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Health Care System

Transcript: Health Care System in the Philippines Learning Team No. 4 Tangan - Guide Questions Guide Questions With all the problems in our health system that surfaced during the pandemic, what urgent reforms need to be addressed with the way our DOH and health-related institutions operate? In light of the pandemic, what glaring problems have surfaced about our current Universal Health Care Law and PhilHealth? What specific policies can be implemented to strengthen public health institutions and primary health care practices at the LGUs starting with the barangays? Republic Act No. 11223 The Republic Act No. 11223, also known as the Universal Health Care Act 1 Section 2. Declaration of Principles and Policies. - It is the policy of the State to protect and promote the right to health of all Filipinos and instill health consciousness among them. Towards this end, the State shall adopt: 2 (a) An integrated and comprehensive approach to ensure that all Filipinos are health literate, provided with healthy living conditions, and protected from hazards and risks that could affect their health; (b) A health care model that provides all Filipinos access to a comprehensive set of quality and cost-effective, promotive, preventive, curative, rehabilitative and palliative health services without causing financial hardship,, and prioritizes the needs of the population who cannot afford such services; 3 (c) A framework that fosters a whole-of-system, whole-of-government, and whole-of-society approach in the development, implementation, monitoring, and evaluation of health policies, programs and plans; and (d) A people-oriented approach for the delivery of health services that is centered on people’s needs and well-being, and cognizant of the differences in culture, values, and beliefs. Issues and Concerns Encountered During the Height of Covid-19 Pandemic Issues and Concerns 1 Accessibility to quality and affordable health care services. Shortage of health workers, equipment, facilities, infrastructure, and supplies. (Most Health Care Facilities were not in congruent with DOH standards affecting Philhealth benefits and payments.Lack of isolation units for infectious diseases and public cemetery to facilitate the disposal of dead bodies due to infectious diseases.) 2 The corruption allegations against PhilHealth officials and health care providers, which have eroded public trust and confidence in the agency and the law. (alleged irregularities and anomalies in PhilHealth’s transactions, such as overpayments, ghost claims, fraudulent schemes, and mismanagement of funds.) Poor/Improper implementation of the Disaster Reduction and Risk Management system. Policies that can be implemented *Legislation of fixed percentage for Maintenance and Other Operating Expenses (MOOE)/School Education Fund for the health care program such as policies on: a. Policy to Strengthen information dissemination on health literacy in the barangay level. b. Policy for Health and wellness program. c. Policy on the establishment of Public Cemetery for dead bodies due to infectious diseases. *Strengthen and increase legislation of the Energy royalty tax percentage for health services fund.(Energy Regulations (ER) 1-94 of the Electric Power Industry Reform act of 2001 (EPIRA) as additional source of fund for the policies recommended above. *Policy on upgrading incentives and benefits of Community Health Workers by passing into law the Barangay Health Workers’ Incentives and Benefits Act (House Bill No. 7934), which was filed in 2020 and seeks to provide barangay health workers (BHWs) with regular monthly honoraria, hazard pay, social security benefits, and other incentives. (The bill also aims to enhance the training, accreditation, and supervision of BHWs, who are considered as the backbone of primary health care in the Philippines.) Challenges and Opportunities in Reforming the Health Systems during the pandemic Challenges and Opportunities in Reforming the Health Systems during the pandemic Challenges1 *Leveraging the current response to strengthen both pandemic preparedness and health systems - using the resources, capacities and innovations that have been mobilized for COVID-19 to address other health needs and priorities, such as primary health care, noncommunicable diseases, mental health and health equity. *Investing in essential public health functions including those needed for all-hazards emergency risk management ensuring that countries have the core capacities to prevent, detect and respond to public health threats, such as surveillance, laboratory, risk communication, infection prevention and control, and vaccination *Building a strong primary health care system as a foundation for bringing health services closer to communities by providing comprehensive, integrated, person-centered and quality care that covers the continuum of promotion, prevention, treatment, rehabilitation and palliation *Engaging the whole-of-society so that all sectors work together

