 7875

Answer 18

National Health Insurance Act of 1995 or the creation of PhilHealth

Question 19

Purpose of PhilHealth

Answer 19

Aims for universal health coverage for all Filipino citizens

Question 20

First-contact health care facility that offers “basic services” including emergency services and provision for normal deliveries

Answer 20

Primary Care Facility

Question 21

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

Answer 21

Custodial Care Facility

Question 22

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

Answer 22

Diagnostic/therapeutic facility

Question 23

Performs “highly specialized procedures” on an outpatient basis

Answer 23

Specialized Outpatient Facility

Question 24

Describe LEVEL 1 HOSPITAL

Answer 24

• 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.

Question 25

Describe LEVEL 2 HOSPITAL

Answer 25

- Need for a referral - Contains all facilities of Level 1 - Additional facilities: ICU, NICU, HRPU - Respiratory therapy services - Clinical laboratory

Question 26

Describe LEVEL 3 HOSPITAL

Answer 26

- Teaching or training hospital - Contains all facilities of LEVEL 2 - Ambulatory Surgical Clinic, Blood bank, Dialysis, Clinical Laboratory

Question 27

Treatment of patients suffering from diseases of a particular organ or group of organs

Answer 27

SPECIALTY HOSPITAL (Philippine Heart Center, Lung Center of the Philippine, and National Kidney & Transplant Institute)

Question 28

The Department is concerned mainly on promotion of health and prevention of diseases to the Manila constituents with special focus on poor families.

Answer 28

MANILA HEALTH DEPARTMENT

Question 29

Commonly known as a "health center"

Answer 29

RURAL HEALTH UNIT

Question 30

Ratio of 1 RHU to population

Answer 30

1 RHU: 20,000 population

Question 31

Type of level as a healthcare facility of RHU

Answer 31

Primary Level

Question 32

RA 7160 (Local Government Code)

Answer 32

LOCAL HEALTH BOARD

Question 33

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

Answer 33

LOCAL HEALTH BOARD

Question 34

Local Health Board created..?

Answer 34

1) Provincial Health Board 2) City/Municipal Health Boards

Question 35

Responsible for administration of provincial and district hospitals

Answer 35

Provincial Governments

Question 36

In charge of the Primary Care - Rural Health Centers (RHU)/ Health Center - Satellite Outposts – Barangay Health Stations (BHS)

Answer 36

Municipal and City Governments

Question 37

Act by which the national government confers power and authority upon the various LGUs to perform specific functions and responsibilities.

Answer 37

Devolution

Question 38

Advantage and disadvantage of devolution?

Answer 38

- 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

Question 39

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

Answer 39

Referral

Question 40

Ensures the continuity and complementation of health and medical services

Answer 40

Functional Referral System

Question 41

Movement of a patient from the health center of first contact and the hospital at first referral level.

Answer 41

Two- way referral system

Question 42

Occur within the health facility, from one health personnel to another

Answer 42

Internal Referral

Question 43

Movement of a patient from one health facility to another

Answer 43

External Referral

Question 44

2 types of External Referral

Answer 44

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

Question 45

Republic Act 11036

Answer 45

Mental Health Act

Question 46

What date was and where was the Mental Health Act created?

Answer 46

July 24, 2017, Metro Manila

Question 47

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)

Answer 47

COMMUNITY

Question 48

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)

Answer 48

COMMUNITY

Question 49

Implementation of intervention program to the identified problems in the community setting

Answer 49

COMMUNITY IMMERSION