Thank you Ms. Bagtas and a pleasant day everyone !

I am Princess Jovelyn Gutierrez and im with my

patner mr. paelyn jozel panao we will be presenting our proposed study let me first start with
introduction

Medical facilities are one of the most important facilities in the world. Despite having achieved universal
healthcare, the Philippines still struggles with unequal access to medical care.. The healthcare system in
the Philippines is of a high standard. Filipino medical staff are proficiently skilled, but when it comes to
providing impressive facilities and services may not spectacular. Private health care in the Philippines
provides much reliable equipment than public ones. Knowing its importance can serve as an eye opener
with regards to the reality of health care services from both public and private.

IMPORTANCE OF THE STUDY

This research seeks to uncover the benefits and drawbacks of health care services provided by both the
public and private sectors. It is intended to learn about Filipino Adults' experiences with health care
services from the patients' perspective, as well as to analyze the service quality of public and private
hospitals, in order to assist a community in protecting and preserving the health of its members, with a
secondary goal of encouraging self-care among individuals and families. What many healthcare systems
have in common is a debate about the optimal balance of public and private provision. This paper
provides a scoping review of research investigate the performance of public and private hospitals in the
CAMANAVA area on how Private health care and Public health care system approach the patients

GLOBAL STUDY

There are numerous factors to consider when deciding whether to seek public or private health care.

According to Ferreira and Marquez (2021) In the United States, the private sector dominates the
healthcare system, offering more comprehensive and higher-quality services, while public institutions
are primarily responsible for delivering basic medical care to the poor. Kamal (2020) stated that Eastern
China is the most developed area, with the greatest number of public hospitals, all of which are
equipped with highly skilled health personnel and advanced equipment. This region, on the other hand,
has a higher number of public hospitals that are undertaking significant organizational and managerial
reforms

However, the World Health Organization (WHO, 2019) revealed that primary health care accounts for
more than half of health spending in low- and middle-income nations. Governments, on the other hand,
account for less than 40% of total spending on primary health care. The researchers have interpreted
that people are less likely to slip into poverty as a result of increased government investment on health.
Government expenditure, on the other hand, only lowers access inequalities when allocations are
properly managed to ensure that everyone has access to basic health care.

LOCAL

According to a local study of Abad, Lansand and Cordero (2021) the public sector in the
Philippines exemplifies the difficulties that even well-resourced health care hospitals in developing
countries faced in dealing with the pandemic. The sudden rise in both probable and confirmed COVID-19
cases in the Philippines during the first month showcased the need for hospitals to respond quickly to
the surge. Surge capacity, which is often defined as a healthcare system's flexibility to act to a sudden
increase in patient care demands, conceptually consists of the following components: supplies,
personnel, physical space, and management infrastructure, also known as "stuff, staff, and structure"
(Abad, et al., 2021). A stronger public-private partnership was identified as playing a particularly
important role in addressing issues associated, sensitive issues, and possibly playing a massive role in
preventative and promotional intervention to supplement the public sector's focus on therapeutic care.
The study of Cuaton, Caluza and Vib (2021) argued that the best practices in the conversion of non-
treatment buildings to treatment spaces need to be documented to provide educational materials and a
baseline for improvements that could be useful in responding to future pandemics that requires
collaborative planning and execution of health experts. The long-term aim of this strategy should be to
strengthen the surge capacity of the Philippine healthcare system to effectively manage the sudden
influx of patients in future emergency and/or disaster events. (Cuaton, Caluza, & Vib, 2021) These are
especially important for adolescent health because embarrassment or fear of stigma associated with
sensitive health issues, such as sexual and reproductive health, are significant barriers to accessing
public services. A strengthened public-private partnership was identified as being especially crucial in
addressing emerging issues, sensitive issues, and possibly playing a stronger role in preventative
measures (Azzopardi, et al., 2021).

PURPOSE

The purpose of the study is to identify the differences in the experience of patients in public and private
healthcare facilities. This study will serve to start bridging any gap in between public and healthcare in
terms of shedding light on what is the preceptor pros and cons of two types of healthcare facilities and
their patients. The findings of this study will show the performance of public and private health care
facilities in terms of their health care system and the impact of performance in health care delivery
goals. In addition, this study is to evaluate the preferences of services between private and public health
care institutions in CAMANAVA region based on the experiences of the participants of the study.

