Podcast
Questions and Answers
What is the main purpose of leadership and governance in health systems?
What is the main purpose of leadership and governance in health systems?
What is the minimum percentage of bed capacity that government hospitals must allocate to basic ward accommodations?
What is the minimum percentage of bed capacity that government hospitals must allocate to basic ward accommodations?
What do Service Delivery Networks (SDNs) aim to achieve?
What do Service Delivery Networks (SDNs) aim to achieve?
Which stage is NOT a part of the Health Planning Process?
Which stage is NOT a part of the Health Planning Process?
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Which factor is NOT mentioned as a consideration for prioritizing GIDAs?
Which factor is NOT mentioned as a consideration for prioritizing GIDAs?
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How does economic context influence health outcomes?
How does economic context influence health outcomes?
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How much bed capacity must specialty hospitals reserve for wards?
How much bed capacity must specialty hospitals reserve for wards?
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What is a primary goal of the Department of Health regarding GIDAs?
What is a primary goal of the Department of Health regarding GIDAs?
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What is the primary objective of Health Human Resource Planning?
What is the primary objective of Health Human Resource Planning?
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What percentage of bed capacity must private hospitals allocate for basic wards?
What percentage of bed capacity must private hospitals allocate for basic wards?
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What was a key feature of the Philippine Hospital Development Plan implemented in 1995?
What was a key feature of the Philippine Hospital Development Plan implemented in 1995?
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What is a potential consequence of inadequate funding in healthcare systems?
What is a potential consequence of inadequate funding in healthcare systems?
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Which program might specifically target healthcare provision in underserved areas?
Which program might specifically target healthcare provision in underserved areas?
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Which factor is NOT typically included in considerations of the economic context of health?
Which factor is NOT typically included in considerations of the economic context of health?
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Which of the following characteristics pertains to GIDAs as per the guidelines?
Which of the following characteristics pertains to GIDAs as per the guidelines?
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In addition to bed capacity requirements, which entities are responsible for supporting GIDAs?
In addition to bed capacity requirements, which entities are responsible for supporting GIDAs?
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What is the primary purpose of the PhilHealth Rating System?
What is the primary purpose of the PhilHealth Rating System?
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How long is the validity period for licenses granted to health facilities by the DOH?
How long is the validity period for licenses granted to health facilities by the DOH?
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What mechanism is established to prevent the overpricing of drugs and medical supplies?
What mechanism is established to prevent the overpricing of drugs and medical supplies?
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What role does the independent board play in the centralized price negotiation process?
What role does the independent board play in the centralized price negotiation process?
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What is a requirement for health providers regarding the pricing of their services?
What is a requirement for health providers regarding the pricing of their services?
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What strategy is employed to promote the use of generic drugs?
What strategy is employed to promote the use of generic drugs?
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What priority does the DOH have when licensing services?
What priority does the DOH have when licensing services?
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What is one aspect measured by the PhilHealth Rating System?
What is one aspect measured by the PhilHealth Rating System?
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What is the primary goal of universal healthcare in the Philippines?
What is the primary goal of universal healthcare in the Philippines?
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Which of the following is NOT one of the Three Strategic Thrusts of the Aquino Health Agenda?
Which of the following is NOT one of the Three Strategic Thrusts of the Aquino Health Agenda?
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Which critical building block focuses on addressing variations in health service utilization across socioeconomic variables?
Which critical building block focuses on addressing variations in health service utilization across socioeconomic variables?
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What does the Health Financing building block aim to improve?
What does the Health Financing building block aim to improve?
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Which aspect of universal healthcare is directly related to the NHIP?
Which aspect of universal healthcare is directly related to the NHIP?
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What is a key goal related to NCDs as outlined in the healthcare policy?
What is a key goal related to NCDs as outlined in the healthcare policy?
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Which of the following best describes the goal of establishing a modern health information system?
Which of the following best describes the goal of establishing a modern health information system?
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What is a fundamental component of the 'Medicine and Technology' building block?
What is a fundamental component of the 'Medicine and Technology' building block?
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Study Notes
Universal Healthcare
- The goal is to provide equitable access to quality healthcare for all Filipinos.
- The "Aquino Health Agenda" (2010) outlines three strategic thrusts:
- Financial Risk Protection: Expanding NHIP enrollment and benefits.
- Improved Access to Quality Health Services.
- Health-Related Goals: Addressing NCDs and risk factors.
