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(PHILIPPINE HEALTH CARE DELIVERY SYSTEM)

THE PHILIPPINES  Dr. Jose Fabella Memorial Hospitals
- Paano yung sistema na pagbibigay  East Avenue Medical Center
serbisyo pagdating sa kalusugan sa mga  Jose R. Reyes Memorial Medical Center
Pilipino.
- Archipelago with 7,100 islands.  National Center for Mental Health
- Geographically, divided into 3 main islands:  National Children’s Hospital
Luzon, Visayas and Mindanao.  E. Rodriguez, Quezon City
- 17 regions, including the Autonomous  Philippine Orthopedic Center
Region of Muslim Mindanao (ARMM).  Quirino Memorial Medical Center
- 82 provinces.
 Research Institute for Tropical Medicine
- 135 cities.
- 1,493 municipalities  Rizal Medical Center
 San Lazaro Hospital
2 SECTORS:  Tondo Medical Center
1. PRIVATE SECTOR - These hospitals are considered as covid
- production and provision of health goods and referral hospitals
services (private clinics, hospitals and DOH – REGIONAL HOSPITAL
laboratories, drugstores, and other facilities)  Regional Hospital in Cagayan Valley
2. PUBLIC SECTOR - Batanes General Hospital
- Decentralized health care system. - Cagayan Valley Medical Center
Department of Health (DOH). - Southern Isabela General Hospital
Local government units (LGUs). - Region II Trauma and Medical Center
- Devolving primary and secondary
 Regional Hospitals on NCR
health services delivery Local
- Dr. Jose N. Rodriguez Memorial
government units (LGUs)
Hospital – Tala, Caloocan City
- Las Piñas General Hospital and
R.A 7160: IMPLEMENTING RULES AND
Satellite Trauma Center
REGULATION (IRR) OF THE LOCAL
- San Lorenzo Ruiz General Hospital
GOVERNMENT CODE OF 1991
- Valenzuela Medical Center
- Devolution of hospital services. - Regional hospital – governor, mas
- Decentralization of basic hospital services. Malaki ang sahod dahil galling sa
DOH
 IN PUBLIC SECTOR - Health center – mayor
- Managed, coordinated, and regulated by the
DOH. LEVELS OF HEALTH CARE DELIVERY
o DOH - Section 8 “Minimum Standards and
 Composed of Central Construction of a Hospital.” Republic
Office (San Lazaro Act No. 4226 (Hospital Licensure Law)
Manila) categorized based on “service
 17 Regional Offices (ROs) capacities and compliance with
 Retained hospitals standards for manpower, equipment,
construction and physical activities.
DOH – SPECIALTY HOSPITAL 1. Primary prevention – maintenance
2. Secondary prevention – referral
 Lung Center of the Philippines
hospitals
 National Kidney and Transplant Institute
3. Tertiary prevention – highly skilled
 Philippine Children’s Medical Center and technology
 Philippine Heart Center

