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1
Q

it denotes the industry itself; describing a specific facility or system

A

Healthcare

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2
Q

refers to the provider’s actions (of delivering care)

A

Health care

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3
Q

Quality of health services vary by which two determining factors?

A

facility and region

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4
Q

a government-owned company; oversees public healthcare in the Philippines

A

PhilHealth

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5
Q

Enumerate.

Philhealth covers the following treatments/procedures:

A
  • in-patient care
  • non-emergency procedures
  • lab tests (by UH Act on 2019)
  • consultations (by UH Act on 2019)
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6
Q

Which government bill was passed that urged PhilHealth to expand its coverage in treatment/procedure subsidies?

A

Universal Healthcare Act (2019)

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7
Q

Who are entitled to enjoy the national program provided by the Universal Healthcare Act?

A

All Filipino citizens

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8
Q

This pertains to the function of a health system concerned with the mobilization, accumulation, and allocation of money to cover the health needs of the people, individually and collectively, in the health system.

A

Health financing

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9
Q

Enumerate.

What are the four main sources of health financing?

A
  • national and local government
  • insurance (government and private)
  • use fees/out-of-pocket
  • donors
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10
Q

PhilHealth is also known as?

A

PHIC
Philippine Health Insurance Corporation

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11
Q

What program was insitutionalized and signaled towards a “single-payer” premium based insurance system?

A

NHIP
National Health Insurance Program

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12
Q

Who managed the NHIP?

A

PHIC or PhilHealth

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13
Q

Year Range.

During which period did the share of out-of-pocket expenditure increase from 47% - 57%, at the same time decreasing the share of local and national subsidies?

A

1997-2007

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14
Q

This type of expenditure is much more prominent among patients confined in public health facilities.

A

Out-of-pocket expenditure

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14
Q

Identify.

Top source of payment when confined in…
Public v.s Private
hospitals

A

Public: Salary/Income
Private: Savings

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15
Q

More than half of the medical expenditure (out-of-pocket) was spent on which component?

A

Medicine

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16
Q

During both 1997 and 2007, what source of fund has the highest and lowest percentage?

A

Highest: Out-of-pocket
Lowest: Social health insurance

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17
Q

Which financial agent has the highest level and share in the 2020 health expenditure of PNHA?

A

Household

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18
Q

What financing agent has the lowest level and share in terms of health expenditure in the 2020 PNHA report?

A

Insurance Corporations

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19
Q

In the context of health financing, who is reponsible for collecting premiums, accrediting providers, setting the benefits packages and providing payment mechanisms, processing claims, and reimbursing providers for their services?

A

PhilHealth

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20
Q

Enumerate in order; 1 - 2 - 3 respectively.

According to the 2020 PNHA report, what are the top 3 health care providers?

A
  1. Hospitals
  2. Pharmacies
  3. Providers of preventive care (EMS)
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21
Q

True or False: An enormous number of Filipinos rely on private healthcare.

A

False

Filipinos rely much on public healthcare. [3rd world country issue :/ ]

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22
Q

It pertains to an organized plan of health services

A

Healthcare system

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23
Q

It is the rendering of health care services to the people; a network of health facilities and personnel which renders care to the patients

