This document discusses universal healthcare (UHC) and the future of the Philippine health system. It provides an overview of key elements that control the health system, including financing, payment systems, organizations, and regulation. Interventions like primary prevention, curative care, and secondary prevention are discussed. The document outlines improvements under UHC, such as increased budget and access to quality hospitals. It presents examples of public-private partnerships improving various hospitals. The outcomes of UHC are said to include improved health, access to care, and financial risk protection.

1. Dr. Jose Rizal Memorial Awards!
Philippine Medical Association!
!
UHC and the Future of the !
Philippine Health System
PROF. TEODORO JAVIER HERBOSA, MD FPCS
COLLEGE OF MEDICINE!
NATIONAL TELEHEALTH CENTER!
INSTITUTE FOR HEALTH POLICYAND DEVELOPMENT STUDIES!
UNIVERSITY OF THE PHILIPPINES, MANILA

2. Dr. Jose Rizal
National Hero!
Martyr!
Writer!
Sculptor!
Doctor!
Scientist

3. Josie Rizal!
Tekken 7

4. Lucia Mercado
Rizal Herbosa!
(1857-1919)
Mariano Herbosa!
died of Cholera in May 23, 1889!
(1) Paz; (2) Delfina; (3) Concepcion;
(4) Virginia; (5) José; (6)
Teodosio; (7) Patrocinio; and (8)
Estanislao

5. Delfina Herbosa de Natividad
(1879-1900)
a Filipino renowned for
being one of the three
women, together with
Marcela Agoncillo and her
daughter Lorenza, who
seamed together the
Philippine flag, May 28, 1898
Hong Kong

6. Physician

7. Estanislao Herbosa
Student of Rizal in Dapitan!
Learned English!
City Engineer of Manila!
Herbosa Street, Pritil Tondo

9. Control Knobs of the Health System
Financing!
Payment!
Organizations!
Regulation!
Behavior

10. Intermediate Performance Measure
in the Health System
Efficiency!
Quality!
Access

11. Target Population — Performance
Goals
Health Status!
Customer (Stakeholder) Satisfaction!
Risk Protection

13. Universal Health Care / Kalusugan Pangkalahatan
Improved Health
especially for the
Poor and
Vulnerable
Secure access
to quality care
at facilities
Achieve the public
health MDGs
Provide
financial risk
protection
INTERVENTIONS OF CARE
Prim
ary
Prevention
and
Health
Prom
otion
Curative
Health
Care
Secondary Prevention
and Primary Care

14. Sin Tax Reform
RA10351

15. Legislative advocacy
A health bill vs a taxation bill

16. SUBSTANTIAL INCREASE IN THE DEPARTMENT OF
HEALTH BUDGET
Budget (in billion pesos)
BillionPesos
0
23
45
68
90
Year
2008 2009 2010 2011 2012 2013 2014
Budget (in billion pesos)
18.91 23.67 24.65 31.83 42.08 50.44 89.7

17. 23 Case Rates (No balance billing for Sponsored
Program beneficiaries in government hospitals)

18. IMPROVED ACCESS TO QUALITY
HOSPITALS AND FACILITIES
3,576:Total health
facilities upgraded
and rehabilitated as
of Feb 2013
1,049 hospitals
Another 2,487 health facilities will
be upgraded this 2013.
2,751 (91%) came from the 609
priority municipalities listed by the
National Anti-Poverty Commission
Result: Increase in deliveries of
mothers in hospitals. 719,552
mothers (38.8%) (2009) vs
1,014,613 mothers (57.1%) (2011)

19. Health Leadership and Governance Program
PPP DOH & ZFF!
Universities & LGUs

20. Performance Comparison: Existing & MPOC
EXISTING POC
MODERNIZED POC
534 beds utilized out of
700 sanctioned beds,
sub capacity operation
at 55% -60% levels
Ideal Staff to Bed
Ratio not being
effectively achieved
Lower than average
period of Avg. Length
of Stay (ALOS) &
discharge times for
admitted patients
Only primary and
secondary medical
services, Limited allied
services, medical tourism
& private patients due to
poor competitive
advantage
Private sector
efficiency in
operations to ensure
atleast 70% capacity
utilization
Expected Ideal
Staff to Bed Ratio
of 2.25 persons/
bed
Possible reduction in
ALOS, discharge
period to reduce
from 22 days to 8
days
Super specialty tertiary care
with increased private
patients, medical tourists,
allied medicine due to
internationally competitive
services & facilities

21. Philippine Orthopedic Center
BOT Contract

22. Jose Fabella Memorial Medical Center
Public Funding Sin Taxes

23. Bicol Medical Center
PPPSSF

24. Cagayan Valley Regional Medical Center
PPPSSF

25. Regional Cancer Centers

26. OUTCOMES
3

27. eHealth Component Map
(Based on the DOH Philippine eHealth Framework and Development
Plan 2013-2016)

30. –Johnny Appleseed
“Type a quote here”

31. “My countrymen, I have given
proofs that I am one most anxious
for liberties for our country, and I
am still desirous of them. But I
place as a prior condition the
education of the people, that by
means of instruction and industry
our country may have an
individuality of its own and make
itself worthy of these liberties.!
Jose Rizal