CBR Prelims (Principles of the Healthcare Delivery System)

• Community Health refers to the health status of a defined group of people and the actions taken in both private and public settings to promote, protect, and preserve their health
• Community Health Activities are aimed at protecting or improving the health of the general population
• Personal Health Activities involve individual actions and decision-making that affect the health of an individual or their immediate family members
• Factors affecting community health include:

  • Physical Factors: geography, environment, community size, and industrial development
  • Social and Cultural Factors: arise from interactions within the community
  • Community Organization: the community's ability to organize its resources influences its problem-solving capacity, including health issues
  • Individual Behavior: the behavior of community members contributes to the overall health of the community
• Community Health Centers (CHC) promote wellness, collaboration, and excellence. They are non-profit facilities providing comprehensive healthcare, accessible to all, and offer patient-centered care
• Different Levels of Clients:

  • Individual: the smallest unit of a community, categorized as sick or well, with personal health needs and seeking medical attention
  • Family: considered a client and system, playing a primary role in promoting health and well-being
  • Population Group: a group of people sharing common sentiments, norms, and beliefs living in the same area
  • Community: a collective body of individuals identified by common characteristics such as geography, interests, experiences, concerns, or values
• The Philippine Health Care Delivery System is characterized as a dual health system composed of the public and private sectors
• Public Sector: financed through a tax-based budgeting system, delivering health services through government facilities run by local and national government
• Private Sector: consists of profit and non-profit healthcare providers, with a market-oriented approach where healthcare is generally paid through user fees at the point of service
• The Philippine Health Care System is a complex set of organizations providing health services to the people, categorized as NGO/LGU
• Principal Legislation in the Health Sectors includes acts like the Rural Health Act, Medical Act, and National Health Insurance Act, among others
• Levels of Health Care Facilities:

  • Primary Health Care: at the barangay and municipal levels, providing basic knowledge and skills for promotion and prevention
  • Secondary Health Care: at the district/provincial level, offering moderate specialization for the symptomatic stage of diseases
  • Tertiary Health Care: at the national level, requiring high technical and specialized knowledge and facilities for clients with serious health threats
• First Secretary of D.O.H (January 1941 - 1945) - Dr. Jose Fabella
• Current Secretary of D.O.H (October 2017 - Present) (1st Term: June 2005 - January 2010) - Dr. Francisco Duque III
• Leading cause of Filipinos:

  • Heart diseases
  • Vascular diseases
  • Malignant neoplasm (cancer)
• Four Primary Function of D.O.H:

  • Health promotion
  • Health protection
  • Preservation/Restoration
  • Regulation/Encourage
• 1979 - Adoption of Primary Health Care (PHC)
• 1991 - RA No. 7160 "Local Government Code"
• 1997 - RA No. 8344 "An Act Prohibiting the Demand of Deposits or

  Advance Payments for the Confinement of Treatment of Patients in Hospitals and Medical Clinics in Certain Cases"
• 2008 - 1988 Generic Act - Amended to Republic Act No. 9502 " Cheaper and Quality Medicines Act”
• Elements of PHC:

  E - Education for Health

  L - Locally Endemic Disease Order

  E - Expanded Programs

  M - Maternal/Child health

  E - Essential drugs

  N - Nutrition

  T - Treatment Of Communicable diseases

  S - Safe water and Sanitation