Cargando…

Developmental Changes in the Philippine Health System: Accomplishments, Successes and Challenges

The Philippine health system has undergone various changes which addressed the needs of the time. These changes were reflected in the benchmarks and indicators of performance of the whole health system. To understand how these changes affected the health system (HS), this study determined the change...

Descripción completa

Detalles Bibliográficos
Autor principal: Seposo, Xerxes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6955948/
https://www.ncbi.nlm.nih.gov/pubmed/31615140
http://dx.doi.org/10.3390/healthcare7040116
_version_ 1783487046850969600
author Seposo, Xerxes
author_facet Seposo, Xerxes
author_sort Seposo, Xerxes
collection PubMed
description The Philippine health system has undergone various changes which addressed the needs of the time. These changes were reflected in the benchmarks and indicators of performance of the whole health system. To understand how these changes affected the health system (HS), this study determined the changes in the Philippine health system in relation to different health domains (health determinants, financing, and management/development). Two HS periods were identified, namely, health system period 1 (HS 1) from 1997–2007 and health system period 2 (HS 2) from 2008–2017. Each HS period was assessed based on three domains. The first two domains were quantitatively assessed based on an interrupted time-series method, while the third one underwent a comparative analysis using two Health Systems in Transition reports (2011 and 2018). This study was able to assess the developmental changes in the Philippine health system. Specifically, the (health determinant) maternal mortality rate (MMR) significantly decreased by three maternal deaths per 100,000 live births, the (health financing) tobacco excise tax increased by 13,855 (in Million PhP) in HS 2, and there was (health management/development) an improvement in access to health facilities. However, there was an indication of retrogressive progress with some challenges in HS 1 which remained unaddressed in HS 2. While it seems promising that the health system has progressed with improvements apparent in both health outcomes (e.g., MMR) and health financing (e.g., tobacco excise tax), such improvements were overshadowed by the inefficiencies, which were not addressed by the current health system (HS 2), thus making it more retrogressive than progressive.
format Online
Article
Text
id pubmed-6955948
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-69559482020-01-23 Developmental Changes in the Philippine Health System: Accomplishments, Successes and Challenges Seposo, Xerxes Healthcare (Basel) Article The Philippine health system has undergone various changes which addressed the needs of the time. These changes were reflected in the benchmarks and indicators of performance of the whole health system. To understand how these changes affected the health system (HS), this study determined the changes in the Philippine health system in relation to different health domains (health determinants, financing, and management/development). Two HS periods were identified, namely, health system period 1 (HS 1) from 1997–2007 and health system period 2 (HS 2) from 2008–2017. Each HS period was assessed based on three domains. The first two domains were quantitatively assessed based on an interrupted time-series method, while the third one underwent a comparative analysis using two Health Systems in Transition reports (2011 and 2018). This study was able to assess the developmental changes in the Philippine health system. Specifically, the (health determinant) maternal mortality rate (MMR) significantly decreased by three maternal deaths per 100,000 live births, the (health financing) tobacco excise tax increased by 13,855 (in Million PhP) in HS 2, and there was (health management/development) an improvement in access to health facilities. However, there was an indication of retrogressive progress with some challenges in HS 1 which remained unaddressed in HS 2. While it seems promising that the health system has progressed with improvements apparent in both health outcomes (e.g., MMR) and health financing (e.g., tobacco excise tax), such improvements were overshadowed by the inefficiencies, which were not addressed by the current health system (HS 2), thus making it more retrogressive than progressive. MDPI 2019-10-14 /pmc/articles/PMC6955948/ /pubmed/31615140 http://dx.doi.org/10.3390/healthcare7040116 Text en © 2019 by the author. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Seposo, Xerxes
Developmental Changes in the Philippine Health System: Accomplishments, Successes and Challenges
title Developmental Changes in the Philippine Health System: Accomplishments, Successes and Challenges
title_full Developmental Changes in the Philippine Health System: Accomplishments, Successes and Challenges
title_fullStr Developmental Changes in the Philippine Health System: Accomplishments, Successes and Challenges
title_full_unstemmed Developmental Changes in the Philippine Health System: Accomplishments, Successes and Challenges
title_short Developmental Changes in the Philippine Health System: Accomplishments, Successes and Challenges
title_sort developmental changes in the philippine health system: accomplishments, successes and challenges
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6955948/
https://www.ncbi.nlm.nih.gov/pubmed/31615140
http://dx.doi.org/10.3390/healthcare7040116
work_keys_str_mv AT seposoxerxes developmentalchangesinthephilippinehealthsystemaccomplishmentssuccessesandchallenges