The Health Care Delivery System

Question 1

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 basic health services.

Answer 1

Devolution

Question 2

Local Government Code of 1991

Answer 2

RA 7160

Question 3

made possible the devolution of powers, functions and
responsibilities to the local government, both provincial and municipal, as well as an autonomous regional government and a metropolitan authority.

Answer 3

RA 7160 or the Local Government Code of 1991

Question 4

Objectives of the Local health System

Answer 4

i. Establish local health systems for effective and efficient delivery of health care services.
ii. Upgrade the health care management and service capabilities of local health facilities.
iii. Promote inter-LGU linkages and cost sharing schemes including local health care financing systems for better utilization of local health resources.
iv. Foster participation of the private sector, non-government organizations, and communities in local health systems development.
v. Ensure the quality of health service delivery at the local level.

Question 5

Each local government has _____________________ which proposes annual budgetary allocations for the operations of health services within the locality.

Answer 5

local health board

Question 6

proposes annual budgetary allocations for the operations of health services within the locality

Answer 6

local health board

Question 7

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 with Inter Local Government Unit (ILGU) partnerships as the basi

Answer 7

INTER-LOCAL HEALTH SYSTEM

Question 8

Overall concept is the creation of ILHS by clustering municipalities into

Answer 8

Inter Local Health Zone (ILHZ)

Question 9

Unit of health system created for local health service
management and delivery in the Philippines

Answer 9

Inter Local Health Zone (ILHZ)

Question 10

Responsibility for health has been decentralized from national to local health authorities

Answer 10

Inter Local Health Zone (ILHZ)

Question 11

Has defined population within a define geographical area and comprises a central or core referral hospital and a number of primary level facilities

Answer 11

Inter Local Health Zone (ILHZ)

Question 12

Provides quality, equitable and accessible health care

Answer 12

Inter Local Health Zone (ILHZ)

Question 13

Importance of Inter Local Health Zone

Answer 13

• re-integrate hospital and public health services for a holistic delivery of health services;
• identify areas for complementation of the stakeholders

Question 14

Composition of Inter Local Health Zone

Answer 14

• People
• Health Facilities
• Health Worker
• Boundaries

Question 15

Main hospital for ILHZ and its catchment population

Answer 15

Core Referral Hospital

Question 16

Main point of referral for hospital services from the community, private medical practitioner and public health services at BHS and RHUs

Answer 16

Core Referral Hospital

Question 17

Smallest manageable unit in areas which are small enough to be managed without being bogged down by much bureaucracy, yet large enough to make it feasible.

Answer 17

District Health System

Question 18

Needs to be established between each level of health facility.

Answer 18

Two-way Referral System

Question 19

LEVELS OF THE HEALTH CARE SERVICES

Answer 19

Primary Level - Barangay Health Stations, Rural Health Units
Secondary Level - District Health Services, Provincial Hospitals
Tertiary Level - Regional Health Services, National Health Services

Question 20

Primary Level

Answer 20

Barangay Health Stations, Rural Health Units

Question 21

Secondary Level

Answer 21

District Health Services, Provincial Hospitals

Question 22

Tertiary Level

Answer 22

Regional Health Services, National Health Services

Question 23

• Devolved in cities and municipalities

Answer 23

Primary Level

Question 24

Provided by center physicians, RHNs, RHMs, BHWs, traditional healers

Answer 24

Primary Level

Question 25

First contact between the community members and other levels of health facility

Answer 25

Primary Level

Question 26

Given by physicians with basic health training

Answer 26

Secondary Level

Question 27

Serves a referral center of primary health care facilities

Answer 27

Secondary Level

Question 28

Capable of performing minor surgeries and perform simple laboratory examinations

Answer 28

Secondary Level

Question 29

Rendered by specialist

Answer 29

Tertiary Level

Question 30

Referral center of secondary care facilities

Answer 30

Tertiary Level

Question 31

Other Health Facilities

Answer 31

1. Primary Care Facility 2. Custodial Care Facility 3. Diagnostic Facility 4. Specialized Outpatient Facility

Question 32

health centers, out-patients clinics and dental clinics

Answer 32

Primary Care Facility Without in-patient

Question 33

short stay facility where the patient spends 1 to 2 days before discharge like infirmaries and birthing facilities

