HIS - The Philippine Health Care Delivery System

is a fundamental human right, that is, the attainment of the highest possible level of health is a most important world-wide social goal

Alma Ata Declaration

They have a responsibility for the health of their people

Governments

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

Health Care System

It is an approach to health beyond the traditional health care system that focuses on health equity-producing social policy

Primary Health Care (PHC)

This refers to the network of health facilities and personnel which carries out the task of rendering health care to the people (William-Tungpalan, 1981)

Health Care Delivery System

It is the rendering of health care services to the people (William-Tungpalan, 1981)

Health Care Delivery

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

Philippine Health Care Delivery System

It is the ultimate goal of primary health care

Better health for all

WHO has identified **(blank)** key elements to achieving better health for all

5

They usually carry out the following functions in the process of management

Health Care Managers

Managers are usually required to set a direction and determine what needs to be accomplished. It means setting priorities and determining performance targets.

Planning

Determining positions, teamwork assignments, and distribution of authority and responsibility.

Organizing

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

Directing

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

Staffing

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

Controlling

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

Accuntability

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

Authority

Means an employee's duty to perform assigned task or activities

Responsibility

Granted to staff specialists in their areas of expertise. It is not a real authority.

Staff authority

It is where managers have formal power over a specific subset of activities

Functional authority

It is a type of authority where managers have the formal power to direct and control immediate subordinates

Line authority

The location of decision making authority near lower organizational levels.

Decentralization

The written documentation used to direct and control employees

Formalization

The location of decision making authority near top organizational levels

Centralization

Assignment of individuals to responsible positions identified in a management plan

Staffing

The **(blank)** shall be responsible for the formulation and development of national health policies, guidelines, standards and manual of operations for health services and programs

The Department of Health

Vision of the DOH

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

Mission of the DOH

to ensure equity, quality and access to health care

It is a level of health care facilities that includes clinics operated by the Philippine Medical Association; community hospitals and health centers operated by the Philippine Medicare Care Commission (ex. rural health units, chest clinics)

Primary 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.

Tertiary Level of Health Care Facilities

They establish close contact with intermediate level health workers or village health workers (includes physicians w/ specialty, nurses, etc)

First Line Hospital Personnel

They are the first contacts of the community. They use simple curative and preventive health care measures. Includes volunteers, community health workers, etc.

Village or Grassroot Health Workers

They represent the first source of professional health care. They attend to problems beyond the competence of village workers. Includes midwives, nurses, and medical practitioners

Intermediate Level Health Workers

Smaller, non-departmentalized hospitals, including emergency and regional hospitals in which services to patients include moderately specialized knowledge and technical resources for adequate treatment

Secondary Level of Health Care Facilities