HEALTH CARE SYSTEM
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The combination of resources, organization, financing and management that culminate in the delivery of health services to the population (Roemer, 1991)
Health Care System
According to this organization, health system was defined as “all the organizations, institutions and resources that are devoted to producing health actions
World Health Organization Report in 2000
3 main goals for health systems
• Improving the health of populations • Improving the responsiveness of the health system to the population it serves • Fairness in financial contribution
Four (4) Vital Health System Functions
• Health Service Provision • Health Service Inputs • Stewardship • Health Financing
Promoted participatory management of the local health care system.
1979: Adoption of Primary Health Care
Integrated public health and hospital services
1982: Reorganization of DOH
Prescriptions are written using the generic name of the drug.
1988: The Generics Act
Transfer of responsibility of health service provisions to the local government units.
1991: RA 7160 “Local Government Code”
Aims to provide all citizens a mechanism for financial protection with priority given to the poor.
1995: National Health Act
Major organizational restructuring of the DOH to improve the way health care is delivered, regulated and financed
1996: Health Sector Reform Agenda
Adoption of operational framework to undertake reforms with speed, precision, and effective coordination
2005: FOURmula One (F1) for Health
Promote and ensure access to affordable quality drugs andmedicines for all
2008: RA 9502 “Access to Cheaper and Quality Medicines Act”
Universal health coverage and access to quality health care for all Filipinos
Universal health coverage and access to quality health care for all Filipinos
Directions of the Philippine Health Sector
-The Philippine Health Agenda (DOH Administrative Order 2016-0038) -The Philippine Developmental Plan 2017-2022 -NEDA AmBisyon Natin 2040 -Sustainable Developmental Goals 2030
17 Goals
• No Poverty • No Hunger • Good Health • Quality Education • Gender Equality • Clean water and sanitation • Renewable Energy • Good Jobs and Economic Growth • Innovation and Infrastructure • Reduced Inequalities • Sustainable Cities and Communities • Responsible Consumption • Climate Action • Life Below Water • Life on Land • Peace and Justice • Partnership For The Goals
17 Goals of Philippine Health System
1: End poverty in all its forms everywhere #2: End hunger, achieve food security and improved nutrition and promote sustainable agriculture #3: Ensure healthy lives and promote well-being for all at all ages #4: Ensure inclusive and quality education for all and promote lifelong learning #5: Achieve gender equality and empower women and girls #6: Ensure access to water and sanitation for all #7: Ensure access to affordable, reliable, sustainable and modern energy for all #8: Promote inclusive and sustainable economic growth, employment and decent work for all #9: Build resilient infrastructure, promote sustainable industrialization and foster innovation #10: Reduce inequality within and among countries #11: Make cities inclusive, safe, resilient and sustainable #12: Ensure sustainable consumption and production patterns #13: Take urgent action to combat climate change and its impacts #14: Conserve and sustainably use the oceans, seas and marine resources #15: Sustainably manage forests, combat desertification, halt and reverse land degradation, halt biodiversity loss #16: Promote just, peaceful and inclusive societies #17: Revitalize the global partnership for sustainable development
Each goal is important in itself
And they are all connected
Health System branch under provincial government
• Provincial Health Office • Inter-local Health Zones • Provincial Hospitals • District Hospitals
Health System branch under city government
City Health Office (Chartered Cities) - City Hospitals - Health Centers - Barangay Health Stations City Health Office (Components City) - City Hospitals - Health Centers - Barangay Health Stations
Pertains to the arrangement of parts and their interconnections
System
Health Care System includes: (8)
Community Department of Health Health Providers Health Service Organization Different pharmaceutical companies Health financing bodies Organization related to health Governance
The department that are responsible for the policies for health, provision of health service, health promotion, education, and financing.
DOH (Department of Health )
Improvement of health ; It could be personal or public
Health Action
Health System should strive for equity in health ; People should be protected from existing and emerging health risk and ready to be resilient
Improving the Health of Population