The Philippine Health Care Delivery System

National Level

Health Care Delivery System Health Care Team Public Health Nurses .

Definitions Health Care System: an organized plan of health services  Health Care Delivery: rendering health care services to the people  Health Care Delivery System: the network of health care facilities and personnel which carries out the task of rendering health care to the people  Philippine Health Care Delivery System: a complete set of organizations interacting to provide an array of health services  .

Major Players Philippine Health Care Delivery System Public sector Tax-based budgeting Free Point of service Private sector Market-oriented Fees .

Department of Health Roles and Functions: 1. Enabler and Capacity Builder    Innovate new strategies Oversight functions of national health plans Ensure quality health care . monitoring and evaluation Advocate 2. Leadership in Health    National policy and regulatory institution Formulation.

Administrator of Specific Services Manage selected national health facilities and hospitals  Administer direct services for emergent health concerns  Administer health emergency response services  .Roles and Functions (con t) 3.

Francisco T.Secretary of Health Dr. Duque III .

staunch advocate and model in promoting Health for All in the Philippines  Mission: Guarantee equitable.  Goal: Health Sector Reform Agenda (HSRA)  . sustainable and quality health for all Filipinos. especially the poor and shall lead the quest for excellence in health.Department of Health Vision: The DOH is the leader.

Rationale for the Health Sector Reform       Slowing down in the reduction in the Infant Mortality Rate (IMR) and the Maternal Mortality Rate (MMR) Persistence of large variations in health status across population groups and geographical areas High burden from infectious diseases Rising burden from chronic and degenerative diseases Unattended emerging health risks from environmental and work related factors Burden of disease is heaviest on the poor .

FOURmula ONE for Health  This is adopted as the implementation framework for health sector reforms Goals:  Better  health outcomes  More responsive health systems  Equitable health care financing .

FOUR elements 1. 2. Health Financing Health Regulation Health Service Delivery Good Governance . 4. 3.

National Health Insurance Program     Financing it reduces the financial burden placed on Filipinos by health care costs Governance a prudent purchaser of health care thereby influencing the health care market and related institutions Regulation the NHIPs role in accreditation and payments based on quality acts as a driver for improved performance in the health sector Service Delivery NHIP demands fair compensation for the costs of care directed at providing essential goods and services in health .

and laying down new avenues for improved interventions  . current strategies based on field experiences.National Objectives for Health 2005 to 2010  Provides a roadmap for stakeholders in health and health-related sectors Sets targets and critical indicators.

b. c. Improve the general health status of the population Reduce morbidity and mortality Eliminate certain diseases as public health problems Promote healthy lifestyle and environmental health Protect vulnerable groups with special health and nutrition needs . e.Objectives of the Health Sector a. d.

Pursue public health and hospital reforms h. Strengthen health governance and management support systems . Institute health regulatory reforms to ensure quality and safety of health goods and services j.f. Reduce the cost and ensure the quality of essential drugs i. Strengthen national and local health systems to ensure better health service delivery g.

Improve efficiency in the allocation. Mobilize more resources for health n. Institute safety nets for the vulnerable and marginalized groups l. Expand the coverage of social health insurance m.k. production and utilization of resources for health .

The Philippine Health Care Delivery System Local Level .

Objectives Establish local health systems for effective and efficient delivery of health care services  Upgrade the health care management and service capabilities of local health facilities  Promote inter-LGU linkages and cost-sharing schemes including local health care financing systems for better utilization of local health resources  .

nongovernment organizations (NGOs) and communities in local health systems development  Ensure the quality of health service delivery at the local level  .Objectives (con t) Foster participation of the private sector.

Inter Local Health System Clustering of municipalities into Inter Local Health Zone (ILHZ)  ILHZ has a defined population within a defined geographical area. comprises of central referral hospital and a number of primary level facilities (RHUs and BHS)  Importance: reintegration of hospital and public health service for a holistic delivery of health services  .

000 for optimum efficiency and effectiveness  Boundaries for accountability and responsibility  Health Facilities  Health Workers  . according to WHO.000 to 500.Composition of ILHS People varies form zone to zone. the ideal health district would have a population size of 100.

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