Universal Health Care

Universal Health Care - Kalusugan Pangkalahatan

Kalusugan PangkalahatanUniversal Health Care or Kalusugan Pangkalahatan (KP) is a focused approach to health reform implementation,ensu ring that all Filipinos especially the poor receive the benefits of health reform.This is a deliberate focus on the poor to ensure that they are given financial

risk protection through enrollment to PhilHealth and that they are able to access affordable and quality health care and services in times of needs.

Over-all Goal:

The implementation of Universal Health Care shall be directed towards ensuring the achievement of the health system goals of better health outcomes, sustained health financing and responsive health system by ensuring that all Filipinos, especially the disadvantaged group in the spirit of solidarity, have equitable access to affordable health care.

General Objective:

Universal Health Care is an approach that seeks to improve, streamline, and scale up the reform strategies in HSRA and Fl in order to address inequities in health outcomes by ensuring that all Filipinos, especially those belonging to the lowest two income quintiles, have equitable access to quality health care.

References:

DOH Administrative Order No. 2010-0036

DOH Department Order No. 2011-0188


THREE STRATEGIC THRUSTS:

1) Financial Risk Protection

Financial risk protection through expansion in NHIP enrollment and benefit delivery - the poor are to be protected from the financial impacts of health care use by improving the benefit delivery ratio of the NHIP.

Financial risk protection through improvements in NHIP benefit delivery shall be achieved by:

1. Redirecting PhilHealth operations towards the improvement of the national and regional benefit delivery ratios;

2. Expanding enrolment of the poor in the NHIP to improve population coverage;

3. Promoting the availment of quality outpatient and inpatient services at accreditedfacilities through reformed capitation and no balance billing arrangements for  sponsored members, respectively;

4. Increasing the support value of health insurance through the use of information technology upgrades to accelerate PhilHealth claims processing, etc.; and

5. A continuing study to determine the segments of the population to be covered for specific range of services and the proportion of the total cost to be covered/supported.

Government-owned and operated hospitals and health facilities will be upgraded to expand capacity and provide quality services to help attain MDGs, attend to traumatic injuries and other types of emergencies, and manage non-communicable diseases and their complications.

2. Improved Access to Quality Health Facilities

Government-owned and operated hospitals and health facilities will be upgraded to expand capacity and provide quality services to help attain MDGs, attend to traumatic injuries and other types of emergencies, and manage non-communicable diseases and their complications.

Improved access to quality hospitals and other health care facilities shall be achieved by:

1. A targeted health facility enhancement program that shall leverage funds for improved facility preparedness to adequately manage the most common causes of mortality and morbidity, including trauma;

2. Provision of financial mechanisms drawing from public-private partnerships to support the immediate repair, rehabilitation and construction of selected priority health facilities;

3. Fiscal autonomy and income retention schemes for govemment hospitals and health facilities;

4. Unified and streamlined DOH licensure and PhilHealth accreditation for hospitals and health facilities; and

5. Regional clustering and referral networks of health facilities based on their catchment areas to address the current fragmentation of health services in some regions as an aftermath of the devolution of local health services.

3. Attainment of Health-Related MDGs

Public health programs shall be focused on reducing maternal and child mortality, morbidity and mortality from TB and malaria, and the prevalence of HIV/AIDS, in addition to being prepared for emerging disease trends, and prevention and control of non-communicable diseases.

Health-related MDGs shall be attained by:

1. Deploying Community Health Teams that shall actively assist families in assessing and acting on their health needs;

2. Utilizing the life cycle approach in providing needed services, namely familyplanning; ante-natal care; delivery in health facilities; essential newbom and immediate postpartum carc and the Garantisadong Pambata package for children 0-14 years of age;

3. Aggressively promoting healthy lifestyle changes to reduce non-communicable diseases;

4. Ensuring public health measures to prevent and control of communicable diseases, and adequate surveillance and preparedness for emerging and reemerging diseases: and

5. Harnessing the strengths of inter-agency and inter-sectoral cooperation to health especially with the Department of Education and Department of Social Welfare and the Department of Interior and Local Government

 

Today is

Wednesday, 24 September 2014

The Regional Director

Teogenes F. Baluma

Teogenes F. Baluma, MD,MHA, MDM,FPCHA,CESO III