TOPIC 4 HEALTH CARE DELIVERY SYSTEM

ANDERSON AND MCFARLANE

emphasized the role of the following factors in shaping 21st century health that further influence health care delivery system: (1) Health care ”Reforms," (2) Demographics, (3) Globalization, (4) Poverty and growing disparities, and (5) Social disintegration

SERVICE DELIVERY

The provision of healthcare services to patients, including the organization and quality of care.

HEALTH WORKFORCE

The people who provide healthcare, including their training, motivation, and deployment.

HEALTH INFORMATION SYSTEMS

systems that collect, analyze, and use data to support decision-making and monitor performance

ACCESS TO ESSENTIAL MEDICINES

Ensuring access to safe, effective, and affordable medicines, vaccines, and other technologies.

HEALTH FINANCING

How a health system is funded, including the sources of revenue and the mechanisms for paying for services.

LEADERSHIP AND GOVERNANCE

The policies, regulations, and political will that guide and regulate the health system

HEALTH SYSTEM

Interrelated system in which a country organizes available resources for the maintenance and improvement of the health of its citizens and communities.

HEALTH CARE SYSTEM

An organized plan of health services. (Miller-Keane, 1987

HEALTH CARE DELIVERY

Rendering health care services to the people

HEALTH SECTOR

Groups of services or institutions in the community/country, which are concerned with the health protection of the population.

HEALTH CARE DELIVERY SYSTEM

The network of health facilities and personnel, which carry out the task of rendering health care to people. (Williams-Tungpalan, 1981)

PH HEALTH CARE SYSTEM

It is a complex set of organizations interacting to provide an array of health services.(Dizon, 1977)

HEALTHCARE SECTOR

Consists of businesses that provide medical services, manufacture medical equipment or drugs, provide medical insurance, or otherwise facilitate the provision of healthcare to patients

Inclusions:

✓ Hospitals,

✓ Medical devices,

✓ Clinical trials,

✓ Outsourcing,

✓ Telemedicine,

✓ Medical tourism,

✓ Health insurance and

✓ Medical equipment

APRIL 7 1948

WORLD HEALTH DAY

WHO began when their Constitution came into force on?

SDG

blueprint to achieve a better and more sustainable future for all. They address the global challenges we face, including those related to poverty, inequality, climate, environmental degradation, prosperity, and peace and justice. The Goals interconnect and in order to leave no one behind, it ís important that we achieve each Goal and target by 2030

AMBISYON NATIN 2040

Philippines' long-term vision and development plan, aimed at eradicating poverty and transforming the country into a prosperous, predominantly middle-class society by 2040. Spearheaded by the National Economic and Development Authority (NEDA), the vision centers on three core aspirations for every Filipino

PH DOH

holds the over-all technical authority on health as it is a national health policy-maker and regulatory institution.

Basically, the ——has three major roles in the health sector:

(1) leadership in health;

(2) enabler and capacity builder; and

(3) administrator of specific services.

Its mandate is to develop national plans, technical standards, and guidelines on health. Aside from being the regulator of all health services and products, the —— is the provider of special tertiary health care services and technical assistance to health providers and stakeholders

LEADERSHIP IN HEALTH

Functions:

1. LEADER

2. ADVOCATE

3. NATIONAL POLICY AND REGULATORY INSTITUTION

ENABLER AND CAPACITY BUILDER

Functions:

1. ENSURE

2. INNOVATE

3. INITIATE

4. OVERSEE

ADMINISTRATOR OF SPECIFIC SERVICES

Functions:

1. MANAGE

2. ADMINISTER

3. PROVIDE

2022

DOH VISION

Filipinos are among the healthiest people in Southeast Asia by

2040

DOH VISION

Filipinos are among the healthiest people in Asia by

PRE SPANISH

Traditional health care practices especially the use of herbs and rituals for healing were widely practiced during these periods.

1577

The western concept of public health services in the country is traced to the first dispensary for indigent patients of manila ran by a Franciscan friar that was began in

BRO JUAN CLEMENTE

LEAD FIRST DISPENSARY, FRANCISCAN FRIAR IN INTRAMUROS

1876

Medicos Titulares, equivalent to provincial health officer were already existing.

1888

A superior board of health and charity was created by the Spaniards which established a hospital system and a board of vaccination.

SMALL POX

JUNE 23 1898

Shortly after the proclamation of the Philippine independence from Spain, the Department of Public Works, Education and hygiene was created by virtue of a decree signed by president Emilio Aguinaldo.

SEPTEMBER 29 1898

General Orders No. 15 establisged the Board of Health for the City of Manila.

1899

1ST COMMISIONER OF HEALTH

JULY 1 1901

A Board of Health for the Philippine island was created through Act No. 157. also functioned as the local board of Manila.

ACT NO 157

BOARD OF HEALTH MANILA

ACT 309

ESTABLISHED PROVINCIAL MUNICIAPAL BOARD OF HEALTH

OCTOBER 26 1905

The insular board of health proved to be inefficient operationally, so it was abolished and was replaced by the Bureau of Health under the Department of interior through Act No. 1487

1906

BUREAU OF HEALTH

ACT NO 1487

1906 replaced the provincial boards of health with district health officers

1912

Act No. 2156 also known as the Fajardo Act, Consolidated the municipaliticies into sanitary divisions and established the Health Fund for Travel and Salaries.

ACT 2156

FAJARDO ACT

SANITARY DIVISION

1915

Act No. 2468 transformed the Bureau of Health into a commissioned service called Philippine health Service

ACT NO 2468

REORGANIZATION ACT

transformed the Bureau of Health into a commissioned service called Philippine health Service.

DR ROSARIO PASTOR

REORGANIZATION ACT 2468 LEAD BY??

transformed the Bureau of Health into a commissioned service called Philippine health Service.