DOH – METRO MANILA HOSPITALS

 Amang Rodriguez Memorial Medical
Center
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- Year 2015 bumagsak tayo sa no. 4, 5, 2  Consult: medicine, pedia, OB-Gynecology,
- So, nag conduct ng self-evaluation ang surgery
Pilipinas at nalaman itO  ER and OPD
- Maraming namatay sa region na ito pero  Isolation Facility
marami naman palang hospital so they  Surgical or Maternity facilities
checked the hospital claiming that they  Dental clinic
are hospital but below the standard of RA  Astaff of qualified medical, allie medical
4226. and administrative personnel. (dapat may
license)
MILLENNIUM DEVELOPMENT GOALS
 Headed by a physician duly licensed by
1. Eradicate extreme poverty and hunger. the Professional Regulation Commission
2. Achieve universal primary education. (PRC)
3. Promote gender equality and empower
women. LEVEL 2
4. Reduce child mortality.
 Level 1 plus (lahat nasa lvl. 1 nandito)
5. Improve maternal health.
6. Combat HIV/ Aids, Malaria, and other  Departmentalized clinical services
disease.  Respiratory unit (respiratory therapist
7. Ensure environmental sustainability. works here)
8. Global partnership for development.  General ICU – critical care sa matanda
- For sustainable development.  High Risk Pregnancy Unit
NEW CLASSIFICATION OF HOSPITALS AND  NICU – critical care sa bata (Neonatal
OTHER FACILITIES Intensive Care Unit)
 An organized staff of qualified and
ACCORDING TO OWNERSHIP
- Government – created by law. May be competent personnel with Chief of Hospital
under DOH, DND, DOJ, LGU, SUCs, or Medical Director and appropriate board-
GOCC, and others. certified Clinical Department Heads.
- Private – may be single proprietorship,  Medical director – pinakamataas
partnership, corporation, cooperative,
foundation, religious, non- government
LEVEL 3
organization, and others.
 Level 2 plus
 Teaching or training with accredited
ACCORDING TO SCOPE OF SERVICES
- General Hospitals – provides medical residency training program in 4 clinical
and surgical care to the sick and injured services. (intern doctor – like student
and maternity care and shall have as nurses)
minimum, the following clinical services:  Physical Medicine and rehabilitation unit.
medicine, pediatrics, obstetrics, and  Ambulatory surgical clinic (can perform
gynecology, surgery and anesthesia,
emergency services, out-patient and minor surgery)
ancillary services.  Dialysis clinic
- Specialty Hospitals – specializes in a  Teaching and/or training hospital with
particular disease or condition or in one accredited residency training program for
type of patient physicians in the four (4) major specialties,
HOSPITAL CLASSIFICATION SCHEME
namely:
 GENERAL HOSPITAL
- Services for all types of illness, injuries or 1) Medicine
deformities. 2) Pediatrics
3) Obstetrics and Gynecology
LEVEL 1 4) Surgery
 You must be able to deliver the care of the
 SPECIALTY HOSPITAL
general public.

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- for specific disease, condition or type of trauma center.
patient, particular disease, particular organ - Open 24 /7
or groups of organs, particular group such - Tertiary hospital
as children, women, elderly and others 2. Trauma – receiving facility
- A DOH licensed hospital w/ in the trauma
service area which receives trauma pt.
for transport to the point of care or a
trauma center
- Open 24/7