Answer 33

Primary Care Facility With in-patient beds

Question 34

custodial psychiatric facilities, substance/drug abuse treatment and rehabilitation centers, sanitaria/leprosaria, and nursing homes

Answer 34

Custodial Care Facility

Question 35

laboratory, radiologic and nuclear medicine facility

Answer 35

Diagnostic Facility

Question 36

dialysis clinic, cancer chemotherapy clinic, cancer radiation facility, physical medicine and rehabilitation center/clinic

Answer 36

Specialized Outpatient Facility

Question 37

directed towards healthy individuals or populations, focusing on the prevention of the emergence of risk factors such as unhealthy lifestyle behavior

Answer 37

Health Promotion

Question 38

aims to prevent disease or injury before it ever occurs

Answer 38

Primary Level

Question 39

This is done by preventing exposures to hazards that cause disease or injury, altering unhealthy or unsafe behaviors that can lead to disease or injury, and increasing resistance to disease or injury should exposure occur

Answer 39

Primary Level

Question 40

This is done by detecting and treating disease or injury as soon as possible to halt or slow its progress, encouraging personal strategies to prevent reinjury or recurrence, and implementing programs to return people to their original health and function to prevent long-term problems

Answer 40

Secondary Level

Question 41

aims to reduce the effects of the disease once established in an individual

Answer 41

Tertiary Level

Question 42

Essential health care made universally accessible to individuals and families in the community by means acceptable to them through their full participation and at a cost that the community and country can afford at every stage of development.

Answer 42

Primary Health Care

Question 43

Basic Concepts of Primary Health Care

Answer 43

Health s related to social structures Health and development are interrelated People’s participation is essential Community organizing is the core in PHC Use of appropriate technology

Question 44

Goals of Primary Health Care

Answer 44

i. To develop and maximize people potential and self-reliance of the community for the improvement of their own health. ii. To maximize the contributions of other sectors of health iii. To maximize the extension of effective health care services to the periphery.

Question 45

PHC Components/ Elements

Answer 45

Health education Communicable disease control Expanded program on immunization Locally endemic disease treatment Environmental sanitation Maternal and Child health and Family Planning Essential drugs provision Nutrition and adequate food provision Treatment of emergency cases and provision of medical care

Question 46

Principles of Primary Health Care

Answer 46

1. Accessibility, availability, and acceptability of health services 2. Provision of quality basic, and essential health services 3. Community participation 4. Self-reliance 5. Recognition of interrelationship between health and development 6. Social mobilization 7. Decentralization

Question 47

PHC Pillars

Answer 47

Use of appropriate technology Support mechanism made available Active community participation Intra and inter sectoral linkages

Question 48

Initial link, 1st contact of community

Answer 48

Village Health Workers

Question 49

Works in liaison w/ the local health services workers

Answer 49

Village Health Workers

Question 50

Provides elementary curative and preventive health care measures

Answer 50

Village Health Workers

Question 51

Examples of Village Health Workers

Answer 51

-Trained Community Health worker - Auxillary health volunteer - Traditional birth attendant - Healers

Question 52

1st source of professional health care

Answer 52

Intermediate Level

Question 53

Attends to health problems beyond the competence of village health workers

Answer 53

Intermediate Level

Question 54

Provides support to the frontline health workers in terms of supervision, training, referral services and supplies thru linkages with other sectors

Answer 54

Intermediate Level

Question 55

Examples of Intermediate Level

Answer 55

- General Health Practitioners - Public Health Nurses - Midwives - RSI

Question 56

Establishes close contact with the village and intermediate level health workers to promote the continuity of care from hospital to community to home

Answer 56

Health Personnel of First-Line Hospitals

Question 57

Provides back-up health services for cases requiring hospitals or diagnostic facilities not available in health care

Answer 57

Health Personnel of First-Line Hospitals

Question 58

Examples of Health Personnel of First-Line Hospitals

Answer 58

- Physicians with Specialization - Nurses - Dentists