CHN 17-22 Flashcards
(48 cards)
Refers to the act by which the National
Government confers power and authority
upon the various local government units to
perform specific functions and responsibilities,
including the provision and delivery of health care
services
Devolution
THEY made local government
executives responsible to operate local health
services.
Devolution
Objectives of the Local Health System
. Establish local health systems for effective
and efficient delivery of health care services.
* Upgrade the health care management and
service capabilities of local health facilities.
* Promote inter-LGU linkages and cost sharing
schemes including local health care financing
systems for better utilization of local health
resources.
* Foster participation of the private sector, nongovernment organizations (NGOs), and
communities in local health systems
development.
* Ensure the quality of health service delivery at
the local level.
Each local government unit has a ____ which proposes annual budgetary
allocations for the operations of health services
within the locality.
local health
board
Adopted primary health care approach that
integrates at the community level all elements
necessary to make impact upon the health
status of the people
Restructured Health Care Delivery System
Objectives of RHCDS
To strengthen the rural health services and to
effect a more efficient and effective delivery care
of health services in the country
Main Health Center RHCDS
- Location: municipality
- Own catchments area: 5,000 population more
or less - Staff: complete team
Barrio Health Stations
Located in a strategic area beyond 3-5
kilometer from MHC
- Catchments area: 5,000 population
- Staffed by RHM
It is a system of health care similar to district
health system in which individuals,
communities and all other health care
providers in a well-defined geographical area
participate together in providing quality,
equitable and accessible health care
Inter Local Health System
- Unit of the health system created for local
health service management and delivery in
the Philippines. - Has a defined population within a defined
geographical area and comprises a central or
core referral hospital and a number of
primary level facilities such as RHUs and
BHS. - Includes all stakeholders involved in the
delivery of health services
Inter Local Health Zone (ILHZ)
Importance of establishing an ILHZ
- To re-integrate hospital and public health
services for a holistic delivery of health services - To identify areas of complementation of the
stakeholders - LGUs at all levels, DOH, PHIC,
communities, NGOs, private sector and others.
Composition of ILHZ
. People
. Boundaries
. Health facilities
. Health workers
- Main hospital for ILHZ and its catchment
population - Main point of referral for hospital services
from the community, private medical
practitioner and public health services at BHS
and RHUs
Core Referral Hospital
Core Referral Hospital
Minimum services:
o Out-patient services
o Lab and radiological diagnostic
services
o Inpatient care
o Surgical services sufficient to provide
emergency care for basic life
threatening conditions, obstetrics and
trauma
- A contained segment of the national health
system which comprises a well-defined
administrative and geographic area either rural or
urban and all institutions and sectors whose
activities contribute to improve health (WHO)
District Health System
need to be
established between each level of health.
Two-Way Referral System
Two-Way Referral System
primary
secondary
tertiary
primary:
RHU
BRGY. HEALTH STATION
secondary:
DISTRICT HEALTH SERVICES
PROVINCIAL HOSPITAL
tertiary:
NATIONAL HEALTH SERVICES
REGIONAL HEALTH SERVICES
Two-Way Referral System
-Redndered by specialist
-Referral center of secondary care facilitiies
Tertiary Level
Two-Way Referral System
-Given by physicians with basic health training
-serves as referal center of primary health facilities
-Capable of Performing minor surgeries and perform simple labolatory examinations
Secondary Level
Two-Way Referral System
-Developed in cities and municipalities
-Provided by center physicians, RHNs, RHMs, BhwS, traditional healers
-First contact between the community member and other levels of health facilty
Primary level
Two-Way Referral System
facilities, substance/drug abuse treatment and rehabilitation centers, sanitaria/leprosania, and nursing homes
Custodial Care Facility
Two-Way Referral System
laboratory, radiologic and nuclear medicine facility
Diagnostic Facility
Two-Way Referral System
dialysis clinic, cancer chemotherapy clinic, cancer
radiation facility, physical medicine and
rehabilitation center/clinic
Specialized Outpatient Facility
