Social values

EQUITY

word that pertains to the notion that all of us, despite our social status, have the right to access healthcare and services given by the government.

senior citizens, chronic llnesses

Vulnerable populations

Vulnerable populations

should still be a part of equity in healthcare services and government.

Patient preference

Quality

Equity

Efficiency

Product acceptability

Assessments should adopt a broader definition of value and product benefit considering the following

education, vaccines, any preventive meds

How should HTA be channeled in mitigating dengue cases?

preferences, equity concerns

non-quantifiable factors

decision—making

enable the social implications and constraints of efficient and equitable health to be addressed effectively

further explorations

reveals how non-quantifiable factors are accounted for in assessments

opinions and experiences of health professionals and individual patients

needed to understand the real-world application and use of a product

indirect benefits and costs

what assessments take account of

priority setting

especially important in low and middle income countries

lack of institutional mechanisms for priority setting

allows interest groups to put forward their own priorities and divert resources away from investments

DOH

released a top 10 list of rare diseases

strenghten Philippine Health Insurance Corporation (PHIC)

how does the Philippines take significant steps to achieve UHC

DOH

policymaking and regulatory body for health

DOH

accredits hospitals and institutions

PHIC

national health insurance agency of the Philippines

• Provide social health insurance coverage to all Filipinos

• Helping ensure affordable and quality healthcare services in the country

• Maintaining financial sustainability

functions of PHIC

adult working filipinos

where does financial sustainability come from

Secretary of health

chairperson of board of directors

health secretary (chairperson of board of directors)

Has the final decision of what medicines to buy, what health technologies should be innovated, etc.

DOH

Retains and manages a select number of specialized and tertiary hospitals

Philippine Heart Center, NKTI, Lung Center of the Philippines, Philippine Children’s Medical Center PCMC

Examples of tertiary/specialized hospitals handled by DOH

LGU

not directly under the jurisdiction of DOH and have a separate budget for healthcare

shift from fee-for-service to case-based payment

reform by PHIC in the payment for medical and procedural services

No Balance Billing

zero co-pay scheme for poor patients availing of inpatient services in 70 DOH-retained public hospitals

patients with HIV/AIDs

prioritized by the government because it is part of the SDG of WHO

pharmacologic interventions and surgical procedures

Medical service covered by Philhealth during hospitalization

palliative care, preventive med, alternative med

not covered by Philhealth

Sin Tax

Sourced from alcoholic beverages, tobacco, etc.

coupled educational counseling

way to reduce wastages and problems with medication adherence

disease burden and cost-effectiveness

basis of priority setting in the philippine context

census population projection, burden of disease, medical textbooks, CPG, WHO intervention guidelines, WHO framework for action on the social determinants for health, secondary lit

data inputs for priority setting

model DALYs, candidate list of interventions, disease control prioritites

Intermediate outputs/ additional inputs for priority setting

list of most burdensome disease causes, list of potentially cost-effective interventions, additional list of disease on equity considerations

outputs of priority setting framework

DALY

measure of overall disease burden expressed as the number of years lost due to illness, disability, or early death

outpatient services, home-based, and community-based intervention, mental health intervention

Where DOH and PHIC lack coverage

• UK’s National Institute for Health and Care Excellence NICE

• Thailand’s Health Intervention and Technology Assessment Program (HITAP)

Independent agencies providing policy guidance on service coverage decisions

communication, health care access, and shared decision-making SDM

key elements in a valuable health care environment