CPH DOH MILESTONES

• From Bureau of Health to Philippine Health Service
• Dr. Jose Fabella - 1 st secretary of the Department of Public Health & Welfare
• EO 851 - reorganized the Ministry of Health as an integrated health care delivery system through the creation of Integrated Provincial Health Office, combining the public health & hospital operations under the PHOs.
• Secretary Gatmaitan - 1st minister of health
• Renamed DOH to Ministry of Health during the Martial Law
• Ministry of Health was renamed back to DOH by Pres. Cory Aquino
• 4 Pillars of F1 for health

  1. Financing
  2. Regulation
  3. Service Delivery
  4. Governance
• Roles / Functions of the Department of Health

  1. leadership in health
  2. enabler and capacity builder
  3. administrator of specific services
• leadership in health

  • National policy & regulatory institution
  • Serves as advocate in health policies, plans and programs
  • Leadership in formulation, monitoring, & evaluation of health policies, plans, & programs
• Enabler & Capacity Builder

  Innovate new strategies in health

  Monitoring & evaluation of national health policies, plans, & programs

  Ensure highest achievable standards of quality health care, health promotion & health protection
• Administrator of specific services

  • Innovate new strategies
  • Manage selected national & sub-national health facilities & hospitals with modern facilities that shall serve as referral centers
  • Administer direct services for emerging health concerns
  • Emergency response Service in disaster & epidemics
• Classification of Hospitals (AO 2012-002)

  1. According to Ownership
  2. According to Scope of Services
  3. According to Functional Capacity
• According to Ownership

  ➔ Government

  ➔ Private
• According to Scope of Services

  ➔ General

  ➔ Speciality
• According to Functional Capacity

  ➔ General

  ➔ Speciality

  ➔ Trauma Capability
• According to Ownership

  Public Sector

  ➔ National: DOH ; Local: LGU

  ➔ Tax - based

  ➔ DND - Military Hospitals

  ➔ Provincial Govts - District & provincial hospitals

  ➔ Municipal Govts - Primary, Health & Brgy. Centers
• According to Scope Services

  General

  ➔ Provide services for all kinds of illness, diseases, injuries, or deformities

  ➔ Ex: PGH, PCGH
• According to Scope Services

  Speciality

  ➔ Specializes in a particular disease or condition in one type of patient

  ➔ According to illness: POC, NCMH, SLH

  ➔ According to organ: LCP, PHC, NKTI

  ➔ According to grp: PCMC, NCH, Dr. Jose Fabella Memorial Hospital
• CLINICAL SERVICES FOR IN-PATIENTS

  LEVEL 1:

  • consulting specialists in medicine pediatrics OB-gyne and surgery
  • emergency and out patient services
  • isolation facilities
  • surgical or maternity facilities
  • dental clinic
• CLINICAL SERVICES FOR IN-PATIENTS

  LEVEL 2:

  • all of level 1 +
  • departmentalized clinical sevices
  • respiratory unit
  • general icu
  • high risk pregnancy unit
  • NICU
• CLINICAL SERVICES FOR IN-PATIENTS

  LEVEL 3:

  • all of level 2 +
  • teaching/training services with accredited residency training program in the 4 major clinical services
  • physical medicine and rehabilitation unit
  • ambulatory surgical clinic
  • dialysis clinic
• ANCILLARY SERVICES

  LEVEL 1:
• ANCILLARY SERVICES

  LEVEL 1:

  • secondary clinical laboratory
  • blood station
  • 1st level xray
  • pharmacy
• ANCILLARY SERVICES

  LEVEL 2:

  • tertiary clinical laboratory
  • blood station
  • 2nd level xray with mobile unit
  • pharmacy
• ANCILLARY SERVICES

  LEVEL 3:

  • tertiary laboratory with histopathology
  • bloodbank
  • 3rd level xray
  • pharmacy
• PRIMARY HEALTH CARE - According to WHO, it is a whole of society approach to health that aims at ensuring the highest possible level of health and well - being & their equitable distribution by focusing on people’s need
• ALMA ATA DECLARATION OF 1978 - International conference on primary health care
• ALMA ATA DECLARATION 1978

  ➔ Promote the health of all the people of the

  world - health for all

  ➔ Affirms health as fundamental human

  right
• DECLARATION OF ASTANA

  ➔ Global conference on PHC

  ➔ October 25 to 26, 2018

  ➔ Astana, Kazakhstan

  ➔ Renewed the Alma Ata