LEC HIS - LESSON 3

BOOK BASED: PHILIPPINE HEALTH CARE DELIVERY SYSTEM

Alma-Ata Declaration

A fundamental human right, that is, “the attainment of the highest possible level of health is a most important worldwide social goal whose realization requires the action of many other social and economic sectors in addition to the heath sector.

Health Care System

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

Health Care Delivery

It is the rendering of health care services to the people (Williams-Tunglapan, 1981).

Health Care Delivery System

This is the netowrk of health facilities and personnel which carrie out the task of rendering health care to the people (Williams-Tunglapan, 1981).

Philippine Health Care System

It is a complex set of organization interacting to provide an array of health services in the Philippines (Dizon, 1977).

50

Private sector comprises ___% of the health system.

5

How many functions does the Management of Primary Health Care have?

Planning

Managers are usually required to set a direction and determine what needs to be accomplished. It means setting the 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 designing reporting relationship and intentional patterns of interaction. Determining positions, teamwork positions, teamwork assignments, and distribution authority and responsibility.

Staffing

This function refers to acquiring and retaining human resources.

Controlling

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

Directing

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

Authority

It is a manager’s formal and legitimate right to make decisions, issue order and allocate resources to achieve organizationally desired outcomes.

Responsibility

means an employee’s duty to perform assigned task or activities.

Accountability

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

Line Authority

Managers have the formal power to direct and control immediate subordinates.

Functional Authority

Where managers have formal power over a specific subset of activities.

Staff Authority

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

This refers to the assignment of individuals to responsible positions identified in a management plan.

Key Result Areas

KRA meaning

The Philippine Health Care System

A complex set of organizations interacting to provide an array of health services.

Department of Health

It is responsible for the formulation and development of national health policies, issuance of rules and regulations, promulgation of health standards, development of special program, and advocacy for legislation on health policies and program.

Health as a right: Health for all Filipinos by the year 2000 and Health in the Hands of the People by the year 2020l.

What is the vision of DOH?

Partnership with the people, to ensure equity, quality, and access to health care.

What is the Mission of the DOH?

Primary Level

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

Secondary Level

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

Tertiary Level

There are medical centers and large hospitals that offer highly technological and sophisticated services. These are nationalized hospitals.

Village or Grassroot Health Workers

They are the first contacts of the community and initial links of health care.

Intermediate Level Health Workers

This workers represent the first source of professional health care.

First Line Hospital Personnel

They provide backup health services for cases that require hospitalization.

Village or Grassroot Health Workers

Example: Community health workers, volunteers and or traditional attendants.

Intermediate Level Health Workers

Ex: These workers may include medical practitioners, nurses and midwives.

First Line Hospital

Ex: Physicians with specialty, nurses, dentist, pharmacist and other health professionals.