3 - Philippine Healthcare and the Philippine Healthcare Delivery System Flashcards

1
Q

Fundamental human right as cited in the Alma-Ata Declaration of 1978

A

Health

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2
Q

states that primary health care is essentialhealth care based on scientifically sound and socially acceptable methods, universally accessible to
individuals and families with their full participation at a cost that the community and country can afford in a spirit of self-reliance and selfdetermination.
(WHO-WPRO, 2018)

A

Alma-Ata Declaration of 1978

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3
Q

Ten parts of the declaration EACH REINFORCING
WIDELY ACCEPTED VALUES AND
POLICIES ON HEALTH CARE

A
•Definition of Health
• Concern over inequity
between countries
• Health as a pre-requisite
for economic progress of
countries
• People's right to
participate in planning and
implementation of health
services
• State responsibility in
provision of health care to
all citizens
• Reaffirmation of primary
health care as an
important strategy to
organize health services
• Components of primary
health care
• Align national policies and
build political will to
achieve primary health
care
• Cooperation between
countries to achieve these
goals
• Health for all by 2000
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4
Q

Goal of Alma-Ata Declaration of 1978

A

Reach optimal level of health from the collaboration and action among social and economic sectors

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5
Q

An organized plan of health services

A

Health Care System

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6
Q

Who defined the concept of Health Care System in 1987?

A

Miller & Keane

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7
Q

Carries out the task of endering of health services to the people

A

Health Care Delivery

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8
Q

Who defined the concept of Health Care Delivery in 1981?

A

Williams-Tungpalan

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9
Q

deals with social policy targets health equity with the

ultimate goal of better health for all

A

Primary Health Care

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10
Q

five key elements to achieve PHC’s goal as identified by WHO are?

A

• universal coverage to reduce exclusion and
social disparities in health;
• service delivery organized around people’s
needs and expectations;
• public policy that integrates health into all
sectors;
• leadership that enhances collaborative
models of policy dialogue; and
• Increased stakeholder participation.

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11
Q

8 essential elements of PHC?

A
  1. Education concerning prevailing health problems and the methods of identifying, preventing and
    controlling them
  2. Locally endemic disease prevention and control
  3. Expanded program of immunization against major
    infectious diseases
  4. Maternal and child health care including family planning
  5. Essential drugs arrangement
  6. Nutritional food supplement, an adequate supply of safe and basic nutrition
  7. Treatment of communicable and non-communicable
    disease and promotion of mental health
  8. Safe water and sanitation
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12
Q

6 other elements of PHC?

A
  1. Expended options of immunizations
  2. Reproductive health needs
  3. Provision of essential technologies for health
  4. Health promotion
  5. Prevention and control of non-communicable diseases
  6. Food safety and provision of selected food supplements
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13
Q

Primary Health Care should integrate what?

A

Principles

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14
Q

Will serve as guide for the functions of the system as a whole

A

Principles

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15
Q

Bridges the conflict between primary healthcare and is a holistic approach to the provision of health
services

A

Principles

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16
Q

12 Basic objectives to launch and sustain PHC:

A
  1. Improve the level of health care of the community
  2. Promote favorable population growth structure
  3. Reduce the morbidity and mortality rates especially
    among infants and children
  4. Reduce prevalence of preventable, communicable,
    and other diseases
  5. Improve basic sanitation
  6. Extend essential health services especially to
    underserved sectors
  7. Develop the capability of the community to become
    self-reliant
  8. Encourage the contribution of other sectors to the
    social and economic development of the community
  9. Provide equitable distribution of health care
  10. Ensure community participation and monitor
    adequacy and distribution of health workers who are
    supported locally and at the referral levels
  11. Recognize that the formal health sector needs other
    sectors in the promotion of health (multi-sectoral
    approach)
  12. Use the appropriate technology which are accessible, feasible, affordable, and culturally acceptable to the
    community
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17
Q

5 steps in the management of Primary Health Care:

A
  1. Planning
  2. Organizing
  3. Staffing
  4. Controlling
  5. Directing
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18
Q

Setting priorities and determining performance targets

A

Planning

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19
Q

Designing organization and designating reporting relationships and positions

A

Organizing

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20
Q

Acquiring, retaining, developing human resources

A

Staffing

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21
Q

Monitoring staff activities and performance

A

Controlling

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22
Q

Initiating action

A

Directing

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23
Q

Management principles in relation to organizing

A
  1. Authority, Responsibility, and Accountability
  2. Types of Authority
  3. Centralization, Decentralization, and Formalization
  4. Staffing
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24
Q

refers to the formal and legitimate right of a manager to issue orders, make decisions, and allocate resources to achieve
desired outcomes of the organization.

