Assessment of the Health System in the Philippines : an analysis of Out- of- Pocket Expenditure INTRODUCTION The World Health Organization’s (WHO) Commission on Macroeconomics and Health stated that “the wisdom of every culture teaches that health is wealth” (p21). In fact, developing a strong health system has emerged as a priority for many countries. Furthermore, understanding the major components of the health system, and identifying main constraints, are two crucial steps in attaining key health outcomes. This paper discusses the health system of the Philippines using the WHO’s Building Blocks. The Philippines is a group of islands located in Southeast Asia with a total population of 96 million. The Life expectancy of male is 69 and female is 72 years, with significant variations between regions. The leading causes of deaths include communicable diseases such as pneumonia and tuberculosis, and non-communicable diseases like heart conditions. The total expenditure on health per capita is US$ 202 while the gross domestic product (GDP) is US$ 159.3 billion. (Romualdez, 2011). The country’s health reforms have had some success, notably a reduction in maternal and child mortality. Nevertheless, the country continues to register poor health status, and registers significantly high out-of-pocket (OOP) health expenditures. We examine OPP spending as one of the main health issues in the country. This paper is organized in five major sections. In the first section, we
Although total spending provides insight into overall health care spending, additional indicators are used to measure changes to health care financing. These include the amount spent calculated as a percentage of GDP and the amount spent per capita. As a percentage of gross domestic product (GDP), CIHI reports that health care expenditure decreased from 11.6% of GDP in 2011 to 10.9% of GDP in 2015 (image 2: CIHI spending as percentage of GDP). This decline is corroborated by the World Health Organization (WHO) analysis
Looking at various systems around the world and how they came into existence provide useful comparisons and illuminate how different countries have responded to very similar needs of their citizens as well as how to mitigate limitations and marshal opportunities offered in the diversity of these systems (Johnson & Stoskopf, 2010). This paper analyzes several health systems
One of the biggest issues in the medical field sector in United Arab Emirates is the lack of work forces such as doctors, nurses, and pharmacists (Gov of the UAE). According to Ministry of health statistics, the number of doctors in United Arab Emirates is 1.75 per 1000 people which is a very low ratio. While the nurses represent 2.7 per 1000 people ( MOH of the UAE,2014 ) . The country had realized the huge gap that impaire the health care system. Thus , the priority was set on its agenda for the plan of the year 2030. where it focuses on the issue and state the following " The Authority is also working on a comprehensive plan to attract, train and retain health care professionals with the focus on increasing the number of Emirati work force" (HAAD,2014).On the other hand the main obstacle that is facing Singapore heath care system is finance . The government is only responsible for the basic health care services. Therefore each individual is expected to take responsibility for his/her own health requirements (Lee & Wong ,2008 ).This issue has the major impact on the health care system of Singapore .However an outstanding country as Singapore would not stay still while such a problem exists in its system
One of the issues is the increasing cost of healthcare which is dominating the health policy in U.S. this is accompanied by an increase in spending on healthcare. According to projections by the government, the spending on medical care will continue to rise. U.S spends more money on health care than any other nation globally (Holtz, 2013). The increase in the spending is as a result of improved tools for disease diagnosis, better surgical interventions among others. This raises an issue for the policy makers on the maximum GDP percentage that a country has to spend on healthcare, and whether the nation will afford the cost that is continually growing. In contemplating any change in the health policy, policy makers should consider the cost of the healthcare and the ability of the nation to support that high cost.
However, there is numerous comparison results already have been made so far suggests that United States health expenditure may not be the most efficient spending in the world. In contrast, statistics continuously disclose that we are on the lower group among the developed countries in terms of efficiency. According to the World Health Organization, United States have
Today, health care issues within the United States are still a major concern in regards to where people of our communities do not always agree with what is being done and what is not being done. The three major issues with health care spending is how much is it going to cost and where is the money going to come from? The amount of per-patient costs have doubled more in the United States than other nations around us. The last issue is the amount of Americans that has no health care at all. This paper will discuss the healthcare expenditures that is necessary for our entire population.
