Professional Documents
Culture Documents
Theme: Inspiring the Filipino Nursing Workforce towards Equity and Access to Health Care
Session Objectives
1. Describe the four basic models of health care system relating this to equity and access to health 2. Discuss the social model of health and its goal of preventing and reducing illness and addressing inequalitites and disadvantage that exist within the community. 3. Discuss challenges and opportunities of nurses in the present model of health care system in the Philippines.
They all vary to some degree However, they all share common principles There are four basic health care models around the world
1. The Beveridge Model 2. The Bismarck Model 3. The National Health Insurance Model 4. The Out-of-the Pocket Model
Private insurance system usually financed jointly by employees and employees through payroll deductions
Quality
Other developed countries produce better quality results.
Choice
Many countries offer greater choice
Social Model of Health (Dahlgren & Whitehead, 1991) The third layer includes structural factors: housing, working conditions, access to services and provisions of essential facilities
Social Model of Health (Dahlgren & Whitehead, 1991) Individual and community experience and knowledge becomes relevant empowered Health becomes a social phenomenon
ACCESS TO SERVICES is limited by financial and social barriers Low coverage rates found in poorest quintiles of the population, among rural areas and among families with uneducated mothers
Disparities in the distribution of human and physical resources Utilization patterns are affected by financial barriers, negative perceptions about quality of care and lack of awareness of services
Public financing levels have steadily increased, however remain low in regional terms High and steadily increasing out of the pocket spending exposes large financial risks from illness PhilHealth is only financing about a tenth of the countrys total health expenditure
Efforts to improve quality are typically adhoc and uncoordinated due to lack of data on quality and the lack of incentives for best practice Most hospitals and professional practitioners meet the quality standards set by licensing requirements and PhilHealth accreditation standards
SOLUTION PERFORMANCE INCENTIVES INCREASING CLIENTS VOICE THROUGH EFFECTIIVE CONSUMER PARTICIPATION STRATEGIES
Noticeable health outcomes in communicable disease control, and child health programs because of substantial participation of national government and strong coordination with LGUs while adverse health results where national policy is not directly supportive of LGU action
Major weakness failure to address the large disparities in health outcomes between the rich and the poor
The PHCS
model is basically out of pocket for most of the population except for the employed which is similar to the German(Bismarck) model.
In the PHCS
The coverage of Philippine Health Insurance Corporation is too limited to be considered as a national health insurance program as what exists in Canada.
So, CAN WE DO
SOMETHING FOR OUR COUNTRYS HEALTH CARE EQUITY AND ACCESS?