- Six Critical Building Blocks for achieving universal healthcare:
- Service Delivery: Addressing variations in health service utilization and outcomes across socioeconomic groups.
- Health Workforce: Ensuring access to healthcare providers who can meet health needs effectively.
- Health Financing: Increasing resources for health, allocating them effectively, and improving financial protection for vulnerable populations.
- Health Information: Establishing a modern information system to support policy and program development.
- Medicine and Technology: Ensuring equitable access to quality, available, and safe medicines and technologies.
- Leadership and Governance: Establishing mechanisms for efficiency, transparency, and accountability to prevent fraud.
Service Delivery Networks (SDNs)
- The DOH introduced SDNs (2014) through Administrative Order No. 2014–0046.
- SDNs connect public and private healthcare providers to deliver integrated health services.
- This enhances the capacity to meet population health needs.
Health Planning Process
- This involves creating national health policies that extend down to Local Government Units, emphasizing a structured approach for policy formulation.
- The process is interactive and cyclical:
- Situational Analysis
- Goal Setting
- Programming & Budgeting
- Implementation
- Monitoring & Evaluation
Health Human Resource Planning
- This involves developing strategic plans for the healthcare workforce.
- It ensures that the necessary human resources are available to meet healthcare demands.
Health Facility Planning
- This involves planning for the development and improvement of health facilities.
- The Philippine Hospital Development Plan (1995) was implemented to enhance hospital services and revised in 2000 to align with health sector reform.
Economic Context of Health
- Economic factors greatly influence health outcomes, healthcare systems, and access to medical care.
- These factors include income level, employment, housing, and general socioeconomic environment, which influences the ability of individuals to pay for necessities like nutrition and healthcare.
- Healthcare systems respond to economic conditions through funding structures, insurance systems, and resource availability.
- Economic policies related to healthcare coverage and pharmaceutical prices affect affordability of treatments.
Regulation of Health Policies
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Safety and Quality (Section 27)
- PhilHealth Rating System: Establishes incentives for health facilities based on quality, efficiency, and equity. Measures encompass care quality, patient satisfaction, compliance with standards, and proper use of resources.
- Licensing and Regulation of Health Facilities: DOH licenses and regulates health facilities. Licenses are valid for three years, and enforcement mechanisms are extended to the regional level.
- Clinical Practice Guidelines (CPGs): DOH develops and monitors CPGs with expert input to ensure evidence-based care.
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Affordability and Pricing (Section 28)
- Price Reference Indices: DOH maintains updated reference prices for drugs, medical devices, and supplies to prevent overpricing. Compliance with these indices is monitored and enforced by DOH and PhilHealth.
- Centralized Price Negotiation: An independent board negotiates prices for high-cost or single-source products to ensure affordability.
- Mark-up Regulations: DOH-owned facilities adhere to set mark-ups on drugs and supplies to prevent excessive charges.
- Public Price Transparency: Health providers must disclose prices of services and goods and submit data to DOH and PhilHealth.
- Promotion of Generic Drugs: Drug outlets must offer fairly priced generic alternatives.
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Equity and Accessibility (Section 29)
- Preferential Licensing for Underserved Areas: DOH prioritizes licensing and contracting services in underserved or geographically isolated areas (GIDAs). Incentives are offered to facilities in GIDAs to maintain service sustainability.
- Hospital Bed Capacity Requirements: Government hospitals must allocate at least 90% of their bed capacity to basic wards, while specialty hospitals must reserve at least 70% and private hospitals at least 10%.
- Support for GIDAs: LGUs, PhilHealth, and DOH provide additional resources, infrastructure, and health workers in underserved areas to promote equitable service distribution.
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Geographically Isolated and Disadvantaged Areas (GIDAs)
- GIDAs are characterized by geographic factors (difficult terrain) and socioeconomic factors (high poverty, crisis susceptibility, inadequate infrastructure).
- Prioritization for GIDAs is based on factors like difficult terrain, high poverty rates, crisis susceptibility, inadequate infrastructure, and the availability of health professionals.
- Local community engagement, including feedback from regional leaders and organizations, contributes to identifying areas of need.
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Description
This quiz explores the essential components of universal healthcare in the Philippines, focusing on the Aquino Health Agenda and its strategic thrusts. It covers topics like financial risk protection, access to quality health services, and the critical building blocks needed to achieve this goal. Test your knowledge on how these elements contribute to equitable healthcare for all Filipinos.
