Universal Health Care Act Quiz

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Questions and Answers

What is the purpose of the Health Technology Assessment (HTA) process?

To provide recommendations to the DOH and PhilHealth for the development of policies, programs, regulation, and the determination of a range of entitlements such as drugs, medicines, pharmaceutical products, and other devices, procedures and services.

Which of the following are key components of the primary care provider network, as mandated by the Universal Health Care Act?

Accurate, sensitive, and timely epidemiologic surveillance systems (correct)

Patient records accessible throughout the health system (correct)

Integrated and coordinated care that is accessible at the time of need, including a range of services for all presenting conditions (correct)

Proactive and effective health promotion programs or campaigns (correct)

PhilHealth is required to provide immediate eligibility for a health benefit package to all members.

True

What is the main role of the Health Promotion Bureau?

To improve health literacy and mainstream health promotion and protection. Signup and view all the answers

What are the three types of funds that PhilHealth will establish?

A fund to secure payouts to lifetime members Signup and view all the answers

What is the primary purpose of the Joint Congressional Oversight Committee?

To conduct a regular review of the implementation of the Universal Health Care Act. Signup and view all the answers

What is the main objective of the HTA process regarding health interventions?

To reduce out-of-pocket expenses for patients Signup and view all the answers

Which act, as amended, is partially repealed by the Universal Health Care Act?

Republic Act No. 7875, otherwise known as the "National Health Insurance Act of 1995." Signup and view all the answers

Which of the following are included in the list of investments that PhilHealth's reserve fund can be placed in?

Debt securities and corporate bonds of prime or solvent corporations created or existing under the laws of the Philippines Signup and view all the answers

The Universal Health Care Act mandates that all government hospitals must operate at least 90 percent of their bed capacity as basic or ward accommodation.

True Signup and view all the answers

What is the purpose of the Health Impact Assessment (HIA) process?

To evaluate the potential impact of policies, programs, and projects on the health sector. Signup and view all the answers

What is the main purpose of the Data Privacy Act of 2012 in the context of the Universal Health Care Act?

To ensure the confidentiality and protection of patient health information. Signup and view all the answers

What is the role of the Health Technology Assessment Council (HTAC)?

To provide recommendations on the financing or coverage of health technologies and to oversee the HTA process. Signup and view all the answers

What are the main sources of funding for the Universal Health Care Act?

Total incremental sin tax collections mandated by law, 50% of the National Government share from PAGCOR's income, 40% of the Charity Fund, premium contributions of members, annual appropriations of the DOH, and National government subsidy to PhilHealth. Signup and view all the answers

How often are the provincial burden of disease estimates published by the DOH?

Annually. Signup and view all the answers

The Universal Health Care Act mandates that the DOH must establish the Health Promotion Bureau within two years of the Act's effectivity.

True Signup and view all the answers

What is the main objective of the Health Promotion Bureau?

To improve health literacy and mainstream health promotion and protection. Signup and view all the answers

What are the key goals of the Universal Health Care Act?

To ensure all Filipinos have immediate eligibility and access to comprehensive, quality, and affordable medical, dental, mental and emergency health services, promote health consciousness, and protect Filipinos from financial hardship related to health services. Signup and view all the answers

Study Notes

Republic Act No. 11223 (Universal Health Care Act)

Short Title: "Universal Health Care Act"
Policy of the State: Protect and promote the right to health of all Filipinos, foster health consciousness, adopt an integrated and comprehensive approach.
General Objectives: Realize universal health care in the country, ensure equitable access to quality and affordable healthcare.
Definition of Abuse of Authority: Acting beyond authorized duties, adverse to public interest, under amended National Health Insurance Act of 1995 (IRR)
Definition of Co-insurance: Percentage of medical charge paid by insured, remaining paid by health insurance plan
Definition of Co-payment: Fixed fee or predetermined rate paid at a point of service
Definition of Direct Contributors: Those with capacity to pay premiums, employed and bound by employer relationships or self-earning professionals and migrants
Definition of Emergency: Condition requiring immediate support and treatment to avert significant loss or injury, pregnant woman
Definition of Essential Health Benefit Package: A set of services from the National Health Insurance Program (NHIP) including primary care, medicine, diagnostics, preventive, curative, rehabilitative services
Definition of Fraudulent Act: Misrepresentation to gain undue advantage, procedure deviation, financial gain
Definition of Health Care Provider: Includes medical facilities, healthcare professionals (doctors, nurses, midwives, dentists), community-based healthcare organizations, pharmacies, drug outlets, diagnostic clinics
Definition of Health Care Provider Network: Integrated, coordinated delivery of healthcare services, primary care provider acting as coordinator
Definition of Health Maintenance Organization (HMO): Entity providing, offering or covering healthcare services under a premium
Definition of Health Technology Assessment: Systemic evaluation of health-related technologies, procedures, medicines for solving health problems, and outcomes. Utilizes a multidisciplinary, cost-benefit, social and ethical approach
Definition of Indirect Contributors: All those not included as direct contributors, including those with special laws
Definition of Individual-based Health Services: Services uniquely targeted to a given recipient (versus population-based interventions) with limited population-wide impact, e.g. medical care, medicine or procedures.
Definition of Population-based Health Services: Health-related interventions impacting the general population, e.g., health promotion, disease surveillance, disease vector control
Definition of Primary Care: Initial, accessible, continuous, comprehensive healthcare encompassing all conditions, referrals
Definition of Primary Care Provider: Competent healthcare worker certified in primary care, managed by DOH or licensed institution
Definition of Private Health Insurance: Insurance coverage, financed by personal payments in the form of premium, to insurer
Definition of Unethical Act: Overbilling, ghost patients or false recruitment, practice contrary to code of ethics, other similar acts impacting NHIP integrity

Chapter II (UHC)

Population Coverage: All Filipino citizens are automatically included in NHIP

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Description

Test your knowledge on the Universal Health Care Act of the Philippines with this quiz. Dive into the policies, objectives, and definitions that shape the right to health for all Filipinos. Explore terms like co-insurance, co-payment, and the role of direct contributors.