HEALTHCARE DELIVERY SYSTEM

March 22, 2021

• It can also provide treatment to 95-99% of major life-

HEALTHCARE
threatening conditions with intensive care treatment
• Are the services rendered to individual, families, or and monitoring.
communities by the agent of health services or
professionals for the purposes of promoting,
maintaining, monitoring, or restoring health.
• Defined as a multitude of services provided to an
individual, family, or community by health professionals
to promote, maintain, monitor, or restore their health.

HEALTH CARE DELIVERY SYSTEM

• Institutions, organization, and persons involved in
providing health services.
• Provide care to the ill and injured.
• An aggregate of institutions, organizations, and LEVELS OF HEALTH CARE
persons involved in providing health services. DELIVERY SYSTEM
• It is basically the totality of services offered by all health
services to provide care to the ill and injured. • Preventive Care
• Primary Care/Essential Health Care/Health Care at
LEVELS OF HEALTH CARE FACILITIES Doorstep
• Secondary Care
• The World Health Organization or WHO uses three
• Tertiary Care
levels to categorize a healthcare facility:
• Restorative Care
o Level I Facility
• Continuing Care
o Level II Facility
o Level III Facility
PREVENTIVE CARE
LEVEL I FACULTY: HEALTH CENTER • Focuses on reducing and controlling risk factors of a
disease through activities.
• Is a small hospital or health center.
• Is disease-oriented and focuses on reducing and
• It has a small number of beds with sparsely equipped
controlling the risk factor of a disease through
procedure or operating room.
implementation of activities.
• It can provide emergency treatment for 90-95% of
o E.g.: Immunization Programs, Occupational
trauma and obstetric cases except cesarean delivery.
Health Programs.
• Other patients are referred to a higher level.
PRIMARY CARE
LEVEL II FACULTY: DISTRICT/
PROVINCIAL HOSPITAL • First point of contact in the healthcare system.
• Improve health of the public.
• Has 100-300 bed capacity and adequately equipped
• It is the first level of contact of an individual, family, or
major and minor operating rooms.
community in the healthcare system.
• It can provide short-term treatment from 95-99% of
• Its primary goal is to improve the health of the public by
major life-threatening conditions.
providing easy access to medical care.
• It includes health promotion, disease prevention, early
LEVEL III FACULTY: REFERRAL HOSPITAL
detection, and routine care of diseases.
• Has 300-1000 or more beds, adequately equipped • (+) Level of health care delivered by a member of the
operating rooms, and has intensive care facilities. health care system who is responsible for the majority
of the health needs of individual.

(+) additional information from the book* 1

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March 22, 2021
• (+) This level of care, usually, but not always, is
provided by the first health provider in contact with the
recipient.
SECONDARY CARE
• Provided by a specialist in a hospital or facility.
• Referred from primary care.
• Is a medical care that is provided by a specialist
working in a hospital or facility.
• Patients are usually referred from a primary care
professional.
• (+) Provided by clinicians on a referral basis, that is,
after the individual has received care at the primary
level.
TERTIARY CARE
• Highly specialized medical care, usually for inpatient for
an extended period.
• Advanced and complex procedures and treatments.
• It is a highly specialized medical care, usually for
inpatients or those who are confined in a hospital or
facility who require care for an extended period.
• It involves advanced and complex procedures or
treatments administered by specialists using state-of-
the-art facilities.
• (+) The service is provided by specialists, commonly in
facilities that focus on particular health conditions.
These services may also be provided on a referral
basis.
RESTORATIVE CARE
• Assist an individual to regain maximal functional status.
• Home health care
• It is a medical care intended to assist an individual in
regaining maximal functional status.
• It aims to enhance an individual’s quality of life while
promoting independence and selfcare.
RESTORATIVE CARE: HOME HEALTH CARE
• Home health care may be a service provided under
restorative care.
• It aims to maximize a patient’s level of independence.
Home care services can include wound care,
respiratory care, vital signs measurement, elimination
services through insertion of indwelling or intermittent
catheters, and nutrition.
(+) additional information from the book*
• It also includes rehabilitation services. Rehabilitation is
defined as the restoration of a person to the fullest
physical, mental, social, vocational, economic
usefulness possible. Rehabilitation services provided
by PTs at home include gait training, exercises, ROM
exercises, strengthening exercises, stretching
exercises.
• Also, manipulation techniques such as joint
mobilization, neural mobilization, bed mobility and
transfers training, as well as home instructions, home
exercise programs, etc.
CONTINUING CARE
• Services over a prolonged period of time to people who
have lost or never acquired functional capacity.
• Hospice care.
CONTINUING CARE: HOSPICE CARE
• It offers services over a prolonged period of time to
people who have lost or never acquired their functional
capacity.
• Hospice care is a system of family-centered care that is
designed to allow clients or patients to live and remain
at home with comfort, independence, and dignity while
alleviating the strains caused by their terminal illness.
At hospice care, the focus is palliative care and not
curative treatment.
REFERENCES:
• Gelb, Adrian & Morriss, Wayne & Johnson, Walter & Merry,
Alan & Abayadeera, Anuja & Belîi, Natalia & Brull, Sorin &
Chibana, Aline & Evans, Faye & Goddia, Cyril & Haylock-
Loor, Carolina & Khan, Fauzia & Leal, Sandra & Lin, Nan &
Merchant, Richard & Newton, Mark & Rowles, Jackie &
Sanusi, Arinola & Wilson, Iain & Berumen, Adriana. (2018).
World Health Organization-Wo r l d Federation of Societies of
Anesthesiologists (WHO-WFSA) International Standards for
a Safe Practice of Anesthesia. Anesthesia & Analgesia. 126.
1. 10.1213/ANE.0000000000002927.
• Panuelos, N. E. F. (2019). Lecture slides: Health care delivery
system. OPT1201 Introduction to Physical Therapy and
Patient Care. Pamantasan ng Lungsod ng Maynila–College
of Physical Therapy.
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(+) additional information from the book* 3