AREVALO, Alessandra L.

BSN II – E
October 14, 2020

The Health Care Delivery System

World Health Organization (WHO)

A. Milennium Development Goals – which range from halving extreme poverty rates
to halting the spread of HIV/AIDS and providing universal primary education, all by
the target date of 2015 – form a blueprint agreed to by all the world’s countries and
all the world’s leading development institutions.
 To eradicate extreme poverty and hunger
 To achieve universal primary education
B. Sustainable Development Goals – also known as the Global Goals, were adopted
by all United Nations Member States in 2015 as a universal call to action to end
poverty, protect the planet and ensure that all people enjoy peace and prosperity by
2030.
 No poverty
 Zero hunger

Philippine Department of Health

1. Mission-Vision
 Vision – “Filipinos are among the healthiest people in Southeast Asia by
2022. Asia by 2040”
 Mission – “To lead the country in the development of a Productive,
Resilient, Equitable and People Centered health system.”
2. Classification of Health Facilities (DOH AO-0012A)
New DOH Hospital Classifications 2015
Classification of hospital shall be based on Administrative Order No. 2012–0012, dated
July 18, 2012, "Rules and Regulations Governing the New Classification of Hospitals
and Other Health Facilities in the Philippines"

They shall be classified according to the following:

According to Ownership
Government
 The hospital is created by law.
 A government health facility may be under the National Government, DOH, Local
Government Unit (LGU), Department of Justice (DOJ), State Universities and
Colleges (SUCs), Government-owned and controlled corporations (GOCC) and
others
Private
 Owned, established, and operated with funds from donation, principal,
investment, or other means by any individual, corporation, association, or
organization 
According to Scope of Services
General Hospital
 A hospital that provides services for all kinds of illnesses, diseases, injuries or
deformities
 It provides medical and surgical care to the sick and injured, maternity, newborn
and child care
 It shall be equipped with the service capabilities needed to support board
certified/ eligible medical specialists and other licensed physicians rendering
services in, but not limited to the following:
 Clinical Services (Family Medicine, Pediatrics, Internal Medicine, Obstetrics and
Gynecology, Surgery)
 Emergency Services
 Outpatient Services
 Ancillary and Support Services (Clinical Laboratory, Imaging Facility, Pharmacy)
Specialty
 Specializes in a particular disease or condition or in one type of patient
 A specialized hospital may be devoted to the treatment of the following:
 Treatment of a particular type of illness or for a particular condition requiring a
range of treatment
 Treatment of patients suffering from a particular diseases of a particular organ or
group of organs
 Treatment of patients belonging to a group such as children, women, elderly or
others
According to functional capacity
Level 1 General Hospital
A level 1 General Hospital shall have as minimum:
1. A staff of qualified, medical, allied medical and administrative personnel headed
by a physician duly licensed by the PRC
2. Bed space for its authorized bed capacity, in accordance with DOH Guidelines in
the Planning and Design of Hospitals
3. An operating room with standard equipment and provisions for sterilization of
equipment and supplies in accordance with:
 DOH Reference Plan in the Planning and Design of an Operating Room or
Theater 
 DOH Guidelines on Cleaning, Disinfection, and Sterilization of Reusable
Medical Devices in Hospital Facilities in the Philippines
4. A post-operative Recovery Room
5. Maternity Facilities consisting of Ward(s), Room(s), a Delivery Room, exclusively
for maternity patients and newborns
6. Isolation facilities with proper procedures for the care and control of infection and
communicable diseases as well as for the prevention of cross infection
7. A separate dental section/ clinic
8. Provision for blood donation
 9. A DOH-licensed secondary clinical laboratory with the services of a consulting
pathologist
10. A DOH licensed Level 1 imaging facility with the services of a consulting
radiologist
11. A DOH licensed pharmacy

Level 2 General Hospital

As minimum, all of Level 1 capacity, including but not limited to:
1. An organized staff of qualified and competent personnel with Chief of
Hospital/Medical Director and appropriate board certified Clinical Department
Heads
2. Departmentalized and equipped with the service capabilities needed to support
board certified/ eligible medical specialties and other licensed physicians
rendering services in the specialties of Medicine, Pediatrics, Obstetrics and
Gynecology, Surgery, their subspecialties, and other ancillary services
3. Provision for general ICU for critically ill patients
4. Provision for NICU
5. Provision for HRPU
6. Provision for Respiratory Therapy Services
7. A DOH licensed tertiary clinical laboratory
8. A DOH licensed level 2 imaging facility with mobile X-ray inside the institution and
with capability for contrast examinations
Level 3 General Hospital
As minimum, all of Level 2, including but not limited to:
 Teaching and/or Training Hospital with accredited residency training program for
physicians in the four major specialties namely: Medicine, Pediatrics, Obstetrics
and Gynecology, and Surgery
 Provision for physical medicine and rehabilitation unit
 Provision for ambulatory surgical clinic
 Provision for dialysis facility
 Provision for blood bank
 A DOH licensed level 3 imaging facility with interventional radiology
Specialty Hospitals
As described above
Trauma Hospitals
The trauma capability of hospitals shall be assessed in accordance with the guidelines
formulated by the Philippine College of Surgeons
 Trauma Capable Facility is a DOH licensed hospital designated as a Trauma
Center
 Trauma Receiving Facility is a DOH licensed hospital within the trauma service
area which receives trauma patients for transport to the point of care or a trauma
center
3. Philippine Health Agenda 2010-2022
Goals:
Financial Protection
 Filipinos, especially the poor, marginalized, and vulnerable are protected
from high cost of health care
Better Health Outcomes
 Filipinos attain the best possible health outcomes with no disparity
Responsiveness
 Filipinos feel respected, valued, and empowered in all of their interaction
with the health system

Values:
The Health System We Aspire For
 Uses resources efficiently
 Provides high quality services
 Equitable and inclusive to all
 Transparent and accountable

3 Guarantees:
 All life stages and triple burden of disease
 Service delivery network
 Universal health insurance

In order to attain health-related sustainable development goals, the A.C.H.I.E.V.E.

strategy is followed:

 A-Advance quality, health promotion and primary care

 C-Cover all Filipinos against health-related financial risk

 H- Harness the power of strategic HRH development. Invest in eHealth and

data for decision-making

 E- Enforce standards, accountability and transparency

 V- Value all clients and patients, especially the poor, marginalized, and
vulnerable

 E- Elicit multi-sectoral and multi-stakeholder support for health

With the Philippine Health Agenda 2016-2022, we will all ACHIEVE a health
system with the values of Equity, Quality, Efficiency, Transparency, Accountability,
Sustainability, Resilience towards “Lahat Para sa Kalusugan! Tungo sa Kalusugan
Para sa Lahat”.