Health Care Delivery System Flashcards
(28 cards)
refers to the sum of all agencies, personnel and services directed to provide health care to the population
Health Care Delivery System
Health Care Delivery System
What does the Health Care Delivery System consist of?
All organizations, people, and actions whose primary intent is to promote, restore, or maintain health.
Health Care Delivery System
What are the two sectors of the Health Care Delivery System?
Private (55%) and Public (45%).
6 Building Blocks of the Health System
What are the six building blocks of the health system?
Service delivery – Interlocal referral system from primary to secondary to tertiary.
Financing – Taxes.
Human resources – Major failure point due to lack of manpower. Leads to overtime and staff burnout.
Health Information System – Electronic database.
Access to Essential Medicine.
Leadership and Governance.
3 Components of the Health Care System
1. Agencies
Q: What is the role of the National Government in Health Care?
It operates through the Department of Health (DOH), which must function at the systems level rather than just at the organismic level.
Q: What are the roles of the DOH?
Leadership in health
Enabler and capacity builder
Administrator of specific services
What is the vision of the DOH?
Filipinos to be among the healthiest people in SEA by 2022 and in Asia by 2040.
What is the mission of the DOH?
To lead the country in developing a productive, resilient, equitable, and people-centered health system.
Why is it necessary for DOH to be both a policy and regulatory body?
To ensure that health policies and programs are effectively implemented.
What are the roles of DOH as a major player in healthcare?
Technical resource – Expert in health policies.
Catalyst for health policy – Issues licenses for health facilities.
Political sponsor and advocate – Represents the health sector.
Comprehensive Health Reforms
What are the major health reform programs in the Philippines?
Universal Health Care (2010-2016)
FOURmula One for Health (2005-2010)
Health Sector Reform Agenda (1999-2004)
National Objectives for Health (NOH) 2017-2022 – Medium-term roadmap for achieving UHC.
What are the general goals of NOH 2022?
Better health outcomes – Reducing morbidity and mortality.
Financial risk protection – Full implementation of universal health coverage.
Responsive health system – Ensuring private-public collaboration.
FOURmula One Plus for Health (F1 Plus for Health)
What is the purpose of F1 Plus for Health?
A blueprint/framework that supports the vision and mission of the DOH.
What are the 5 pillars of F1 Plus for Health?
Financing – Generating more funds through taxes.
Service Delivery – Ensuring health services are available at all levels.
Regulation – Developing proactive policies.
Governance.
Performance Accountability.
What is the legal basis of F1 Plus for Health?
Administrative Order No. 2018-0014 – Strategic framework and guidelines for implementation.
What are the three national plans F1 Plus for Health aligns with?
Philippine Development Plan (PDP) 2017-2022.
Sustainable Development Goals (SDG) 2030.
AmBisyon Natin 2040.
Local Government Units & RA 7160 (Local Government Code)
What did RA 7160 (1991) change in the healthcare system?
Decentralized health services, giving primary and secondary healthcare responsibilities to Local Government Units (LGUs) while DOH remained responsible for tertiary care.
Why was decentralization implemented?
To improve governance, decision-making, and service access at the local level.
What is the aim of decentralization?
Self-reliant communities.
Active partnership with people.
Responsiveness to local needs.
Accountable government representatives.
What are the two sub-levels of local health systems?
Health Centers (Rural Health Units - RHU) – Serve multiple barangays.
Barangay Health Stations (BHS) – Located in each barangay, managed by a midwife.
Who appoints the Barangay Health Station (BHS) midwife?
The barangay chairman, but this process can be politicized, affecting continuity.
Local Health Boards & Personnel
What is the composition of the Local Health Board?
Chairperson – Mayor or Governor.
Vice-Chairperson – Municipal/Provincial Health Officer.
Members: Chairman of the Health Committee, NGO representative, DOH representative.
What are the categories of health workers?
Basic Health Workers (BHW/VHW) – Laypersons trained in basic health services.
Intermediate Health Workers – Doctors, PHNs, etc.
What is the DOH-recommended Health Worker-to-Population ratio?
1 BHW: 10-20 families.
1 RHU physician: 20,000 PR.
1 Public Health Nurse (PHN): 10,000 PR.
1 Midwife: 5,000 PR.
1 Public Health Dentist: 50,000 PR.
