PH-BPS 122 PRELIMS

• it is a state of complete physical, mental, and social well-being and not merely absence of disease or infirmity

  Health
• It is the first level of contact of individuals, the family, and community

  Primary Health Care
• Primary Health Care is a concept that officially launched when and where?


  1978 at a WHO/UNICEF conference in Alma-Ata
• "Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care, and necessary social services."

  Article 25 of The Universal Declaration on Human Rights
• other word for low-income populations

  Selective primary health care
• It is an act wherein primary health care has been understood as a set of priority health interventions for low-income populations

  ARTICLE 25 of The Universal Declaration on Human Rights
• Primary healthcare according to Vuori (1986)

  1. as a set of activities

  2. as a level of care

  3. as a strategy for organizing health services

  4. as a philosophy that should permeate the entire health-care system
• universal health care is also known as?

  kalusugan pangkalahatan
• it is the belief that all citizens should have access to affordable high-quality medical and healthcare services

  
  

  a health reform initiated in 2010 through the issuance of Administrative Order No. 2010-0036

  universal health care
• What are the six critical building blocks of UHC

  1. Health financing

  2. Service Delivery

  3. Policy, Standards, and Regulation

  4. Governance for Health

  5. Human Resources for Health

  6. Health information
• to increase resources for health that will be effectively allocated and utilized to improve the financial protection of the poor and vulnerable sectors

  Health Financing
• to transform the health service delivery structure to address variations in health service utilization and health outcomes across socioeconomic variables

  Service Delivery
• to ensure equitable access to health services, essential medicines and technologies of assured quality, availability, and safety

  Policy, Standards, and Regulation
• to establish the mechanism for efficiency, transparency and accountability, and prevent opportunities for fraud

  Governance for Health
• to ensure that all Filipinos have access to professional health-care providers, capable of meeting their health needs at the appropriate level of care

  Human Resources for Health
• to establish a modern information system that will provide evidence for policy and program development, and support for immediate and efficient provision of health care and management of province wide health system

  Health Information
• an act that automatically enrolls all Filipino citizens in the National Health Insurance Program and prescribes complementary reforms in the health system, and appropriating funds therefor

  RA 11223 Universal Health Care Act
• When was RA 11223 signed?

  February 20, 2019
• Who was the president who signed RA 11223?

  President Rodrigo Duterte
• Every Filipino citizen shall be automatically included into the National Health Insurance Program

  Population Coverage of RA 11223 Sec 5
• Every Filipino shall be granted immediate eligibility and access to preventive, promotive, curative, rehabilitative, and palliative care for medical, dental, mental and emergency health services, delivered as population-based or individual-based health services

  Service Coverage of RA 11223 Sec 6
• Refers to the systematic evaluation of properties, effects, or impact of health-related technologies, devices, medicines, vaccines, procedures and all other health-related systems developed to solve a health problem and improve quality of loves and health outcomes

  Health Technology Assessment
• What are the criteria in the conduction of HTA?

  1. Responsiveness to magnitude, severity, equity

  2. Safety and effectiveness

  3. Household financial impact

  4. Cost-effectiveness

  5. Affordability and Viability
• Shall adhere to the principles of ethical soundness, inclusiveness and preferential regard for the underserved, evidence-based and scientific defensibility, transparency and accountability, efficiency, enforceability and availability of remedies, and due process

  HTA RA 11223 SEC 34
• Two kinds of health service packages (RA 11223 SEC 17)

  1. population-based

  individual-based
• Refers to a coordinated group of public, private or mixed primary care providers, as the foundation of the healthcare provider network

  Primary Care Provider
• serve as initial contact and navigator to guide patients' decision making for cost-efficient and appropriate levels of care, and coordinate patients to facilitate two-way referrals and remove barriers to health services

  Functions Of The Primary Care Provider Network (RA 11223 Sec 17)
• Refer to interventions such as health promotion, disease surveillance, and vector control, which have population groups as recipients

  population-based health services
• Refer to services which can be

  accessed within a health care

  facility or remotely through

  the use of digital technologies

  for health, that can be

  definitively traced back to one

  (1) recipient

  individual-based health services
• PhilHealth shall endeavor to contract public, private, or mixed healthcare provider networks through service-level agreements for the

  delivery of individual-based health services

  Individual-based Health Services (RA 11223 Sec 18)
• During the transition, PhilHealth and DOH shall incentivize health

  care providers that form networks (condition of individual-based health services), T or F?


  True
• Within two (2) years from the effectivity of the Act

  (2020), PhilHealth shall implement a comprehensive outpatient benefit, including

  outpatient drug benefit and emergency medical

  services in accordance with the recommendation of

  HTAC

  Comprehensive Outpatient Benefits (RA 11223 Sec 6)
• The DOH and LGUs shall endeavor to provide a health

  care delivery system that shall afford every Filipino a

  primary care provider.

  Provision of Primary Care Providers (RA 11223 Sec 6)
• shall act as the navigator,

  initial and continuing point of contact in health care

  delivery system

  
  

  Refers to a health care worker, with defined competencies, who has received certification in primary care as determined by DOH or any health institution that is licensed and certified by the DOH.

  primary care provider
• Refers to the exercise of duties and responsibilities of multidisciplinary team of health workers which shall be

  eligible to be assigned to a catchment area/population in a primary care

  facility

  primary care practice
• Refers to the institution that primarily delivers

  primary care services which shall be licensed or registered by the DOH

  primary care facility
• Refers to a health care worker, who may be a health professional or community health worker/volunteer, certified by DOH to provide primary care services

  primary care worker
• Every Filipino shall register with a public or private primary care

  provider of choice with due consideration to proximity and ease of travel of those seeking care, absorptive capacity of the provider for quality care, and provider capability to deliver the required services, among others

  Registration of Filipinos to Primary Care Provider Networks

  (RA 11223 Sec 6)
• Population-based health services shall be financed by the national government through the DOH and provided free of charge at point of service for all Filipinos.


  Financing of Health Services (RA 11223 Sec 7, Sec 17 and Sec 18)
• What are the 3 basic principles of public health financing for health

  1. raise enough revenues

  2. manage revenues to pool health risks

  3. ensure that the payment for health service is carried out allocatively and technically efficient