Health Care System

Transcript: The Ministry of Social and Health is responsible of the health care system Legislation, supervision, financing and controlling Municipalities are obliged to arrange health care Health centers The government pays municipalities for arranging the health services Most of the money comes from public financing People can also seek treatment from the private sector Usually much more expensive Usually no queues Specialized health care Paramedical services Usually health services are not free Health services have only the payment limit. After the limit is reached, services are free. Employers have to arrange health service for employees. Third sector Arranged by municipalities Health centers First time moms 13-17 visits, others 9-13 visits 1 time/month -->28 weeks 2 times/month 28-36 weeks 1 visit/week 36-41 weeks Home visit after delivery post-delivery control 5-12 weeks from delivery Structure of the health care system Pharmacies (800) arrange the medicinal service Pharmacies are subject to licence Hospitals have their own pharmacies but they can't sell medicines The electronic prescription is in use in Finland (1.4.2013) The private sector Medicinal products Population Population in Finland 5,4 million (2012) Biggest problem is aging, 17,5% is over 65 years (2010) life expectancy m. 76 years f. 82 years Finnish women give birth to 1,83 children on average Lifestyle diseases and mental health problems are increasing (e.g. obesity, musculoskeletal diseases, diabetes, alcohol abuse) Smoking is declining slowly, (f. 20% m. 25 %) Dues for patients Other health services Hospital districts have to offer: Usually mom meets a doctor 4 times 1. 8-12 weeks 2. 24-28 weeks 3. 36 weeks 4. post-delivery control Individual basis! Delivery occurs in central hospital or in university hospital (at home) Perinatal death 3,9/1000 Health Care System in Finland Supervision and financing Health centers have to offer (municipalities): Municipalities are also responsible for arranging environmental health care: Food control Animal health care Cigarette surveillance Chemical surveillance Consumer surveillance Environmental evaluation of impact on health Specific environmental situations Preventative health care Screenings, vaccines, advice Maternity care School and student health care Treatment of diseases Home care Rehabilitation Dental care Mental health care Third sector means associations and organizations offering supporting services Important especially for the mental health care Usually assistance for public or private health care Maternity care in Finland Municipalities have health centers offering basic health care Municipalities form hospital districts (20) offering specialized health care Hospital districts form special responsibility areas (million districts around the University Hospitals, 5) offering more specialized health care 2014 patient can choose the place of treatment from all the health centers and hospitals in Finland

Health Care System -

Transcript: The health care system is a human made social system that has a group of people that work together to provide health services for people in a certain area. This system is usually run by the government of that area. The World Health Organization (WHO), an agency of the United Nations that focuses on public health, defines Health systems as an organization of people who work to promote, restore and maintain health. A system is a group of parts that work together to perform a specific function. emergency operations money What is a system? What is the healthcare system? Physical System: government A system that relies on physical parts to perform a task. Physical systems can be natural or human made. Examples of physical systems are the solar system, mechanical system and electrical system. Bibliography Social system: http://hayajneh.org/glossary/vocabulary/i/Inputs-outputs.html Science textbooks Google images https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/medicines-and-side-effects https://www.ncbi.nlm.nih.gov/pubmed/14738036 http://www.patientnavigatortraining.org/healthcare_system/module4/1_index.htm https://www.webmd.com/a-to-z-guides/features/before-surgery-your-top-six-hospital-risks#1 https://blogs.spectrio.com/6-reasons-for-patient-dissatisfaction-and-how-to-avoid-them A group of organisms that come together to perform a task and build relationships. They are either Natural or human made. A wolf pack, and education system are examples of social system. The output is the task a system performs. A subsystem is a system inside a larger system. Some of the subsystems in the healthcare system include hospitals, doctor's offices, clinics, pharmacies, medical labs and ambulances. Components include doctors and nurses and people who need healthcare services technology The input of a system is the energy and raw materials you put into a system. Experienced medical staff medical information for patients medicines Side effects Health Care System - Shasmeen and Fatima 8-4 Types of systems: Inputs of the Health Care System maintenance workers There are 2 types of systems medical equipment Outputs of the Health Care System Money Subsystems and components Side effects are the unwanted outcomes of a task. In the health care system the side effects are: Failed medical operation Medication Errors Sometimes diseases can spread within hospitals Anesthesia issues Economic issues Patient dissatisfaction