GOAL OUTCOME

The goal of this study is to get a better understanding of experiences, expectation of patients and find
out the variance factor of private and public health institutions, in which can help in discovering the
insight of the people regarding the differences of both institutions that may help to develop the quality
health care system in the future. The researchers will conduct in-depth interview on private and public
hospital performance in the CAMANAVA region to assess accessibility, attentiveness, dependability,
accountability, transparency, fairness, equity, and efficiency in providing services to the patients. The
focus of this study was to determine how the region's private and public hospitals affect the core of
healthcare delivery goals. To determine whether there are modifications in diagnostic services of public
and private hospitals, as well as to assess the diagnostic facilities between the two. The researchers aim
to improve the hospitals' relationships with their patients while also reducing negative perceptions of
what patients hold in both hospitals. The findings should indicate the quality of healthcare services
provided to the elderly in the CAMANAVA region.

VARIABLES

PRIVATE HEALTH SYSTEMS

 According to Wolf, A.H., & Toebes, B. (2016), The contribution of the private health care system
to health care is not a new phenomenon. On the contrary, popular and governmental concern about
health care appears to have only recently surfaced. This is especially true when it comes to health-care
funding. Private actors' involvement in the provision of health care has a long history, whether as direct
providers of services (e.g., physicians, pharmacies, and hospitals) or as suppliers or makers of materials
and technologies used in health care provision. As previously stated, the private sector can also play an
essential role in health-care finance. According to a WHO study, funding is a major factor

PUBLIC HEALTH SYSTEM

The term "public health system" refers to "all public, private, and voluntary entities that contribute
to the delivery of essential public health services within a jurisdiction.” Public health systems can also be
described as a network of entities with differing roles, relationships, and interactions as t. According to
Woolf & Aaron (2012) “health systems” broadly, to encompass the full continuum between public
health (population-based services) and medical care (delivered to individual patients.

MEDICAL EQUIPMENT

Mutia, D. et al. (2012) STATED THAT medical equipment should be maintained at a higher
safety level than other types of equipment. Most of sophisticated and complicated machines found in
the intensive care unit, have their electrical connection existing between the equipment and patient.
The equipment may be used on the patients who are not able to respond to hazardous conditions or
pain while other types of medical equipment function as life support and their failure may result in the
patient's death when the machine is in use.

According to Zamzam, A.H. et al. (2021), Medical equipment’s highly contributes to the effectiveness of
healthcare services quality. Generally, healthcare institutions experience malfunctioning and
unavailability of medical equipment that affects the healthcare services delivery to the public. The
problems are frequently due to a deficiency in managing and maintaining the medical equipment
condition by the responsible party. The assessment of the medical equipment condition is an important
activity during the maintenance and management of the equipment life cycle to increase availability,
performance, and safety.

Patient Experience

According to Doyle, C., Lennox, L., & Bell, D. (2013). Patient experience is increasingly recognized as
one of the three pillars of quality in healthcare alongside clinical effectiveness and patient safety. In the
NHS, the measurement of patient experience data to identify strengths and weaknesses of healthcare
delivery, drivequality improvement, inform commissioning and promote patient choice is now
mandatory. In addition to data on harm avoidance or success rates for treatments, providers are now
assessed on aspects of care such as dignity and respect, compassion and involvement in care
decisions.However, the concept of patient satisfaction is not clearly defined, and beliefs of patients
are not always evident in health surveys. Researchers rarely follow up on surveys to explore patient
views and what they mean in greater depth. This study set out to examine perceptions of hospital
care, through in-depth, qualitative data capture and as a result, to gather rich, patient-driven
information on user experience and satisfaction ; and identify influencing factors.
Patient Satisfaction

Patient satisfaction is the degree to which patients are satisfied with their healthcare, both inside and
outside healthcare facilities. Further, Patient satisfaction is an indicator of healthcare quality service and
involved as an outcome measure. Satisfaction is a unit of similarity between patient beliefs of ideal care
and their observations of real care received. In addition, Patients’ satisfaction is an essential ingredient
in measuring quality healthcare as it gives insight on the health workers’ progress toward patients’
desire. It is a major factor in patients’ expectations (Xesfingi S, Vozikis, A. 2016).

