Universal Health Care in the Philippines

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Questions and Answers

What types of health services are included under PhilHealth coverage?

Emergency and preventive services only

Dental and mental health services only

Preventive, curative, and rehabilitative services (correct)

Only emergency care services

What role does the primary care provider have regarding patient referrals?

They have no role in referrals

They refer and coordinate with other health centers for further treatment (correct)

They handle all patient payments directly

They can only refer to specialists within the same hospital

Who will Filipinos be enrolled with for primary health care?

A public hospital only

A primary health care provider of their choice (correct)

A health insurance agency

A private clinic only

Which group is prioritized for access to health services under PhilHealth?

Poor Filipinos and those in geographically isolated areas Signup and view all the answers

What percentage of hospital services will be covered by PhilHealth in government hospitals?

90% Signup and view all the answers

What does UHC stand for in the context of PhilHealth?

Universal Health Care Signup and view all the answers

What is inaccurate about the PhilHealth coverage policy?

All health expenses are completely free. Signup and view all the answers

Which organization provides a significant portion of funding for PhilHealth?

Philippine Charity Sweepstakes Office (PCSO) Signup and view all the answers

What type of health care facility typically serves as the first point of contact for community members?

Rural Health Units Signup and view all the answers

What is a primary objective of Community Health Nursing?

To participate in the development of an overall health plan for the community Signup and view all the answers

Who typically provides secondary levels of care?

Physicians with basic health training Signup and view all the answers

Which of the following is a function of Community Health Nursing?

Providing health education and counseling Signup and view all the answers

What is essential for assessing the accomplishments of Community Health Nursing goals?

Periodic and continuing evaluation Signup and view all the answers

Which of the following resources should Community Health Nurses aim to utilize?

Existing community resources Signup and view all the answers

What is an example of a location where Community Health Nursing services might be provided?

Homeless shelters Signup and view all the answers

What aspect of healthcare do Community Health Nurses focus on?

Health promotion and rehabilitation Signup and view all the answers

What is the recommended ratio of Public Health Nurses to the catchment population?

1 PHN: 20,000 population Signup and view all the answers

Which of the following is NOT a function of the Rural Health Midwife?

Provides surgical interventions Signup and view all the answers

What is the primary focus of the training for members of the healthcare team mentioned?

Maternal and child care Signup and view all the answers

Which act entitles Barangay Health Workers to hazard allowances and other benefits?

RA 7883 Barangay Health Workers' Benefit and Incentive Act Signup and view all the answers

What is the recommended ratio for Barangay Health Workers to the catchment population?

1 BHW: 20 households Signup and view all the answers

What is one of the objectives of the Local Government Code (RA 7160)?

To promote genuine local autonomy Signup and view all the answers

What is one of the skills Rural Health Midwives are equipped with?

Prevention and management of common illnesses Signup and view all the answers

Which statement correctly reflects the role of Rural Health Midwives in the community?

They organize the community and provide health services. Signup and view all the answers

What is one of the main roles of a program manager in the nursing service of the local health agency?

Creating a supportive environment through policy advocacy. Signup and view all the answers

What is a key responsibility of the Public Health Nurse (PHN) in supervisory functions?

Formulating and implementing a supervisory plan. Signup and view all the answers

During the training function, what is one of the tasks the PHN is responsible for?

Designing and conducting training programs for health workers. Signup and view all the answers

In terms of waiting time management, what strategy does the PHN implement?

Providing priority numbers to clients. Signup and view all the answers

What is one of the purposes of disease surveillance conducted by the PHN?

To measure the effect of the control program. Signup and view all the answers

When conducting clinical evaluations, what is an essential task performed by the PHN?

Validating clinical history and physical examination. Signup and view all the answers

What does the PHN do when triaging patients?

Refer all non-program based cases to the physician. Signup and view all the answers

What is part of the PHN's role in evaluating the training of nursing and midwifery affiliates?

Evaluating the outcomes of training programs conducted. Signup and view all the answers

What significant health planning committee was created in 1999?

National Health Planning Committee Signup and view all the answers

Which act was aimed at strengthening health and dental services in rural areas in 1957?

Rep Act 1891 Signup and view all the answers

What major health agenda was launched by the Department of Health in 2004?

Health Sector Reform Agenda Signup and view all the answers

In which year did the Bureau of Public Welfare change its name to the Department of Health?