DEPARTMENT OF HEALTH
- The Philippines’ Department of Health
(DOH) (Filipino: Kagawaran ng Kalusugan)
is the principal health agency in the ph.
- It is the executive department of the
HEALTH FACILITIES CLASSIFICATION Philippine Government responsible for
CATEGORY A- PRIMARY CARE FACILITY ensuring access to basic public health
- W/out in pt. Health charts, out pt. Clinic, services to all Filipinos through the
dental clinics – first contact health facility provision of quality health care and the
- W/ in-pt. – birthing (lying-in), infirmaries – regulation of providers of health goods and
first contact health facility services
- Main governing body
CATEGORY B- CUSTODIAL CARE FACILITY - Guidance / technical assistance to LGU
- Long term care w/ food & shelter to - Center for Health Development
chronic condition needing ongoing
health & nursing care due to PROVINCIAL GOVERNMENT
impairment, reduce independence in - Administration of provincial or district
activities of daily living and hospital
rehabilitation.
Ex. Custodial psychiatric facilities substance MUNICIPAL OR CITY GOVERNMENT
drug abuse therapy and rehab center, nursing - In charge of PHC (RHU/Health Center)
homes, leprosaria/sanitaria - BHS
- Plan, implementation basic health
CATEGORY C- DIAGNOSTIC/ THERAPEUTIC services (health services)
FACILITY
- Lab facility DEPARTMENT OF HEALTH RULES AND
- Radiologic facility FUNCTIONS
- For cancer diagnosis facility Leadership in health:
- National Policy and regulatory institution
CATEGORY D- SPECIALIZED OUTPATIENT
FACILITY
- Leader in formulation, monitoring, and
- Dialysis clinic evaluation of national health policies
- Ambulatory surgical - Advocate adoption of health policies
- Cancer chemotherapeutic
- Center/ clinic Enabler and capacity builder:
- Radiation facility - Taga turo
- Physical medicine - Innovate new strategies in health
- Rehab center/clinic - Oversight function & monitoring, evaluation
of national health plan
CLASSIFICATION OF HOSPITALS - Ensure highest standard
According to Trauma Capability: Guidelines Administrator of specific services:
formulated by PCS - Manage selected national health facilities
1. Trauma – capable facility - Administer direct service for emergent
- A DOH licensed hospital designated as a concern
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- Administer health emergency response  Teamwork
services  DOH employees work together with a
result- oriented mindset.
ATTACHED AGENCIES  Stewardship of the health of the
- The DOH – constituted of various central people
bureaus and services in the Central Office,  Being stewards of health for the
Centers for Health Development (CHD) in people, the Dept shall pursue
every region, and DOH retained hospitals sustainable development & care for
- CHN - always updated kaya sa board exam environment since it impinges on the
dpt balikan ito health of Filipinos.
 Strategic Goals
VISION, MISSION, CORE VALUES &  Better Health Outcomes, More
STRATEGIC GOALS Responsive Health System, More
1. Vision Equitable Healthcare Financing,
 Filipinos are among the healthies Financing, Service delivery,
people in Sountheast Asia by 2022, and Regulation, Governance
Asia by 2040
2. Mission 4. Goal
 To lead the country in the  Formula 1 for Health – Pres. Gloria
development of a Productive, Macapagal Arroyo
Resilient, Equitable and People-  HSRA – health sector reform agenda
centered health system for Universal  Health financing
Health Care  Health regulation
3. Core Values  Local health system
 Professionalism  Public health programs
 DOH performs its functions in  Hospital system
accordance with highest ethical
standards, principles of accountability, FRAMEWORKS OF HSRA – 4MULA ONE FOR
and full responsibility. HEALTH PLUS (F1 PLUS)
 Responsiveness 1. Health financing – secures sustainable
 Integrity investment to improve health outcomes and
 The Department believes in upholding ensure efficient and equitable use of health
truth & pursuing honesty, resource
accountability & consistency in 2. Health regulation – ensure high quality
performing its functions and affordable health produts, devices,
 Compassion & Respect for Human facilities, and services. RA 11223 Pang
Dignity kalusugang pangkalhatan universal health
 DOH upholds quality of life, respect care
for human dignity is encouraged by 3. Health Service Delivery – ensure the
working w/ sympathy & benevolence accessibility of essential quality health
for people in need. services at appropriate levels of care

 Excellence 4. Good Governance – streghthen leadership

 DOH continuously strive for the best and management capacities, coordination
by fostering innovation, effectiveness and support mechanisms necessary to
& efficiency, pro- action dynamism, ensure functional people-centered and
and openness to change participatory health systems
 Commitment 5. Performance Accountability – use
 With all our hearts & minds, the Dept. management systems to drive better
commits to achieve its vision for execution of policies and programs in the
health & development of future DOH while ensuring responsibility to all
generations stakeholders
 Cross-cutting pillar of F1 Plus for Health
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- which is on performance
accountability, it introduces
evidence-based metrics in the
health system to objectively monitor
and ensure its responsiveness to
addressing the healthcare needs of
Filipinos.
- It supports the achievement of
Ambisyon Natin 2040: Matatag,
Maginhawa at Panatag na Buhay

HEALTH TARGETS OF SUSTAINABLE

DEVELOPMENT GOALS (SDG)
 Goal 3 “Good health & well-being” and other
health-related targets in:
 Goal 1 “No poverty”,
 Goal 2 “Zero hunger”
 Goal 6 “Clean water and sanitation”
 Goal 7 “Clean energy”
 Goal 11 “Sustainable cities and
communities”
 Goal 13 “Climate action”
 Goal 16 “Peace, justice”

WORLD HEALTH ORGANIZATION (WHO)

 A specialized agency of the United Nations
(UN) provides global leadership on health
matters
 WHO constitution came into force on April
7, 1948.
 1946 – natapos ang gera

WHO FUNCTIONS
1. Provide leadership on matters critical to
health & engage partnerships when joint
action is needed
2. Shape research agenda. Stimulate
generation, translation, & dissemination of
valuable knowledge.
3. Setting norms, standards. Promote &
monitor implementation.
4. Articulating ethical and evidence-based
policy options.
5. Provide technical support, catalyze change
& build sustainable institutional capacity.

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6. ATTACHED AGENCIES

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