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Next Generation Health System Philippines

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Next Generation Health System Philippines presented at De La Salle University, July 4, 2007 by Elmer S. Soriano, MD

Next Generation Health System Philippines presented at De La Salle University, July 4, 2007 by Elmer S. Soriano, MD

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  • 1. Shaping the Next Generation Health System of the Philippines: Policy Alternatives in the Health Sector July 4, 2007 Elmer S. Soriano, MD Institute of Public Health Management
  • 2. Why “Next Generation” Health System?
    • Builds upon current DOH initiatives
    • Redesigns some features to cope with new challenges
    • From financial capital to knowledge capital.
    • From hierarchy to wirearchy.
    • From sectoral to “hyper”sectoral
    • Need for institutional leaders in the health sector.
  • 3. Phases in the Phil. Health System
    • Centralized
    • Devolution – 1992
    • Health Sector Reform Agenda – 1998
  • 4. Globalization and Migration of Health Personnel
    • No.1 exporter of nurses and No.2 for MDs
    • 163,756 (or 85 % of all employed nurses) are abroad
    • 70 % of all Filipino nursing graduates are working overseas.
    • over 100T nurses left the country in the last ten years.
    • more than 50,000 licensed nurses opted to work abroad 2000-2003
    • 68% of Filipino MDs were working overseas in late 70s
    • 17,927 Filipino MDs in US
    • 3,500 Filipino doctors have left as nurses since the year 2000.
    • 2,000 doctors leave yearly (Philippine Medical Association)
  • 5. Globalization and its effects on the Philippine Health System
    • Emerging infectious diseases (SARS, Avian Flu)
    • Migration
    • JCI hospital accreditation for Medical Tourism
    • US Embassy Accreditation of St.Lukes for TB treatment of Filipino migrants
    • Seasonal OFW Beekeepers
    • Globalized Health Governance of Health Human Resources –Gov.Chavit Signs Nurses MOA with Governor of Hawaii
    • Global Health Ecosystem
  • 6. Health Policy Analysis using the Knowledge Management Framework
    • Have we surpassed knowledge-carrying capacity for health?
    • Types of Knowledge Capital
      • Human knowledge capital
      • Structural knowledge capital
      • Customer/stakeholder/relationship knowledge capital
    • Ecosystem Approach
    • Managing Ecosystem Architecture to increase velocity of innovation
  • 7. Possible Features in the NGHS 1/3
    • a. Build alternative service delivery systems
      • Build up 1 midwife per Barangay
      • De-sectoralized health system (school-based health, employer-based health, workplace-based health)
      • Telemedicine
      • Knowledge process outsourcing
  • 8. Possible Features in the NGHS 1/3
    • a. Build alternative service delivery systems
      • Build up 1 midwife per Barangay
      • De-sectoralized health system (school-based health, employer-based health, workplace-based health)
      • Telemedicine
      • Knowledge process outsourcing
  • 9. Possible Features in the NGHS 2/3
    • b. New Business Models
    • Medical Tourism
    • Medical Education-tourism – 35,000 Koreans in the Philippines, many learning English
    • Micro-franchising – foot spa, nail spa, tooth spa, eye spa, kidney spa, heart spa? (multiplies human, structural, and customer knowledge capital)
    • build social architecture-based biz models, social contracts
    • Wikinomics-based businesses
  • 10. Possible Features in the NGHS 2/3
    • b. New Business Models
    • Medical Tourism
    • Medical Education-tourism – 35,000 Koreans in the Philippines, many learning English
    • Micro-franchising – foot spa, nail spa, tooth spa, eye spa, kidney spa, heart spa? (multiplies human, structural, and customer knowledge capital)
    • build social architecture-based biz models, social contracts
    • Wikinomics-based businesses
  • 11. Possible Features in the NGHS 3/3
    • c. New Governance Models
    • e-Governance for health
    • DOH University (learning management system), DSWD University
    • Inter-state health governance – expand unit of health governance; re-circulate Migrant Health Personnel – 10+2 – Chavit arrangement
  • 12.
    • Thank you.
  • 13.
    • Sources:
    • Sources:
    •        www.philippineservicescoalition.com/docs/Health%20Services%20Sector%20by%20Dr.%20Galvez%20Tan.pdf
    •        Sustainable Health, Sustainable Wealth; Asian Institute of Management Policy Center, Volume XI, No.1, 2007

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