Subject: Preventive Medicine

Topic: Organization of Health Services

Lecturer: Dr. Lilgen Faith Rosa Gomez
Date: August 25, 2020

III. DETERMINANTS OF MEDICAL CARE

OUTLINE • Distance
I. Preventive Services VIII. Restructured Health Care - cost & availability of transport
II. Curative Services Delivery System - quality of care
III. Determinants of Medical Care IX. Levels of Care
IV. Units of Medical Care X. Major Axioms of Health Care • Population Density
V. The Philippine Health Care System XI. The Pattern of a Health Service • Finance
VI. Major Health Problems XII. Role of the Doctor & Those Who Help Him • Staff
VII. Programs & Projects of DOH XIII. Adaptation of Health Care to the Local - Inequitable Distribution of Health Manpower and Facilities
Conditions
IV. UNITS OF MEDICAL CARE
I. PREVENTIVE SERVICES
• Person with Medical Skill
• Health Education - first & simplest unit of medical care
• Environmental Sanitation • Health Center Concept
• Personal Hygiene - referral system
• Immunizations
• Routine Examinations of Mothers & Children V. THE PHILIPPINE HEALTH CARE SYSTEM
• Campaign Against Specific Infections • Department of Health
• Legislations Concerning Health - primary government agency for Health Care responsible for:
o Policy Making
II. CURATIVE SERVICES o Programming
• Outpatient Services o Coordinating
• Hospital Services o Implementing
o Administration
IMPORTANT
- Preventive & Curative Services – closely interwoven in every part of
health care
ENGLIS, L.N.
 Subject: Preventive Medicine
Topic: Organization of Health Services
Lecturer: Dr. Lilgen Faith Rosa Gomez
Date: August 25, 2020
- Research & Laboratory
VI. MAJOR HEALTH PROBLEMS - Food & Drugs
• Prevalence of Communicable & other specific diseases - Quarantine
• Poor environmental sanitation
• Malnutrition VIII. RESTRUCTURED HEALTH CARE DELIVERY SYSTEM
• Rapid population growth
• Increasing incidence of Cancer, Cardiovascular & other Degenerative
diseases Primary Secondary
Care Care Tertiary
VII. PROGRAMS & PROJECTS OF THE DOH
• Maternal & Child Health * Barangay
* Emergency Care
Hospital
• National Nutrition Service Health Station * Medical
* City Hospital
• Family Planning * Rural Health Center
• Environmental Sanitation * Provincial
Unit
• Communicable Disease Control Hospital
- National Tuberculosis Control Program
- Control of Acute Respiratory Diseases VIII. A. Barangay Health Station
- Control of Diarrheal Diseases
• One midwife for every 5,000 population
- Sexually Transmitted Disease
• Delivers Primary Health Care based on the Alma Ata Conference
• Control of Locally Endemic Diseases
• Concept of the Referral System – difficult cases should be referred to the
- Schistosomiasis, Malaria, Leprosy, Filariasis
units higher up the chain
• Non-communicable Disease Control
- National Cancer Control
VIII. B. Rural Health Unit
- Cardiovascular diseases
- implementing unit of the DOH of all its programs in the field of Health
- Mental Health
• One for each municipality of not less than 5,000 population
• Support & Other Programs
• Consists of:
- Health Education
ENGLIS, L.N.
 Subject: Preventive Medicine
Topic: Organization of Health Services
Lecturer: Dr. Lilgen Faith Rosa Gomez
Date: August 25, 2020
XI. THE PATTERN OF A HEALTH SERVICE
o Municipal Health Officer
o Health Nurse
o Midwife Health Services must Patients should be Some form of Health Services
o Sanitary Inspector be organized to treated as close to medical care should should be organized
provide for a steady their homes as be supplied to all from the bottom up &
IX. LEVELS OF CARE growth in both the possible. people all the time. not from the top
quantity & quality of down.
medical care.
Primary Tertiary
Care Secondary Care
Care XII. THE ROLE OF THE DOCTOR & THOSE WHO HELP HIM
Given by barangay Specialist in • Role of the doctor in a developing country:
health workers, Requires basic complicated cases o differs in many respect from that he plays in a developed one
midwives, nurses & hospital facilities & requiring
doctors in the multidisciplinary specialized • Role of the auxiliaries:
barangay stations & support diagnostic & o both different & more important in developing countries than in
health centers treatment facilities
developed ones
• All health workers:
X. MAJOR AXIOMS OF HEALTH CARE o have an educational role closely linked to their therapeutic one
• Skilled staff members:
o have a duty to teach less skilled one
• All members of the health team:
The max. return in o have a teaching vocation in a community they serve
The Medical Care of Medical Care must
the common man is be approached with human welfare must
be obtained from the XIII. THE ADAPTATION OF HEALTH CARE TO THE LOCAL CONDITIONS
immensely an objective attitude
worthwhile. of mind. limited money &skill • in developing countries:
available o health care requires adaptation & development of its own particular
methodology
ENGLIS, L.N.
 Subject: Preventive Medicine
Topic: Organization of Health Services
Lecturer: Dr. Lilgen Faith Rosa Gomez
Date: August 25, 2020

• Health Care & Local culture – closely interlinked

ENGLIS, L.N.