1947 Signup and view all the answers

Which of the following is NOT a role of a community health nurse?

Policy Maker Signup and view all the answers

What does the term 'function' refer to in the context of a community health nurse?

Activities and tasks expected of a nurse Signup and view all the answers

Which health initiative was launched in 2005 to enhance health care delivery efficiency?

Fourmula One for Health Signup and view all the answers

What does the role of 'health monitor' entail within community health nursing?

Detecting deviations from health Signup and view all the answers

Study Notes

Universal Health Care (UHC)

Includes a wide range of services: Medical, dental, mental, emergency, preventive, curative, and rehabilitative services.
Accessible to Filipinos: Enrolled in PhilHealth and provided with a primary care provider.
PhilHealth is the "National Purchaser": Pays for healthcare providers like hospitals and clinics.
Funding for PhilHealth:
- Philippine Amusement and Gaming Corporation (PAGCOR): 50% of the national government’s share.
- Philippine Charity Sweepstakes Office (PCSO): 40% of its charity fund.
Co-payments regulated by DOH: In Public Hospitals.
No PhilHealth ID Required: to avail of benefits

Philippine Health Services Delivery System

Primary Level of Care: Devolved to cities and municipalities.
- Examples: Community Health Centers, Rural Health Units, and Barangay Health Stations.
Secondary Level of Care: Given by physicians with basic health training.
- Examples: Private and Government Operated Health Facilities

Community Health Nursing (CHN)

CHN Objectives:
- Participate in community health planning.
- Provide quality nursing services to individuals, families, and communities.
- Coordinate nursing services with other health professionals.
- Conduct research relevant to community health.

Barangay Health Stations (BHS) and Rural Health Units (RHU)

Roles of the Rural Health Midwife (RHM):*
Manage the BHS and supervise and train Barangay Health Workers (BHW).
Provide midwifery services.
Conduct patient assessment and diagnosis.
Perform health education and communication activities.
Organize the community.
Facilitate barangay health planning.
Roles of the Barangay Health Worker (BHW):*
Trained in preventive healthcare.
Emphasis on maternal and child care, family planning, reproductive health, nutrition, and sanitation.
Equipped with basic skills for the prevention and management of common illness.
Assist in providing basic services at the BHS and RHU.
Roles of the Public Health Nurse (PHN)*
Supervisor: Supervises midwives and auxiliary health workers.
Trainer: Initiates staff development and training programs for midwives and other auxiliary workers.
Researcher: Conducts research and utilizes research findings.
Disease Surveillance: Monitors the progress of disease prevention and control programs.
Program Manager: Manages nursing services at the local health agency.
Advocate: Creates a supportive environment for healthy living through policies and physical environment changes.

Key Legislation

RA 7160: Local Government Code
- Enacted to bring about genuine and meaningful local autonomy.
- Enables local government units (LGU) to become self-reliant communities.
- Mandates the devolution of services, including health services.
RA 7305: Magna Carta of Public Health Workers
- Provides the foundation for the public health workforce.
- Outlines the rights, benefits, and responsibilities of public health workers.
RA 7883: Barangay Health Workers’ Benefit and Incentive Act
- Entitles BHWs to hazard and subsistence allowances, and other benefits.

Historical Timeline of the Philippine Health System

Era of the American Occupation (1901 – 1946):
- 1928: First convention of nurses was held
- 1930: Section of PHN was converted to Section of Nursing
- 1933: Reorganization act 4007: The Division of Maternal & Child Health was transferred to the Bureau of Health.
Era of the Republic of the Philippines (1946-present):
- 1947: Bureau of Public Welfare was renamed DOH
- June 1957: Rep Act 1891: An act strengthening health and dental services in rural areas.
- 1975: Formulation of the National Health Plan and restructuring of the healthcare delivery system.
- 1999: Creation of the National Health Planning Committee (NHPC) & Establishment of Inter-Local Health Zone.
- 2004: Launch of the Health Sector Reform Agenda of the Philippines.
- 2005: Department of Health launched the "Fourmula One for Health" initiative.

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Description

This quiz covers the essentials of Universal Health Care (UHC) in the Philippines, including the services provided, the role of PhilHealth, and the levels of health service delivery. Test your understanding of how healthcare is funded and accessed by Filipinos to ensure comprehensive healthcare delivery.