Health Care System Overview
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Questions and Answers

What is the overarching goal of a health system?

  • Increasing healthcare funding
  • Providing rapid response in emergencies
  • Enhancing technology in health services
  • Improving the health of populations (correct)
  • A health system can be defined as just the collection of healthcare facilities within a region.

    False

    According to WHO, what should the health system aim to provide fairly?

    Health financing

    A health service is any service aimed at improving the health of populations and includes both clinical services and __________ measures.

    <p>preventive</p> Signup and view all the answers

    Match each goal of the health system with its description:

    <p>Improving health = Protecting populations from health risks Responsiveness = Engaging people as active partners Fair health financing = Ensuring equitable payment for health services</p> Signup and view all the answers

    What does responsiveness in a health system entail?

    <p>Engaging people as active partners and delivering timely services</p> Signup and view all the answers

    An adequately funded health system may deter individuals from receiving needed care due to payments required at the time of service.

    <p>False</p> Signup and view all the answers

    What should be measured across different socioeconomic groups in a health system?

    <p>Health status</p> Signup and view all the answers

    Which of the following is NOT considered a health service input?

    <p>Government policy</p> Signup and view all the answers

    Stewardship involves generating appropriate data for effective decision-making.

    <p>True</p> Signup and view all the answers

    What are the key activities involved in the stewardship function?

    <p>Identifying health priorities, institutional framework, coordinating activities, analyzing trends, and generating data.</p> Signup and view all the answers

    The collection of money to pay for healthcare services is referred to as __________.

    <p>revenue collection</p> Signup and view all the answers

    Which mechanism is typically associated with public health systems for financing?

    <p>General taxation</p> Signup and view all the answers

    Mandatory payroll contributions are a form of personal savings used for health financing.

    <p>False</p> Signup and view all the answers

    Match the health financing mechanisms with their descriptions:

    <p>General taxation = Collects revenue primarily from citizens' taxes Direct household out-of-pocket expenditures = Payments made by individuals for their healthcare Mandatory payroll contributions = Obligatory payments made by workers and employers Donor financing = Financial support provided by external sources or organizations</p> Signup and view all the answers

    Name one responsibility of the government in the stewardship function.

    <p>Setting the direction and policy framework for the health system.</p> Signup and view all the answers

    What was the main purpose of the 'Access to Cheaper and Quality Medicines Act' (RA 9502)?

    <p>To provide access to affordable quality drugs and medicines</p> Signup and view all the answers

    The Universal Health Care Law was enacted in 2013.

    <p>False</p> Signup and view all the answers

    What does DOH stand for in the context of health governance?

    <p>Department of Health</p> Signup and view all the answers

    The __________ Law guarantees equitable access to quality and affordable health care services for all Filipinos.

    <p>Universal Health Care</p> Signup and view all the answers

    Match the health initiatives with their years of implementation:

    <p>FOURmula One for Health = 2005 Access to Cheaper and Quality Medicines Act = 2008 Kalusugang Pangkalahatan = 2010 Sin Taxes for Health = 2013 Universal Health Care Law = 2019</p> Signup and view all the answers

    What is the main purpose of risk pooling in health financing?

    <p>To spread financial risks from individuals to the collective pool</p> Signup and view all the answers

    The Bismarck model fully relies on government funding for healthcare services.

    <p>False</p> Signup and view all the answers

    Who is the social reformer associated with the Beveridge model?

    <p>William Beveridge</p> Signup and view all the answers

    In the Beveridge model, healthcare is financed through _______ payments.

    <p>tax</p> Signup and view all the answers

    Match the health financing model with the countries where they are primarily observed:

    <p>Bismarck model = Germany, France, Belgium Beveridge model = Great Britain, Spain, New Zealand</p> Signup and view all the answers

    Which of the following is a characteristic of the Beveridge model?

    <p>The government is the sole payer for healthcare services</p> Signup and view all the answers

    Strategic purchasing refers to how risk-pooling organizations use collected financial resources to finance or buy _______ services.

    <p>healthcare</p> Signup and view all the answers

    The Bismarck model is primarily used in Scandinavian countries.

    <p>False</p> Signup and view all the answers

    What is the primary goal of a health workforce according to the WHO Health System Framework?

