LESSON 3: PHILIPPINE HEALTHCARE DELIVERY SYSTEM

Alma Ata Declaration Health

is a fundamental human right and that the attainment of the highest possible level of health is a most important world-wide social goal whose realization requires the action of many other social and economic sectors in addition to the health sector.

The Declaration of Alma-Ata

states that primary health care is essential health care based on scientifically sound and socially acceptable methods, universally accessible to individuals and families with their full participation at a cost that the community and country can afford in a spirit of self-reliance and self-determination.

Primary health care (PHC)

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

HEALTH CARE SYSTEM

Refers to an organized plan of health services

HEALTH CARE DELIVERY

It is the rendering of health care services to the people

HEALTH CARE DELIVERY SYSTEM

This refers to the network of health facilities and personnel which carries out the task of rendering health care to the people

PHILIPPINE HEALTH CARE SYSTEM

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

8

how many elements of primary-health care (PHC) are there

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

This refers to the management function on designing the organization or the specific division, unit, or service for which the manager is responsible. Further, it means designating reporting relationships and intentional patterns of interaction. Determining positions, teamwork assignments, and distribution of authority and responsibility.

Staffing

This function refers to acquiring and retaining human resources. It also refers to developing and maintaining the workforce through various strategies and tactics.

Controlling

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

Directing

Its focus in to initiate action in the organization through effective leadership and motivation of, and communication with, subordinates.

Accountability

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.

Authority

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

Line authority

is where managers have the formal power to direct and control immediate subordinates. The superior issues orders and is responsible for the results the subordinate obeys and is responsible only for executing the order according to instructions

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

The location of decision making authority near top organizational levels.

Decentralization

The location of decision making authority near lower organizational levels

Formalization

The written documentation used to direct and control employees

Staffing

Assignment of individuals to responsible positions identified in a management plan

PRIMARY LEVEL OF HEALTH CARE FACILITIES

This includes rural health units, their sub-centers, chest clinics, malaria eradication units, and schistosomiasis control units operated by the DOH

SECONDARY LEVEL OF HEALTH CARE FACILITIES

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

TERTIARY LEVEL OF HEALTH CARE FACILITIES

These are the highly technological and sophisticated services offered by medical centers and large hospitals. These are the specialized national hospitals.

3

how many levels are there of primary health care workers