A

Healthcare delivery system

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24
It is the principal health agency in the Philippines and they ensure access to basic public health services to all Filipinos.
**DOH** Deparment of Health
25
# Enumerate. What are the four functions of the DOH?
- Promotion - Protection - Preservation - Restoration **[of health through the provision and delivery of services]**
26
# Enumerate. What are the mandates (responsibilities) of the DOH?
- **to** **form and develop** national health policies - **issuance** of rules, licenses, etc. - **promulgations** of conceptions and priorities - **to develop** programs, advocacies, and projects
27
What is the mission and vision of the DOH?
**Vision:** Filipinos (will) be among the healthiest people in SE Asia (by 2022) and the Asia (by 2040) **Mission:** The development of productive, resilient, equitable, people-centered health system for Universal Healthcare
28
# Identify: Mandate, Function, Vision, or Mission? |of the DOH promulgation of national health standards, goals, priorities and indicators
Mandate
29
# Identify: Mandate, Function, Vision, or Mission? |of the DOH To lead the country in the development of a productive, resilient, equitable, and people-centered health system for UHC.
Mission
30
# Identify: Mandate, Function, Vision, or Mission? |of the DOH The promotion and preservation of the health of the people through the provision and delivery of health services.
Function
31
# Identify: Mandate, Function, Vision, or Mission? |of the DOH issuance of rules and regulations, licenses, and accreditations
Mandate
32
# Identify: Mandate, Function, Vision, or Mission? |of the DOH Filipinos are among the healthiest people in SE Asia by 2022, and Asia by 2040
Vision
33
# Identify: Mandate, Function, Vision, or Mission? |of the DOH The protection and restoration of the health of the poeple through the provision and delivery of health services.
Function
34
# Identify: Mandate, Function, Vision, or Mission? |of the DOH development of special health programs, projects and advocacy for legislation on health policies and programs
Mandate
35
# Identify: Mandate, Function, Vision, or Mission? |of the DOH formulation and development of national health policies, guidelines, standards, and manual of operations for healthservices and programs
Mandate
36
It is a basic human right guaranteed by the **Philippine Consitution of 1987 (Article II, Section 15)**.
Health
37
What type of delivery system does the Philippines employ in healthcare services?
**Dual health delivery system** [Public and Private Sectors]
38
39
# Compare. How are public and private sectors generally **funded** in terms of health care?
**Public:** tax-based budgeting system **Private:** user fees/out-of-pocket
40
True or False: PhilHealth or the Philippine Health Insurance Corporation purchases services from **both the public and private sectors**.
True
41
# Enumerate. What are the three levels of healthcare facilities?
- primary level - secondary level - tertiary level
42
# Identify the level of healthcare facility and its healthcare sector. General private hospital
- secondary level - private healthcare
43
# Identify the level of healthcare facility and its healthcare sector. National health services
- tertiary level - public healthcare
44
# Identify the level of healthcare facility and its healthcare sector. RHUs and BHCs
- primary level - public healthcare
45
# Identify the level of healthcare facility and its healthcare sector. specialty private hospital
- tertiary level - private healthcare
46
# Identify the level of healthcare facility and its healthcare sector. regional, district, and rural health serivces
- secondary level - public healthcare
47
# Identify the level of healthcare facility and its healthcare sector. private clinic
- primary level - private healthcare
48
These are the smaller, **non-departmentalized hospitals** including emergency and regional hospitals; they offer services to **patients with** **symptomatic stages of disease**
secondary level of healthcare facilities
49
They pertain to **highly technological and sophisticated services** offered by medical centers and large hospitals; these are the specialized national hospitals.
tertiary level of healthcare facilities
50
How does the referral process work?
The referral process usually starts off **from the primary level going higher**, however, it also **depends on the patient's first point of visit and availability of facilities and services** .
51
# Enumerate. What are the three levels of primary healthcare workers?
- villlage or grassroot health workers - intermediate level health workers - first line hospital personnel
52
# Identify which level of primary HC worker. They provide back up health services for cases that **require hospitalization**
**first line hospital personnel** physicians w/ specialty, nurses, dentists, pharmacists, other health professionals
53
# Identify the level of healthcare facility and its healthcare sector. They provide simple curative and preventive health care measures and are the **first contacts of the community and initials links of health care**.
**village or grassroot health care workers** community health worker, volunteers, traditional birth attendants
54
# Identify the level of healthcare facility and its healthcare sector. They represent the **first source of professional health care**; **provide support to front-line health workers** in terms of supervision, training, supplies, and services.
**intermediate level health workers** medical practitioners, nurses, and midwives
55
What do you call a **change in the health** of an individual, group of people,or population that is attributable to an intervention or series of interventions?
health outcome measure
56
# Enumerate. Name the seven categories of health outcome measures.
- mortality - safety of care - timeliness of care - re-admissions - patient experience - effectiveness of care - efficient use of medical imaging
57
# Identify which health outcome measure is being described. - pertains to medical mistakes - how safe medical care is provided or rendered
Safety of care
58
# Identify which health outcome measure is being described. - measures the number of deaths related to a specific condition - a positive read if it decreases; meaning treatment-procedures are getting better
Mortality
59
# Identify which health outcome measure is being described. - Patient-reported outcome measures (PROMs) fall under this category - this provides a more realistic gauge of patient satisfaction
Patient experience
60
# Identify which health outcome measure is being described. - assess how quickly or promptly a patient has access to care
Timeliness of care
61
# Identify which health outcome measure is being described. - looks at how often people have to go back to the hospital shortly after being discharged - addresses the question "Is the treatment effective?"
Re-admissions
62
# Identify which health outcome measure is being described. - how wisely are medicaltest/imaging techniques utilized to avoid unnecessary tests and procedures - this plays a central role in the global healthcare system
Efficient use of medical imaging
63
# Identify which health outcome measure is being described. it evaluates two things: - compliance with best practice care guidelines - achieved outcomes
Effectiveness of care
64
# Enumerate. What are the three essentials for successful healthcare outcomes measurement?
- data transparency - integrated care and transitions of care - data interoperability
65
# Enumerate. What are the Healhcare Quadruple Aims?
- improved clinician experience - lower costs - better outcomes - improved patient experience

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