HIS LEC 3 PHILIPPINE HEALTH CARE DELIVERY SYSTEM

Alma-Ata Declaration

fundamental human right, attainment of the highest possible level of health is a worldwide goal

Primary Health Care

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

Health Care System

refers to an organized plan of health services - Miller-Keane, 1987

Health Care Delivery

rendering of health services to people - Williams-Tungpalan, 1981

Health Care Delivery System

network of health facilities and personnel carrying out the task of rendering health care to people - Williams-Tungpalan, 1981

Philippine Health Care Delivery

complex set of orgs interacting to provide an array of health services in the philippines - Dizon, 1977

Planning

managers are required to set a direction and determine what needs to be accomplished, setting priorities & determining performance targets

Organizing

designing the org or specific division, unit, or service for which the manager is responsible, dostribution of authority

Staffing

refers to acquiring and retaining human resources

Controlling

monitoring staff activity and perfomance, does appropriate action to improve performance

Directing

focuses on initiating actions in the organization thru effective leadership

5 Management of Primary Health Care

Planning

Organizing

Staffing

Controlling

Directing

Authority

manager’s formal and legitimate right to make decisions, issue orders, allocate resources

Responsibilty

employee’s duty fo perform assigned tasks

Accountabilty

those with authority and responsibility musy report and justify task outcomes to those above them in command

Types of Authority

Line, Functional, Staff

Line authority

managers have the formal power to direct and control immediate subordinates, superior

Functional authority

managers who has formal power over a specific subset of activities

Staff authority

not a real authority, manager simply advises, recommends, and counsels the staff specialists’ area of expertise

Centralization

decision-making is based on the near top organizations

Decentralization

decision-making authority near lower organizations

Formalization

written documentation used to direct and control employees

Staffing

assigned individuals to responsible position, also includes assigning & recruiting

Management Principles in Relations to Organizing

Authority, Responsibility, & Accountability

Line, Functional, Staff Authorites

Centralization, Decentralization, Formalization

Staffing

Department of Health

primary function is the promotion, protection, preservation, or restoration of the health of the people thru provision and delivery of health services

Levels of Health Care Facilities

Primary Level, Secondary Level, Tertiary Level

Primary Level of HCF

rural health unite, sub-centers like barangay health centers and such

Second Level

smaller, non-departmentalized hospitals, including emergency & regional hospitals, serves patients with symptom stages of diseases

Tertiary Level

medical centers and large hospitals offering highly technological & sophisticated services

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

availabilty of manpower & resource

local health needs & problems

political & financial feasibility

Three Levels of Primary Health Care Workers

Village/Grassroot Health Workers

Intermediate Level Health Workers

First Line Hospital Personnel

Village/Grassroot Health Workers

first contacts of the community, preventive health care

Intermediate Level of Health Workers

first source of professional health care, tend to health issues beyond competences of village workers

First Line Hospital Personnel

provide backup health services for cases requiring hospitalization or any major surgeries, in close contact with intermediate & village health workers