A

Authority

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25
Q

is the duty of the employee to

perform the assigned tasks and activities.

A

Responsibility

26
Q

means reporting and

justification of task outcomes to higher management by those people with authority

A

Accountability

27
Q

Type of authority that issue orders to their subordinates and are responsible for the results.

A

Line authority managers

28
Q

Type of authority that have power only over a specific set of activities.

A

Functional authority

29
Q

Type of authority that is given to specialists in their areas of expertise. The staff manager simply advises, recommends, and counsels.

A

Staff authority

30
Q

refers to the concentration of

planning and decision-making to the top of the organization.

A

centralization

31
Q

refers to the delegation of

planning and decision-making to the lower branches of the organization.

A

decentralization

32
Q

refers to a written documentation provided for the direct control of the employees.

A

formalization

33
Q

Assign individuals to respective positions identified in

a management plan

A

staffing

34
Q

Recruit qualified personnel

A

staffing

35
Q

how do you improve existing services and programs

A

• reviewing and adjusting the requirements
accordingly
• matching the competency requirements visa-
avis the responsible personnel assigned to
the activity

36
Q

how do you assess required competencies

A

• identification of the key result areas (KRA’s)
per major activity
• determination of competencies and
qualifications

37
Q

a complex set of
organizations interacting to provide an array of health
services

A

philippine health care system

38
Q

-The DOH has the responsibility to create, plan, implement,
and systematize national health policies, advocacies, and
programs.
-The primary function is to promote, protect, and preserve or restore people’s health by giving health services and by
monitoring and motivating health service providers.

A

The Department of Health Mandate (E.O. No. 119, Sec. 3)

39
Q

A global leader for attaining better health outcomes,
competitive and responsible health care system, and equitable
health financing

A

DOH vision by 2030

40
Q

To guarantee equitable, sustainable and quality health for all Filipinos, especially the poor, and to lead the quest for
excellence in health

A

DOH mission

41
Q

Units operated by the DOH which include the rural
health units, their respective sub-centers, chest
clinics, malaria eradication units, and schistosomiasis
control units

A

Primary level of health care facilities

42
Q

These are the smaller, non-departmentalized
hospitals. These are emergency and regional hospitals
were adequate treatments are offered for patients
with symptomatic stages of diseases.

A

Secondary level of health care facilities

43
Q

Puericulture center operated by the League of

Puericulture Centers

A

Primary level of health care facilities

44
Q

These are the specialized national hospitals
which offer highly technological and specialized
knowledge, facilities and personnel are treated here

A

Tertiary level of health care facilities

45
Q

Clinics operated by Philippine Medical Association

A

Primary level of health care facilities

46
Q

Units operated by the Philippine Tuberculosis Society

such as the tuberculosis clinics and hospitals

A

Primary level of health care facilities

47
Q

Clinics operated by large industrial firms for their

employees

A

Primary level of health care facilities

48
Q

Health centers and community hospitals operated by

the Philippine Medical Care Commission

A

Primary level of health care facilities

49
Q

Other health facilitates operated by voluntary

religious and civic groups

A

Primary level of health care facilities

50
Q

Initial links of the community

A

Grassroot or village health workers

51
Q

medical practitioners, nurses, midwives

A

Intermediate level health workers

52
Q

backup health service providers (hospitalization)

A

First-line hospital personnel

53
Q

Provide preventive measures/simple

curatives

A

Grassroot or village health workers

54
Q

intermediate workers are close contact

w/ them

A

First-line hospital personnel

55
Q

attend problems beyond competence of

village workers

A

Intermediate level health workers

56
Q

supervision, training, supplies, services

A

Intermediate level health workers

57
Q

physicians w/ specialty, nurses, dentist, etc

A

First-line hospital personnel

58
Q

first source of professional health care

A

Intermediate level health workers

59
Q

Encourage program and activities

A

Grassroot or village health workers

60
Q

Volunteers etc

A

Grassroot or village health workers