ARIANE JOY S.

CANTILERO RM,RMT
THE PHILIPPINE HEALTH CARE DELIVERY SYSTEM

HEALTH CARE SYSTEM

 an organized plan of health services (Miller-Keane, 1987)

HEALTH CARE DELIVERY

 rendering health care services to the people (Williams-Tungpalan, 1981).

HEALTH CARE DELIVERY SYSTEM (Williams-Tungpalan, 1981)

 the network of health facilities and personnel which carries out the task of
rendering health care to the people.

PHILIPPINE HEALTH CARE SYSTEM

 is a complex set of organizations interacting to provide an array of health
services (Dizon, 1977).
 COMPONENTS OF THE HEALTH DELIVERY SYSTEM
The Department of Health Mandate:

The Department of Health shall be responsible for the following: formulation

and development of national health policies, guidelines, standards and manual
of operations for health services and programs; issuance of rules and
regulations, licenses and accreditations; promulgation of national health
standards, goals, priorities and indicators; development of special health
programs and projects and advocacy for legislation on health policies and
programs. The primary function of the Department of Health is the promotion,
protection, preservation or restoration of the health of the people through the
provision and delivery of health services and through the regulation and
encouragement of providers of health goods and services (E.O. No. 119, Sec.
3).

Vision:
 Health as a right. Health for All Filipinos by the year 2000 and Health in the
Hands of the People by the year 2020.

Mission:
 The mission of the DOH, in partnership with the people to ensure equity,
quality and access to health care:
 by making services available
 by arousing community awareness
 by mobilizing resources
 by promoting the means to better health
The Department of Health
Roles and Functions
1. Leadership in Health
- national policy & regulatory institution
- leadership in formulation, monitoring, &
evaluation of health policies, plans & programs
- serve as advocate in health policies, plans &
programs
The Department of Health
Roles and Functions
2. Enabler & Capacity Builder
- innovate new strategies in health
- monitoring & evaluation of national health policies,
plans & programs
- ensure highest achievable standards of quality HC,
health promotion & health protection
The Department of Health
3. Administrator of Specific Services
- manage selected national & sub-national health
facilities & hospitals w/ modern facilities that shall
serve as referral centers
- administer direct services for emerging health
concerns
- emergency response services in disaster and
epidemics
Department of Health: Organizational Structure
Framework for Implementation of HSRA:
FOURmula ONE for Health
Goals of FOURmula ONE for
Health
1. Better health outcomes
2. More responsive health systems
3. EQUITABLE health care financing
Framework for Implementation of HSRA:
FOURmula ONE for Health
4 elements of strategy
1. Health financing
2. Health regulation
3. Health service delivery
4. Good governance
Local Health System
Objectives:
1. Establish local health systems for effective & efficient
delivery of health care services
2. Upgrade health care management & service
capabilities of local health facilities
3. Promote inter-LGU linkages & cost sharing schemes
including local health care financing systems for
better utilization of local health resources
Local Health System
Objectives:
4. Foster participation of the private sector, NGOs &
communities in local health systems development.
5. Ensure the quality of health service delivery at the
local level
Local Health System
Inter Local Health System
- Espoused by DOH to ensure quality HC at local level
- Clustered into Inter Local Health Zone (ILHZ)
Local Health System
Expected Achievement of the Inter-local Health
System:
1. Universal coverage of health insurance
2. Improved quality of hospital & RHU service
3. Effective referral system
4. Integrated planning
5. Appropriate health information system
6. Improved drug management
Local Health System
Expected Achievement of the Inter-local Health
System:
7. Developed human resources
8. Effective leadership through inter-LGU corporation
9. Financially visible or self-sustaining hospitals
10. Integration of public health & curative hospital care
11. Strengthened cooperation between LGU & health
sectors
Local Health System
Guiding Principles
1. Financial & Administrative autonomy of the
provincial & municipal administrations
2. Strong political support
3. Strategic synergies & partnerships
4. Community participation
5. Equity of access to health services by the population,
especially the poor
Local Health System
Guiding Principles
6. Affordability of health services
7. Appropriateness of health programs
8. Decentralized management
9. Sustainability of health initiatives
10. Upholding of standards of quality health service
 LEVELS OF HEALTH CARE FACILITIES

1. PRIMARY LEVEL OF HEALTH CARE FACILITIES

are the rural health units, their sub-centers, chest clinics, malaria eradication
units, and schistosomiasis control units operated by the DOH; puericulture
centers operated by League of Puericulture Centers; tuberculosis clinics and
hospitals of the Philippine Tuberculosis Society; private clinics, clinics operated
by the Philippine Medical Association; clinics operated by large industrial firms
for their employees; community hospitals and health centers operated by the
Philippine Medicare Care Commission and other health facilities operated by
voluntary religious and civic groups (Williams-Tungpalan, 1981).

2. SECONDARY LEVEL OF HEALTH CARE FACILITIES

are the smaller, non-departmentalized hospitals including emergency and

regional hospitals.
Services offered to patients with symptomatic stages of disease, which require
moderately specialized knowledge and technical resources for adequate
treatment.
3. TERTIARY LEVEL OF HEALTH CARE FACILITIES

are the highly technological and sophisticated services offered by medical

centers and large hospitals. These are the specialized national hospitals.
Services rendered at this level are for clients afflicted with diseases which
seriously threaten their health and which require highly technical and
specialized knowledge, facilities and personnel to treat effectively (Williams-
Tungpalan, 1981)
Primary healthcare
 is a term used to describe the first contact a person
has with the health system when they have a health
problem or issue that is not an emergency.
THREE LEVELS OF PRIMARY HEALTH CARE WORKERS
 A. VILLAGE OR GRASSROOT HEALTH WORKERS

 first contacts of the community and initial links of health care.

Provide simple curative and preventive health care measures promoting
healthy environment.
Participate in activities geared towards the improvement of the socio-economic
level of the community like food production program.
Community health worker, volunteers or traditional birth attendants.
 B. INTERMEDIATE LEVEL HEALTH WORKERS

 represent the first source of professional health care

 attends to health problems beyond the competence of village workers
 provide support to front-line health workers in terms of supervision, training,
supplies, and services.
 Medical practitioners, nurses and midwives.
C. FIRST LINE HOSPITAL PERSONNEL

 provide back up health services for cases that require hospitalization

 establish close contact with intermediate level health workers or village
health workers.
 Physicians with specialty, nurses, dentist, pharmacists, other health
professionals.
 The Philippine health system is a dual health system
composed of the public and private sectors.
 Health services in the public sector are provided by
health facilities run by the National and local
governments and are largely financed through a tax-
based budgeting system.
 The private sector is largely market-oriented, where
health services are generally paid for through user fees
at the point of service, though the Philippine Health
Insurance Corporation (PhilHealth) also purchases
services from both the public and private sectors.
THANK YOU!