AUGUST 2 1916

The passage of the Jones Law also known as the Philippine Autonomy Act

1916 TO 1918

PUBLIC HEALTH NURSING

MS PERLITA CLARK

PUBLICH HEALTH NURSING IN 1916-1918 LEAD BY?

1919

ORG PHN ESTABLISHED IN TONDO MANILA

MS BALBINA BASA

ORG PHN ESTABLISHED IN TONDO MANILA IIN 1919 LEAD BY?

MS CARMEN DEL ROSARIO

1ST FILIPIINO NURSE SUPERVISOR OF BUREAU OF HEALTH

1923

90 PUBLIC HEALTH NURSES ASSIGNED IN PROVINCES LIKE MINDANAO AND NORTH LUZON

1928

1ST CONVENTION OF NURSES AFTER WWII

1930

SECTION OF PHN INTO SECTION OF NURSING

1932

Act No. 4007 known as the Reorganization Act, reverted back the Philippine Service into the Bureau of Health, and combine the Bureau of Public Welfare under the office of the Commissioner of Health and Public Welfare

ACT NO 4007

Reorganization Act, reverted back the Philippine Service into the Bureau of Health, and combine the Bureau of Public Welfare under the office of the Commissioner of Health and Public Welfare

MAY 31 1939

Commonwaealth Act No. 430 Created the Department of public Health and Welfare. Full implementation through EO 317.

COMMONWEALTH ACT NO 430

Created the Department of public Health and Welfare. Full implementation through EO 317.

JANUARY 7 1941

Dr. Jose Fabella became the 1st Department Secretary of health and Public Welfare

1935 TO 1945

The Philippine Commonwealth and the Japanese Occupation.

OCTOBER 4 1947

Executive Order No. 94 provided for the post war reorganization of the Department of Health and public Welfare

EO 94

provided for the post war reorganization of the Department of Health and public Welfare

OCT 4 1947

JANUARY 1 1951

The Office of the president of the sanitary district was converted into a Rural Health Unit.

RURAL HEALTH ACT OF 1954

➢ The Office of the president of the sanitary district was converted into a Rural Health Unit. ➢ Resulted the??

MAY 18 1954

SPECIFIC DATE FOR RURAL HEALTH ACT 1954

RA 1082

act created more rural health units and created post for municipal health offices among other provisions

ALSO CALLED AS RURAL HEALTH ACT OF 1954

1953

Health Education and Personnel training was created. Dr. Trinidad Gomez as Chief.

DR TRINIDAD GOMEZ

created health educatioon and personnel training in 1953

JUNE 1957

Republic Act 1891 (Act of Strengthening

Health and Dental Services in the Rural Areas

providing funds thereof) was approved. Created

8 categories of rural health units corresponding

to 8 population groups to serve

REPUBLIC ACT 1891

STRENGTHENING HEALTH AND DENTAL SERVICES IN RURAL AREAS JUNE 1957

FEBRUARY 1958

Executive Order No. 288 provided for what is described as the

“ most sweeping” reorganization in the history of the Department at that period.

➢ Rural Health Units were made as integral part of the

➢public health care delivery system.

1970

➢ The Restructured health care delivery system was conceptualized. It classified health services into primary, secondary and tertiary levels of care

JUNE 2 1978

Presidential degree 1397 renamed the department of health to the ministry of health. Secretary Gatmaitan become the first minister of health.

PRESIDENTIAL DECREE 1397

RENAMED DOH TO MINISTRY OF HEALTH

SECRETARY GATMAITAN

FIRST MINISTER OF HEALTH

DECEMBER 2 1982

Executive Order No. 851 signed by President Marcos reorganized the ministry of Health as an integrated health care delivery system through the creation of the Integrated provincial Health Office

APRIL 13 1987

➢ Executive Order No. 119 “ Reorganizing the Ministry of Health” by president Corazon Aquino saw a major change in the structure of the ministry.

➢ It transformed the Ministry of Health back to the Department of Health.

EXECUTIVE ORDER NO 119

“ Reorganizing the Ministry of Health” by president Corazon Aquino saw a major change in the structure of the ministry.

REPUBLIC ACT 6675

Implementation of the Generics Law of 1988

OCTOBER 10 1991

Republic Act 7160 known as the Local Government code provided for the decentralization of the entire government.

Delivery of basic Health services is now the responsibility of LGU’s.

RA 7160

LOCAL GOVERNMMENT CODE

1993 TO 1998

the National League of Philippine

Government Nurses Inc.

JANUARY 1999

– Department Order No. 29 designated Mrs. Nelia Hizon, Nurse VI as the nursing adviser.

MAY 24 1999

Executive Order No. 102 “Redirecting the function and Operations of the department of Health by President Joseph Estrada granted the DOH to proceed with its rationalization and Streaming Plan.

➢ EO102 mandates the DOH to provide assistance To local government units, people's organization And other members of the civic society in effectively implementing programs, projects and services.

EO 102

mandates the DOH to provide assistance To local government units, people's organization And other members of the civic society in effectively implementing programs, projects and services.

1999 TO 2004

– The Health Sector reform Agenda of the Philippines was launched.

2005

The Department of Health launches Formula One for Health to ensure speed, precision and effective coordination towards improving the efficiency, effectiveness and equity of health care delivery.

2008

Maternal, Neonatal, and Child health and Nutrition Strategy (MNCHN)

Universally Accessible Cheaper and quality medicines Act Of 2008.

2010

Universal Health Coverage as the new Platform on health.

2012

Responsible Parenthood and reproductive Health Act.

2015

Universal Health Care – High impact five (Hi 5) strategies For hospitals.

2016

Philippine health Agenda 2016-2022 “ All Health towards Health for all framework.