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Introduction To Evaluation Of Health Services

1253 words - 5 pages

Article II Section 15 of the 1987 Constitution provides that “the State shall protect and promote the right to health of the people and instill health consciousness among them.” It is the role of the government to guarantee “access to basic public health services to all Filipinos through the provision of quality health care and regulation of providers of health goods and services (Department of Health, 2011).” To deliver these health care rights to individuals, several reforms have been enacted and implemented such as the Republic Act 7600 or The Rooming-In and Breast-feeding Act of 1992 which was extended in 2009 by providing facilitiesfor breastmilk collection and storage (Expanded Breastfeeding Promotion Act 2009), and the National Health Insurance Act of 1995 which provides accessible health care services for all Filipino citizens through the Philippine Health Insurance Corporation (PhilHealth) (Romualdez, et al., 2011).
In terms of financing health services, the budget appropriated for the department of health (DOH) follows an annual raise exemplified by the attained 64% increase from Php 51.9 billion in 2013 to Php 85.2 billion in 2014 (Department of Budget and Management [DBM], 2014). Despite a greater allocation for health services annually, disparities between nominal spending and actual health expenditure per capita show the increase in total health care expenditure per capita is due to “inflation rather than service expansion” (Health Service Delivery Profile, 2012; Romualdez, et al., 2011). At 53% in 2011, dependence on out-of-pocket payments prevails as the main source with the largest share in total health spending, far from the targets based on the Health Sector Reform Agenda: 40% from the government and 30% and 20% from social insurance and the private sector (including out-of-pocket payments), respectively (Health Service Delivery Profile, 2012; NSCB, 2013; Romualdez, et al., 2011). In addition, regardless of the 1.6% increase spent for public health care, more than half of the budget (78.6%) is spent on personal health care such as salaries of personnel working in local government hospitals (National Statistics Coordination Board [NSCB], 2013).
Replacing the Medicare Program administered by the Philippine Medical Care Commission, the Philippine Health Insurance Corporation (also known as PhilHealth), through the National Health Insurance Act (Republic Act 7875) was created to cover the provision of health services to those unable to afford them through the sponsored program (SP). In 2007 and 2008, the percentage of individuals in each household remains almost static (37% to 38% households with at least one member of PhilHealth) with majority of the members of PhilHealth belonging to the employees of the private sector (Romualdez, et al., 2011). There is, however, an increasing number in the SP in 2013. According to the 2013 statistics offered by PhilHealth, the gap between registered PhilHealth members from the private sector...

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