3 philippine health care delivery system

primary health care

is essential health care based on scientifically sound and socially acceptable methods, universally accessible to individuals. (The Declaration of Alma-Ata)

primary health care

is essential health care made universally accessible and acceptable to individuals through full participation and at a cost the community and country can afford.

Health care system
Health care delivery
Health care delivery system
Philippine Health Care System

Basic Essential Elements of a PHC

Health care system

refers to an organized plan of health services

Health care delivery

is the rendering of health care services to the people

Health care delivery system

is the network of health facilities and personnel which carries out the task ofrendering health care to the people

Philippine Health Care System

is a complex set of organizations interacting to provide an array of health services in the Philippines

There is a strong involvement of the private sector comprising 50% of the health system, but regulatory functions of the government have yet to be fully maximized.

Planning
Organizing
Staffing
Controlling
Directing

Management of Primary Health Care

planning

managers are usually required to set a direction and determine what needs to be accomplished. it means setting priorities and determining performance targets

organizing

refers to the management function on designing the organization or the specific division, unit, or service for which the manager is responsible

it means designating reporting relationships and intentional patterns of interaction

staffing

refers to acquiring and retaining human resources

refers to developing and maintaining the workforce through various strategies and tactics

controlling

refers to monitoring staff activities and performance and taking the appropriate actions for corrective action to increase performance

directing

initiate action in the organization through effective leadership and motivation o, and communication with, subordinates

1. Authority, responsibility, and accountability
2. Types of authority
3. Centralization, decentralization, and formalization
4. Staffing

Management Principles in relation to Organizing

Authority

is a manager’s formal and legitimate right to make decisions, issue orders, and allocate resources to achieve organizationally desired outcomes.

Responsibility

means an employee’s duty to perform assigned task or activities.

Accountability

means that those with authority and responsibility must report and justify task outcomes to those above them in the chain of command.

Line authority

managers have the formal power to direct and control immediate subordinates

Functional authority

is where managers have formal power over a specific subset of activities.

Staff authority

is granted to staff specialists in their areas of expertise. It is not a real authority in the sense that a staff manager does not order or instruct but simply advises, recommends, and counsels in the staff specialists’ area of expertise.

Centralization

is the location of decision-making authority near top organizational levels.

Decentralization

is the location of decision-making authority near lower organizational levels

Formalization

is the written documentation used to direct and control employees

Staffing

refers to the assignment of individuals to responsible positions identified in a management plan.

determines the competencies required for a position

assigning or recruiting staff that qualifies forthe responsibilities

PHILIPPINE HEALTH CARE SYSTEM

a complex set of organizations interacting to provide an array of health services

Vision

Health as a right: Health for All Filipinos by the year 2000 and Health in the Hands ofthe People by the year 2020.

Mission

The ______ of DOH, in partnership with the people, is to ensure equity, quality, and access to health care: – by making services available; – by arousing community awareness; – by mobilizing resources; and – by promoting the means to better health.

Primary level of health care facilities

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 Medical Care Commission and other health facilities operated by voluntary religious and civic groups

Secondary level of health care facilities

smaller, non-departmentalized hospitals, including emergency and regional hospitals in which services to patients with symptomatic stages of the disease, which require moderately specialized knowledge and technical resources for adequate treatment is offered.

Tertiary level of health care facilities

medical centers and large hospitals that offer highly technological and sophisticated services. These are the specialized national hospitals. The services rendered at this level are for clients afflicted with diseases that seriously threaten their health and which require highly technical and specialized knowledge, facilities, and personnel for effective treatment

1. available health manpower resources

2. local health needs and problems

3. political and financial feasibility

Factors on the Various Categories of Health Workers Among Countries and Communities

Village or Grassroot Health Workers

first contacts of the community and initial links of health care

simple curative and preventive and promoting health environment

improvement o socio-economic level of the community

community health workers, volunteers, and/or traditional birth attendants

Intermediate Level Health Workers

first source of professional health care

support to front-line health workers

medical practitioners, nurses, and midwives

First Line Hospital Personnel

provide backup health services or cases that require hospitalization

close contact with Intermediate Level Health Workers or Village Health Workers

physicians with specialty, nurses, dentist, pharmacists