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The Philippine Health Care Delivery System: National Level

The Philippine health care delivery system operates at both the national and local levels. At the national level, the Department of Health leads the system and oversees the implementation of health sector reforms aimed at improving health outcomes, responsive health systems, and equitable financing. The reforms include a national health insurance program. At the local level, inter-local health zones are established to efficiently deliver services across municipalities through clustered referral hospitals and primary facilities.

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189 views22 pages

The Philippine Health Care Delivery System: National Level

The Philippine health care delivery system operates at both the national and local levels. At the national level, the Department of Health leads the system and oversees the implementation of health sector reforms aimed at improving health outcomes, responsive health systems, and equitable financing. The reforms include a national health insurance program. At the local level, inter-local health zones are established to efficiently deliver services across municipalities through clustered referral hospitals and primary facilities.

Uploaded by

candicute
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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The Philippine Health Care

Delivery System
National Level
Health Care Delivery
System

Health Care
Team

Public
Health
Nurses
Definitions
 Health Care System: an organized plan of
health services
 Health Care Delivery: rendering health care
services to the people
 Health Care Delivery System: the network
of health care facilities and personnel which
carries out the task of rendering health care to
the people
 Philippine Health Care Delivery System: a
complete set of organizations interacting to
provide an array of health services
Major Players
Philippine Health Care
Delivery System

Public sector Private sector

Tax-based budgeting Market-oriented

Point of
Free service Fees
Department of Health
Roles and Functions:
1. Leadership in Health
 National policy and regulatory institution
 Formulation, monitoring and evaluation
 Advocate

2. Enabler and Capacity Builder


 Innovate new strategies
 Oversight functions of national health plans
 Ensure quality health care
Roles and Functions (con’t)
3. Administrator of Specific Services
 Manage selected national health facilities and
hospitals
 Administer direct services for emergent health
concerns
 Administer health emergency response services
Secretary of Health

Dr. Francisco T. Duque III


Department of Health
 Vision: The DOH is the leader, staunch
advocate and model in promoting Health for
All in the Philippines
 Mission: Guarantee equitable, sustainable and
quality health for all Filipinos, especially the
poor and shall lead the quest for excellence in
health.
 Goal: Health Sector Reform Agenda (HSRA)
Rationale for the Health Sector Reform

 Slowing down in the reduction in the Infant Mortality


Rate (IMR) and the Maternal Mortality Rate (MMR)
 Persistence of large variations in health status across
population groups and geographical areas
 High burden from infectious diseases
 Rising burden from chronic and degenerative
diseases
 Unattended emerging health risks from
environmental and work related factors
 Burden of disease is heaviest on the poor
FOURmula ONE for Health

 This is adopted as the implementation


framework for health sector reforms

 Goals:
 Betterhealth outcomes
 More responsive health systems
 Equitable health care financing
FOUR elements
1. Health Financing
2. Health Regulation
3. Health Service Delivery
4. Good Governance
National Health Insurance Program

 Financing  it reduces the financial burden placed


on Filipinos by health care costs
 Governance  a prudent purchaser of health care
thereby influencing the health care market and
related institutions
 Regulation  the NHIPs role in accreditation and
payments based on quality acts as a driver for
improved performance in the health sector
 Service Delivery  NHIP demands fair compensation
for the costs of care directed at providing essential
goods and services in health
National Objectives for Health 2005 to
2010

 Provides a roadmap for stakeholders in health


and health-related sectors

 Sets targets and critical indicators, current


strategies based on field experiences, and
laying down new avenues for improved
interventions
Objectives of the Health Sector

a. Improve the general health status of the


population
b. Reduce morbidity and mortality
c. Eliminate certain diseases as public health
problems
d. Promote healthy lifestyle and environmental
health
e. Protect vulnerable groups with special
health and nutrition needs
f. Strengthen national and local health systems
to ensure better health service delivery
g. Pursue public health and hospital reforms
h. Reduce the cost and ensure the quality of
essential drugs
i. Institute health regulatory reforms to ensure
quality and safety of health goods and
services
j. Strengthen health governance and
management support systems
k. Institute safety nets for the vulnerable and
marginalized groups
l. Expand the coverage of social health
insurance
m. Mobilize more resources for health
n. Improve efficiency in the allocation,
production and utilization of resources for
health
The Philippine Health Care
Delivery System
Local Level
Objectives
 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
Objectives (con’t)
 Foster participation of the private sector, non-
government organizations (NGOs) and
communities in local health systems
development
 Ensure the quality of health service delivery
at the local level
Inter Local Health System
 Clustering of municipalities into Inter Local
Health Zone (ILHZ)
 ILHZ has a defined population within a
defined geographical area; comprises of
central referral hospital and a number of
primary level facilities (RHUs and BHS)
 Importance: reintegration of hospital and
public health service for a holistic delivery of
health services
Composition of ILHS
 People – varies form zone to zone; according
to WHO, the ideal health district would have a
population size of 100,000 to 500,000 for
optimum efficiency and effectiveness
 Boundaries – for accountability and
responsibility
 Health Facilities
 Health Workers

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