LESSON 6

• Public Health


  The science and art of preventing disease, prolonging life and promoting health and efficiency through organized community effort
• The mission of Public Health is to ensure conditions that promote the health of the community
• Difference of Public Health vs. Clinical Medicine

  • Focuses on prevention rather than cure
  • Utilizes broad measures to protect large populations and communities not just individual patients
  • Does not rely on specific body of knowledge or expertise but on a combination of science and social approaches

  
• Levels of Prevention


  • Primary
  • Secondary
  • Tertiary
• Determinants of Health


  • Social and economic environment
  • Physical environment
  • Individual characteristics and behaviors
• Primary Health Care


  Essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost the community or the country can afford to maintain at every stage of their development in the spirit of self-reliance and self determination

  
• Four Pillars in Primary Health Care

  • Community participation
  • Inter-sectoral coordination
  • Appropriate technology
  • Support mechanism made available

  
• Levels of Health Care Facilities

  • Primary Health Care Facilities
  • Secondary Health Care Facilities
  • Tertiary Health Care Facilities

  
• Levels of Primary Health Care Workers

  • Village of Grassroot Health Workers
  • Intermediate Level Health Workers
  • First Line Hospital Personnel

  
• Universal Health Care


  All Filipinos are automatically included in the National Health Insurance Program (NHIP)
• Dimensions of Universal Health Care Coverage

  • Population coverage
  • Service coverage
  • Financial Coverage

  
• Types and Composition of Health Care Provider Networks

  • Public – Provide-wide or City-wide Health System
  • Private
  • Mix

  
• Contributors to the National Health Insurance Program

  • Direct contributors
  • Indirect contributors
• Components of Local Health System Organization

  • Primary care provider networks (PCPNs)
  • Hospitals that deliver secondary and tertiary general health care services

  
• Primary Care Policy Framework

  • Primary Health Care Approach
  • People Centered Approach
  • Equity and Fairness

  
• Individual-based Health Services


  • Outpatient Benefit Packages and other Special Benefits
  • Primary Care Benefit Package (Konsulta Package)
  • Inpatient Benefit Packages
  • Z Benefit Packages
• Population-based Health Services


  • Health Promotion
  • Epidemiology and Disease Surveillance
  • Disaster Risk Reduction and Management in Health

  
• Health Regulation and Funding is a source of the Universal Health Care Act

  
• Human Resources for Health is a source of the Universal Health Care Act