    <p>To achieve the best health outcomes possible</p> Signup and view all the answers

    The Generics Act allows prescriptions to be written using brand names to ensure lower drug costs.

    <p>False</p> Signup and view all the answers

    What major change did the Local Government Code (RA 7160) implement in the health system?

    <p>It transferred health service provision responsibilities to local government units.</p> Signup and view all the answers

    The _____ Act was aimed at providing financial protection to all citizens, with priority given to the poor.

    <p>National Health Insurance</p> Signup and view all the answers

    Which of the following is NOT a component of the WHO Health System Framework?

    <p>Community Engagement</p> Signup and view all the answers

    Match the following years with the corresponding events in the Philippine health system:

    <p>1970 = Primary Health Care for All 1986 = Milk Code 1991 = Local Government Code 1996 = Health Sector Reform Agenda</p> Signup and view all the answers

    The Health Sector Reform Agenda in 1996 aimed to maintain the existing organizational structure of the DOH.

    <p>False</p> Signup and view all the answers

    What was the primary focus of the Milk Code implemented in 1986?

    <p>To promote breastfeeding and improve nutrition.</p> Signup and view all the answers

    Study Notes

    Definition of Health Care System

    • A health care system comprises resources, organization, financing, and management for delivering health services to populations (Roemer, 1991).
    • Involves all organizations, institutions, resources, and individuals aiming to improve health (WHO, 2000).

    Goals and Functions of Health System

    • Health Improvement: Aim to enhance the overall health of populations across socioeconomic groups, protecting them from health risks.
    • Responsiveness: Ensures satisfactory health services while engaging people as partners, emphasizing dignity, quality, and autonomy.
    • Fair Health Financing: Provides social and financial risk protection; ensures equitable payment about income for necessary services.

    Vital Health System Functions

    • Health Service Provision: Involves public and private services aimed at improving health, including preventive and health promotion initiatives.
    • Health Service Inputs: Management of essential resources—medications, human resources, medical equipment—is crucial for service delivery.
    • Stewardship: Government's role in overseeing the health system, setting directions, identifying priorities, and coordinating health-related activities.
    • Health Financing: Involves revenue collection, pooling of resources, and strategic purchasing for health services.

    Health Financing Mechanisms

    • Revenue Collection: Funds are sourced through taxation, out-of-pocket expenditures, payroll contributions, and donor financing.
    • Risk Pooling: Spreads individual financial risk among all members through collective management, essential for effective health insurance framework.
    • Bismarck Model: Health insurance financed through joint employer-employee payroll deductions, prominent in several European countries.
    • Beveridge Model: Funded by government taxation; health care services are universally accessible, exemplified by the UK's NHS.

    WHO Health System Framework

    • Service Delivery: Health interventions are efficiently and effectively provided with minimized waste.
    • Health Workforce: Ensures the workforce operates fairly and efficiently to optimize health outcomes.
    • Information: Timely and reliable health data production and dissemination are vital.
    • Medical Products: Focus on equitable access to quality medical products and technologies.
    • Financing: Involves raising adequate funds to ensure service accessibility while protecting individuals from financial hardships.
    • Leadership and Governance: Strategic policy frameworks and effective governance are crucial for system accountability.

    Overview of the Philippine Health System

    • 1970-2019: Significant health policy developments, including:
      • Establishment of a centralized health system; adoption of Primary Health Care Strategy.
      • Introduction of various acts promoting health accessibility and affordability, like the Generics Act and Universal Health Care Law.
    • Ongoing improvements through reforms and reinforcements aiming for universal health coverage and better service delivery.

    Leadership & Governance in Philippine Health System

    • The Department of Health (DOH) sets national health policy direction and standards while supporting local government units (LGUs).
    • LGUs operate with autonomy, coordinating national health programs under the guidance of the DOH.
    • Essential functions of the DOH include developing health policies, enhancing partner capacity, enforcing regulations, and providing specialized care.

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    Description

    This quiz explores the definition and components of health care systems. Drawing upon key definitions from theorists like Bertalanffy and Roemer, it highlights the interconnections and purposes within health systems. Assess your understanding of the various elements that lead to the effective delivery of health services.

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