HOSPITAL FACILITIES

. Medical personnel in the Philippines are well-trained, although facilities may not be as remarkable as
the other countries. As stated by Allianzcare (2021), the public health care in the Philippines has
significant drawbacks. Despite achieving universal healthcare, the Philippines continues to have
disparities in medical care. As a result, the Philippines' public healthcare system ranges from outstanding
in metropolitan areas to inadequate in rural areas. Furthermore, private healthcare in the Philippines is
well-established and expanding. Although doctors at private hospitals are just as good as those in public
hospitals, private institutions are far well-equipped, and treatment is usually faster

. According to World Health Organization (WHO), the hospital's backbone is made up of adequate and
dependable infrastructure, technologies, and supplies. Key infrastructure (such as well-planned spaces,
water and electricity, and telecommunications) must support daily operations and be designed with
resilience to ensure safe and efficient operation even in the event of a tragedy or crisis. The facilities
team supports the clinical staff to offer quality care and spend time focused on patients by maintaining
and repairing their equipment, limiting obstructions, and having an efficient layout of the building and
supplies in place. Health facilities in the Philippines include government hospitals, private hospitals
and primary health care facilities. Hospitals are classified based on ownership as public or private
hospital

Health System

According Dayrit, M., Lagrada, L., Picazo, O., Pons, M., and Villaverde, M., (2018), The topic
of health has become increasingly more important over the past few decades in the Philippines. The
country has implemented several rounds of reform to strengthen its health system. Philippines adopted
decentralized health governance in 1991, introduced a social health insurance programme – PhilHealth
– in 1995, and has actively pursued universal health coverage since 2010 Phil Health mainly funds
inpatient care and provides some measure of financial protection. But OOP expenses for hospitalization
remain prominent, disproportionately impacting the poor who often go without the needed services.
Ambulatory primary care benefits from PhilHealth are limited and are designed mainly towards
financing medicines for chronic conditions such as diabetes and hypertension, TB and HIV.

THEORETICAL FRAMEWORK

We have SERVQUAL model or Service Quality Model as our theoretical framework in our research,
and it basically capture and analyze consumer expectations and perceptions of the service. This
sophisticated approach aids in the reconciliation of patient expectations and demands. This
instrument has been shown to be suitable in healthcare settings with some modifications to suit the
specific environment/situation. It was proposed by PROFFESSIR Parasuraman, prpoffesor ZEITHAML
AND prof BERRY. in the year 1988 and is used in this study to assess patients' perceptions and
expectations. SERVQUAL approach will used to examine the relationship between patients' perceptions
of inpatient, outpatient, and emergency room services, as well as their overall perceptions of service
quality, satisfaction with their care, and willingness to recommend the hospital's services to others. The
model which is a 10 dimensions of service quality were reliability, responsiveness, competence, access,
courtesy, communication, credibility, security, understanding/knowing the customer, and tangibles
which is according to parasuman are the physical facilities (equipment, personnel, and communications
materials). It is the physical image of the service that customers will use to assess quality.. This model
helps bridge the gap between patient’s ideal service and needs It is a preferred model for measuring the
quality of services across different sectors.

NEXT SLIDE

Service quality is unanimously recognized as an indicator of an organization’s competitiveness . Service

performance is considered a strategic weapon which leads to achieving customer satisfaction in a
service industry . Perceived total service quality is determined by two variables: patient expectations
and the manner in which the service is performed. Listening to patients' voices is the starting point for
planning and implementing healthcare services in order to gain a better understanding of their
perceptions and expectations. The gap between client expectations and management perceptions of
those expectations will have an impact in the client’s evaluation of service quality, the hospital’s service
quality specifications will affect service quality from the client’s viewpoint, , and the quality that a client
perceives in a service is a function of magnitude and direction of the gap between expected service and
perceived service

The researchers opted to use this model in this study to determine the gap between a hospital's
service quality performance and its patients' service quality needs. Furthermore, the proposed theory
will assist researchers in learning how participants rate the quality of service in both public and
private health care. Depending on what aspect of patient satisfaction is being measured, examples
may include responsiveness of staff, clinician communication, technical skill, and hospital
environment.

FOR THE NEXT SLIDE MY PARTNER MR. PAELYN JOZEL PANAO WILL PRESENT

What typifies of health care system would Filipino adults prefer when it comes to receiving heath care
services across CAMANAVA area?