The subject of healthcare in the United States can be a contentious one, and it is also an area where peoples' perceptions don't always align with the facts given by policymakers. What makes healthcare spending so scandalous is the amount of money the United States pours into healthcare each year. Over $8,000 per-patient per-year costs, amount that has more than double any of the other nation. Yet 15 to 25% of the American population has no healthcare coverage due to a lack of any form of universal
Healthcare spending growth rate trends show astounding estimates. Since 1960, spending has risen from $27 billion ($143 per capita, 5.1% pf GDP) to amazing $1,678.9 billion ($5,670 per capita, 15.3% of GDP, 2003 data) (HHS, 2005). Recent research estimated that by 2013, healthcare spending will be as high as 18.4% of the Growth Domestic Product. It is important to note that the gradual move from hospital to ambulatory setting has resulted in much higher spending on outpatient hospital services and prescription drugs. The spending growth for these two trends is much higher than the overall healthcare cost growth, which, in fact, increases faster than such important economic indicators as GDP growth, inflation growth, and population growth rates.
The cost of care has been a growing problem throughout developed nations during the last 15 years. For example, across 34 nations that make up the Organization for Economic Cooperation and Development (OECD), the average per capita health care expenditure increased by more than 70 percent between 2000 and 2010. However, the biggest spenders — such as
According to McBride morbidity and mortality are due to the following disease pro-cesses amongst the Filipino community: cardiovascular disease and diabetes, breast cancer, dementia, depression, elderly abuse, gout, TB and HIV. (McBride, 2001)
Although the entire population, which was 8.42 million as of January 1st 2017, is covered, all citizens have to pay some out-of-pocket expenses for healthcare treatments and provisions. Patients have to pay 10% of the total medical bill. According to World Bank, 26.8% was the out-of-pocket health expenditure (% of total expenditure on health) as of 2014 (World Bank). No free treatment exists and the fees are very high. All patients who are citizens must an excess fee that exists between 184 EUR (219.47 USD) to 1,350 EUR (1610.21 USD). In addition to this payment, they also have to pay 10 percent of the overall medical cost. Only pregnant women are excused from this fee. Patients also have to
Methods: Database analysis utilized Medical Expenditure Panel Survey(MEPS) from 2005-2008 which provides national representative estimates of healthcare utilization and expeniture. Health literacy scores were calculated based on a validated predictive model and were rated according to National Assessment of Adult Literacy(NAAL). Health Literacy Score (HLS) ranged from 0-500. Health literacy levels were categorized in two groups: Below basic or basic (HLS<226) and Above basic (HLS≥226). Health utilization included visits and expenditures. The estimation of annual expenditures was based on averaging the expenditures and visits over the three calendar years data. To account for inflation and to match the 2010 census year, expenditures were adjusted to 2010 rates using the Consumer Price Index. A p-value of 0.05 or less was the criterion for statistical significance in all analyses. All analyses were performed with SAS and STATA® 11.0 statistical software.
The major problem, they have within the healthcare industry is the lack of government funding and the total expenditure on health per capita is $109, compared to the $7290 per capita in the United States. Healthcare consumes 4.9% of India’s GDP versus the 16% in the United States. The outcomes equal long lines, fewer facilities and inefficient staff. The supply of healthcare in India is on par with that in sub-Saharan African countries. According to the World Bank, 75% of all health expenditures is in the private sector, where 90% of healthcare costs are paid out-of-pocket.
In this paper there will be a brief discussion of three forces that have affected the development of the U.S healthcare system. It will observe whether or not these forces will continue to have an effect on the U.S healthcare system over the next decade. This paper will also include an additional force, which may be lead to believe to have an impact on the health care system of the nation. And lastly this paper will evaluate the importance of technology in healthcare.
Worldwide, approximately 1.3 billion people do not have access to affordable and efficient healthcare and out of those who have access, almost 170 million are forced to spend around 40 % of their income on medical treatment (Asante et al,2016).In low and middle income countries (LMICs), the major constraint to the access of healthcare is financial burden, where out-of-pocket payments (OPP) contribute to approximately 50 % of total health expenditure (WHO, 2010). As a result, in these countries there is high probability of many households being pushed into poverty due to high medical expenses (McIntyre,2006).The matter of concern in LMICS is that poor and disadvantaged groups of population do not have access to adequate quality of healthcare.For instance, according to WHO (2010) up to 20 % of women in rich population are more likely to have a birth attended by skilled health worker than a poor woman. Therefore, taking an action to address health inequities faced in these countries would save up to 700,000 women.