The Philippine Health Care Delivery System

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THE PHILIPPINE HEALTH CARE DELIVERY SYSTEM

HEALTH CARE SYSTEM
* an organized plan of health services (Miller-Keane, 1987)

HEALTH CARE DELIVERY
* rendering health care services to the people (Williams-Tungpalan, 1981).

HEALTH CARE DELIVERY SYSTEM (Williams-Tungpalan, 1981)
* the network of health facilities and personnel which carries out the task of rendering health care to the people.

PHILIPPINE HEALTH CARE SYSTEM
* is a complex set of organizations interacting to provide an array of health services (Dizon, 1977).

COMPONENTS OF THE HEALTH DELIVERY SYSTEM
The Department of Health Mandate:
The Department of Health shall be responsible for the following: formulation and development of national health policies, guidelines, standards and manual of operations for health services and programs; issuance of rules and regulations, licenses and accreditations; promulgation of national health standards, goals, priorities and indicators; development of special health programs and projects and advocacy for legislation on health policies and programs. The primary function of the Department of Health is the promotion, protection, preservation or restoration of the health of the people through the provision and delivery of health services and through the regulation and encouragement of providers of health goods and services (E.O. No. 119, Sec. 3).

Vision:
Health as a right. Health for All Filipinos by the year 2000 and Health in the Hands of the People by the year 2020.

Mission:
The mission of the DOH, in partnership with the people to ensure equity, quality and access to health care: * by making services available
* by arousing community awareness
* by mobilizing resources
* by promoting the means to better health

LEVELS OF HEALTH CARE FACILITIES

1. PRIMARY LEVEL OF HEALTH CARE FACILITIES
* are the rural health units, their sub-centers, chest clinics, malaria eradication units, and schistosomiasis control units operated by the DOH; puericulture centers operated by League of Puericulture Centers; tuberculosis clinics and hospitals of the Philippine Tuberculosis Society; private clinics, clinics operated by the Philippine Medical Association; clinics operated by large industrial firms for their employees; community hospitals and health centers operated by the Philippine Medicare Care Commission and other health facilities operated by voluntary religious and civic groups (Williams-Tungpalan, 1981).

2. SECONDARY LEVEL OF HEALTH CARE FACILITIES
* are the smaller, non-departmentalized hospitals including emergency and regional hospitals. * Services offered to patients with symptomatic stages of disease, which require moderately specialized knowledge and technical resources for adequate treatment.

3. TERTIARY LEVEL OF HEALTH CARE FACILITIES
* are the highly technological and sophisticated services offered by medical centers and large hospitals. These are the specialized national hospitals. * Services rendered at this level are for clients afflicted with diseases which seriously threaten their health and which require highly technical and specialized knowledge, facilities and personnel to treat effectively (Williams-Tungpalan, 1981)

FACTORS ON THE VARIOUS CATEGORIES OF HEALTH WORKERS AMONG COUNTRIES AND COMMUNITIES 1. available health manpower resources
2. local health needs and problems
3. political and financial feasibility

THREE LEVELS OF PRIMARY HEALTH CARE WORKERS
A. VILLAGE OR GRASSROOT HEALTH WORKERS
* first contacts of the community and initial links of health care. * Provide simple curative and preventive health care measures promoting healthy environment. * Participate in activities geared towards the improvement of the socio-economic level of the community like food production program. * Community health worker, volunteers or traditional birth attendants.

B. INTERMEDIATE LEVEL HEALTH WORKERS
* represent...
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