1.2 The Healthcare Delivery Systems

• DOH

• LGU

Philippine Health Care Delivery System

• Government

Local Government Code R.A. 7160

Local Government Unit

• LGUs should meet the priority needs of their communities by providing basic health services

• Government

• Private Sources

• Social Health Insurance

Philippine Healthcare Delivery

• financing is provided by 3 major groups:

National Health Insurance Act of 1995
RA 7875

created the Philippine Health Insurance Corporation (PhilHealth)
▪ aims for universal health coverage of all Filipino citizens
(Congress of the Philippines, 1995)

Department of Health

principal health agency in the Philippines

• responsible in ensuring access to basic public health services to all Filipinos through the:

  • provision of quality health care

  • regulation of providers of health goods & services

1987 Constitution

DOH Mandates

• the state shall endeavor to make health services available to all people at affordable cost

Administrative Code of 1987

the DOH shall be primarily responsible for the provision & delivery of health services & regulation of providers of health & good services

Local Government Code of 1991

the devolution of powers, functions, & responsibilities on direct service delivery of the DOH to local government
units

Executive Order 102

redirecting the functions & operations of the DOH through re-engineering as a result of the devolution

• Leader in Health

• Enabler & Capacity Builder

• Administrator of Specific Services

3 major Roles of DOH

DOH Vision

Filipinos are among the healthiest people in Southeast Asia by 2022, Asia by 2040

DOH Mission

DOH shall lead the country in the development of a People-centered, Resilient & Equitable Health System

DOH Core Values

• Commitment

• Professionalism

• Teamwork

• Stewardship of the health of the people

DOH shall embody at all times integrity, excellence, & compassion in carrying out its tasks and responsibilities

Administrative Order 2012-0012

Broad Classification for Hospitals

• General

• Specialty

• A: Primary Care Facility

• B: Custodial Care Facility

• C: Diagnostic/Therapeutic

• D: Specialized Out-Patient

Classification of health facilities

Category A: Primary Care Facility

• first-contact health care facility

• basic & emergency services

Category B: Custodial Care Facility

• long-term care

• for chronic conditions

Category C: Diagnostic/Therapeutic

• for examination of body & specimen/ samples

• laboratories, radiologic facilities

Category D: Specialized Out-Patient

for highly-specialized procedures
ex:

• dialysis clinics

• chemo clinics

Rural Health Unit

‘Health Center’

• primary level health facility

• Preventive

• Promotive

RHU Focus:

1:20,000

RHU to catchment population ratio

Barangay Health Station

first-contact facility
- offers basic services at brgy level
- satellite station of RHU

1:5,000

Rural Health Midwife ratio

R.A. 7883

Barangay Health Workers' Benefit and Incentives Act entitles them to hazard and subsistence allowances and other benefits

1:20 households

BHW Ratio

Governor/Mayor

Local Health Boards

• Chairman

Provincial/City/Municipal Health Officer

Local Health Boards

• Vice-Chairman

Referral

a set of activities undertaken by a health care provider/facility in response to its inability to provide the necessary health intervention for a patient

• Internal

• External

Referral may be:

Internal

occurring w/in the facility from one personnel to another

External

movement from one health facility to another

Inter-Local Health Zone

based on WHO concept of ‘Health District’
- has a defined catchment population w/in a defined geographical area
- has a central/core referral hospital & a # of primary level facilities