NCM 112-4

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Health Sector Reforms –

2016 to Present
• Life cycle approach focusing on
main life events and
accompanying health issues
Using concept of triple burden of disease
through:
• Communicable diseases
• Non-communicable diseases (incl.
malnutrition)
• Urbanization and industrialization
Reforms emphasize strengthening Service Delivery
Network by:
Practicing gatekeeping through wide Providing health services closer to people
network of general practitioners and family through use of mobile clinics, subsidies to
physicians patient transport costs and the use of
telemedicine

Compliance with established clinical Emergency medical services to be


practice guidelines of all medical specialties available 24/7 even during disasters

Health services enhanced by increased use


of telemedicine and digital health
Health sector reforms – Universal • Stricter delineation in mandates between
Health Care Law 2019
DOH and PhilHealth
⚬ DOH to focus on population-based
• ·Major step by enrolling all Filipino health services: e.g. health promotion,
citizens automatically in the National disease surveillance and vector control
Health Insurance Program administered by ⚬ PhilHealth to focus on Individual based
PhilHealth Health Services: e.g. services that can
• Effectiveness of health insurance enhanced be accessed within health facility (or
by major inflow of extra resources to health remotely) and can be traced to one
insurance from restructured Sin-taxes recipient
Issues in Health Reform – e-Health

·Philippines have been reportedly one of the slowest


internet speeds among Asian countries.
• Still, it scores relatively well when it comes to the
actual use (67 users out of 100 people.

In the health sector, digitalization is taking hold in different areas


such as:
• e-prescriptions,
• hospital management information systems,
• Integrated Clinic Information System (iClinicSys) and
RxBox for primary care facilities,
• electronic patient’s records
SWOT of The
Philippines Health
Sector Market
STRENGTHS

• T H E G O V E R N M E N T O F T H E P H I L I P P I N E S H A S A D O P T E D FA R
R E A C H I N G R E F O R M S W I T H T H E U N I V E R S A L H E A LT H C A R E
L AW W H I C H I S B E I N G I M P L E M E N T E D S I N C E 2 0 1 9

• Health expenditure has grown dramatically in the past decade

• The Philippines is a large country with a sizeable and young


population and a workforce with sound educational standards
The health sector is fragmented due to the
Weaknesses decentralization of the system in particular
at the Local Government levels

There is a large diversity of health systems ranging


from very advanced in urban centers to very basic
with limited physical access in rural and
Geographically Distanced and Isolated Areas
(GIDA)

Quality of care is an issue at public health sector


facilities across the country and is often
considered below standards of peers in the
region (WHO)
Corruption can be a problem leading to Migration of health workers leaves the
higher business costs and uncertainty Philippines chronically understaffed

Inequality in the health sector is substantial as


Condition of health infrastructure is often
people have to pay substantial amounts for
very poor in particular in rural areas and
accessing health services including in the
will require concerted government efforts to
public sector
fix
OPPORTUNITIES

• The new UHC reforms started in 2019 strengthened primary


care and increased funding substantially

• Public Private Partnership models improved service delivery


and stimulated investment in the sector

• Implementation of E-health is likely to get further traction


spurred by the Covid-19 pandemic
• Large need for renovation, upgrading and expansion of health
care infrastructure and introduction of new medical
technologies, in particular outside the main urban centres:

• Health facility enhancement fund


• Build, build, build program of past
Government

• Private health sector is consolidating and transforming into


larger health conglomerates, increasing scale and providing
potentially bigger and more diverse clients

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