CPH LECTURE

• COMMUNITY HEALTH


  focuses on the well-being of specific populations in defined area, collaborating with stakeholders
• PUBLIC HEALTH


  extends beyond communities, encompassing policy development, research and interventions to improve health outcomes at regional, national, or global level
• Pre - Spanish and Spanish Period (1565-1898)
• TRADITIONAL HEALTH CARE PRACTICES 


  use of herbs and rituals for healing
• 1565


  first hospital built in CEBU; caters the needs of Spanish army and navy
• 1578


  first medical institutions were established, San Juan de Dios and San Lazaro Hospital
• JUNE 12 1898


  Emilio Aguinaldo established the Bureau of Health
• JULY 1 1901


  Americans occupied the country, established the Board of Health for the Philippine Islands
• MAY 31 , 1939

  DOH and Public welfare was organized by Manuel L. Quezon
• OCTOBER 4, 1947


  DOH was established through the E.O. No. 94
• RURAL HEALTH ACT OF 1954


  national network of public health institutions at the community level was organized
• 1960's 


  more public and private health facilities were built and medical education continued to flourish
• 1978


  the government shifted to parliamentary government
• 1970's 


  a national policy for the primary health care approach was implemented
• THE SPECTRUM OF HEALTH CARE DELIVERY

  • population-based public health practice
  • medical practice
  • long-term practice
  • end-of-life practice
• POPULATION-BASED PUBLIC HEALTH PRACTICE 


  incorporates aimed disease prevention and health promotion, specific protection, good share of case findings

  EXAMPLES OF DELIVERY SETTING:

  public, community, and school health programs; public health clinics
• MEDICAL PRACTICE 


  supervision of physician or other traditional health care provider

  • Primary, Secondary, Tertiary care
• PRIMARY CARE

  "front line" or "first contact care"

  • emphasizes early detection and routine care
  • semi-annual dental check-ups, annual physician exams and health screenings
• SECONDARY MEDICAL CARE 


  specialized attention and ongoing management for common and less frequent encountered medical conditions

  usually provided by physicians, ideally upon referral from a primary care source
• ACUTE CARE 


  intense medical care for an illness or injury

  examples:

  emergency rooms, inpatient surgical centers, hospitals
• SUBACUTE CARE 


  patients who no longer need acute care but require more nursing intervention

  
  

  EXAMPLES OF DELIVERY SETTINGS:

  special subacute units in hospital

  urgent/emergent care centers

  home health

  outpatient surgical centers
• TERTIARY MEDICAL CARE 


  more highly specialized ; complex conditions such as AIDS, cancer, and heart disease
• LONG TERM CARE PRACTICE

  can be divided into two subcategories

  • restorative care
  • long-term care
• RESTORATIVE CARE 


  provided to patients AFTER surgery or successful treatment

  • rehabilitative care, therapy, and home care
• LONG TERM CARE


  includes different kinds of help

  • people with chronic illnesses, disabilities or other conditions
• END-OF-LIFE PRACTICE 


  shortly before death
• HOSPICE CARE 


  care for dying persons

  • terminally ill with a life expectancy of less than 6 months
• A.O. 2012-0021


  Rules and Regulations Governing the New Classification of Hospitals and other Health Facilities in the Philippines
• According to OWNERSHIP

  • Government
  • Private
• GOVERNMENT


  created by law
• PRIVATE

  owned, established, and operated with funds
• ACCORDING TO SCOPE OF SERVICE

  • General
  • Specialty
• GENERAL


  provides services for all kinds of illnesses, diseases, injuries, or deformities
• GENERAL service capabilities

  Clinical services

  Emergency services

  Outpatient services

  Ancillary and support services
• SPECIALTY


  particular disease or condition in one type of patient
• Level 1


  Basic medical services
• Level 2 


  Expanded medical services ; more specialized
• Level 3 


  Comprehensive medical services; advanced diagnostics
• SPECIALTY HOSPITAL


  provide comprehensive care, specialized diagnostics, treatment, rehabilitation services
• TRAUMA CAPABLE FACILITY

  A DOH licensed designated as trauma center