Health Care System

Transcript: A secure health care system with Blockchain Technology Health Care System Modern Academy OUR TEAM Our Team Mina Helall Adly Mina Medhat Attia Mina Monir Labeeb Mina Nakhnokh Fakhri Mina Saied Fawzi Supervised By: Assistant Prof. Walaa El Ashmawy Assisstant: Eng. Rawan Fayez PROBLEM DEFINITION PROBLEM DEFINITION A list of problems and issues we are trying to face. Medical History Medical History Medical History has always proved important if not essential when it comes to Patient Care. Lack of medical history usage especially in public hospitals. Lack of communication between doctors and their patients as a result. Unsystematic Management Unsystematic Management The lack of any real management in public hospitals or any reliable software that can be used in such management. A well-implemented Hospital Information System means readily available patient data to the care providers. A software can be more reliable to use to reduce human error as much as possible as well as cost. Unorganized Booking Unorganized Booking Lack of a quick, easy and efficient ways to book appointments. Lack of a platform that can help patients connect quickly with a hospital. The tendency to rely on traditional ways to store and keep track of bookings BlockChain BlockChain The primary technology of this project and it will be used to store the medical history Introduction Introduction The methodology of implementing BlockChain in this project. How Why Why use BlockChain BlockChain is a shared database that contains a list of transactions that has alot of advantages to set it apart from other alternatives methods such as: It allows for verification without having to be dependent on third-parties. Data can't be altered or deleted because the data structure is append-only. The transactions stored in the blocks are contained in millions of computers participating in the chain. Hence it is decentralized. There is no possibility that the data if lost cannot be recovered. What What Makes Blockchain Different? The three main properties of the Blockchain Technology which makes it different and has helped it gain widespread acclaim are as follows: Decentralization Immutability Traceability How are we going to use Blockchain? Transaction Network Consensus Hashing Block Blockchain Structure Structure What happens behind the scenes of Blockchain Transaction Blockchain Transaction Steps Hashing Hashing Function Proof of Work Proof of Work Algorithm Block The Structure of a Block Consensus Consensus Solutions Solutions The steps we took to solve the problems we talked about. Web APP. Web APP. A Web Application that targets public hospitals in order to change the way management works. Unsystematic Management Medical History How we are solving the medical history problem Through the implementation of Blockchain technology we ensure that the medical history situation will thrive into new heights. This way we are ensuring an easy and safe way to save patient data and access them quickly whenever needed. This also highly improves the communication between doctors and patients as everything will proceed smoothly. How we are going to build better hospital management Relying on a software for the daily tasks like storing patient’s data and medical history makes life much easier for the doctors and hospital workers and even the patients themselves. Doctors are able to access patient data much faster as all they need to do is just log into the system and they get instant access to those reports. Reduce the Scope of human error as much as possible while also reducing costs to a notable degree. Android APP. Android APP. The Android Application that will be used to target normal users to help with clinic reservation and finding nearby hospitals. Unorganized Booking Target Who does the Android APP. Targets? This application is specifically made to target patients as it offers a variety of useful tools and features. The application is very accessible and easy to use as it has a very specific set of tasks to offer to the users and to connect them to hospitals quickly or help in booking clinic appointments. The application is easy enough to understand with a straightforward but adequate design. Unorganized Booking The android application helps people book clinic appointment in an organized way to avoid any disorder. Convenient for normal users to use in case of emergencies for a quick response. Eliminates the tendency to use traditional ways to make appointment as it proved not dependable. Tools & Technologies Tools & Technologies Android (JAVA) NodeJS MongoDB Any Questions? THANK YOU

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