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  • HEALTH SERVICE

    DELIVERY

    Philippine Health Sector Performance

    October 28, 2014

    Cebu City

  • 48 36 40 42 63 62

    37 45 61 59 49

    23 35 7 24 34 19

    127

    16

    75 46

    125 137

    25 48 24

    44 26

    33

    71

    36

    69 24

    9

    31 28 52 42 36

    53 41 48 31 46 43 26 46

    19 55 40

    18

    62

    19

    38 38

    112 99

    18 27

    37 34

    22 22

    38

    5

    23

    11

    10

    23

    3

    22 7

    30 42

    3

    15 9

    13 7

    7

    20

    14

    12

    7

    0

    59

    2

    3

    1

    10 5

    0

    3 9

    10

    3 1

    3

    5

    3

    0

    0

    Private 57%

    Government 43%

    Level 1 655 40%

    Level 2 615 38%

    Level 3 234 14%

    Level 4 117 7%

    Philippine Hospitals in 2011

  • 17.10

    48.30

    16.00

    92.10

    18.50

    48.6

    106.4

    46.7

    120

    52.8

    88.6

    400

    112.1

    100

    93.9

    194.2

    214.2

    154.6

    635.7

    221.4

    0 100 200 300 400 500 600 700

    Private

    DOH-retained

    LGU hospitals

    Other government

    All Hospitals

    Average Number of Hospital Beds

    Level 4 Level 3 Level 2 Level 1

    52.8

    265.6

    38.7

    132.2

    59.3

    110.4

    240.2

    104.5

    285.2

    122.7

    0 50 100 150 200 250 300

    Private

    DOH-retained

    LGU hospitals

    Other government

    All Hospitals

    "True" Hospitals

    Levels 2, 3 and 4 Hospitals All Hospitals

    Source: Hospital Statistical Report

  • Source: Hospital Statistical Report 2011

    Number of Beds per 1,000 Population

    2.48

    0.96 0.97

    0.8 0.72 0.75 0.73

    0.65

    0.93

    0.66 0.6

    1.31

    0.49

    0.65

    1.33

    0.31

    0.76 0.83

    NC

    R

    RE

    GIO

    N I

    RE

    GIO

    N I

    I

    RE

    GIO

    N I

    II

    RE

    GIO

    N I

    VA

    RE

    GIO

    N I

    VB

    RE

    GIO

    N V

    RE

    GIO

    N V

    I

    RE

    GIO

    N V

    II

    RE

    GIO

    N V

    III

    RE

    GIO

    N I

    X

    RE

    GIO

    N X

    RE

    GIO

    N X

    I

    RE

    GIO

    N X

    II

    CA

    R

    AR

    MM

    CA

    RA

    GA

    PH

    ILIP

    PIN

    ES

  • All "Hospitals", 966

    Med,

    Surg

    , P

    edia

    , O

    bG

    842

    Pulm

    onolo

    gy,

    496

    Op

    hth

    alm

    olo

    gy,

    471

    Card

    iolo

    gy,

    456

    Rehab M

    ed,

    367

    On

    colo

    gy,

    299

    Th

    ora

    cic

    an

    d C

    ard

    iova

    scu

    lar

    Su

    rge

    ry,

    24

    4

    Dia

    beto

    logy,

    172

    Str

    oke U

    nit,

    88

    Ort

    hopedic

    s,

    55 N

    UM

    BE

    R O

    F H

    OS

    PIT

    AL

    S

    Source: Survey of Available Services and Equipment in Hospitals 2011

    Services Available in

    Philippine Hospitals 2011

  • 0% 50% 100%

    ARMM

    CAR

    CARAGA

    NCR

    I

    II

    III

    IV-A

    IV-B

    V

    VI

    VII

    VIII

    IX

    X

    XI

    XII

    PHILIPPINES

    Complete ER Equipment

    85% 90% 95% 100%

    ARMM

    CAR

    CARAGA

    NCR

    I

    II

    III

    IV-A

    IV-B

    V

    VI

    VII

    VIII

    IX

    X

    XI

    XII

    PHILIPPINES

    Complete Basic Lab Equipment

    0% 20% 40% 60% 80%

    ARMM

    CAR

    CARAGA

    NCR

    I

    II

    III

    IV-A

    IV-B

    V

    VI

    VII

    VIII

    IX

    X

    XI

    XII

    PHILIPPINES

    Complete Critical Care Equipment

    Government

    Private

    Source: Survey of Equipment and Facilities, BHFS

  • Source: Survey of Equipment and Facilities, BHFS

  • 72

    .6

    32

    .9

    28

    .4

    27

    25

    .4

    24

    .5

    21

    .4

    20

    .8

    17

    .7

    17

    .1

    16

    .3

    15

    .1

    14

    .3

    14

    .1

    13

    .2

    10

    .3

    9.8

    4.3

    ALL DOCTORS

    18

    .8

    9.7

    9.1

    8.4

    7

    6.6

    6.6

    6.4

    5.9

    5.4

    4.2

    4.1

    3.8

    3.3

    2.5

    2.4

    2.1

    1.1

    MEDICINE

    4.3

    2.6

    1.1

    1

    1

    1

    0.9

    0.9

    0.8

    0.7

    0.7

    0.6

    0.4

    0.4

    0.3

    0.2

    0.2

    0

    SURGEON

    32

    .3

    16

    .1

    12

    12

    11

    .8

    11

    .3

    11

    10

    .4

    10

    .2

    10

    .2

    9

    8.1

    7.6

    7.4

    6.9

    6.2

    6

    2.9

    GP/FAMILY MEDICINE

    5.3

    4

    1.7

    1.7

    1.4

    1.2

    1.2

    1.2

    0.9

    0.8

    0.7

    0.6

    0.5

    0.5

    0.5

    0.2

    0.2

    0.1

    OB-GYN

    4.4

    3.1

    1.8

    1.6

    1.6

    1.5

    1.5

    1.4

    1.3

    1

    1

    0.8

    0.8

    0.6

    0.5

    0.4

    0.4

    0.1

    PEDIATRICIAN

    Where are our doctors? PhilHealth Accredited Physicians : 100,000 population

    1.9

    1.7

    0.7

    0.6

    0.6

    0.6

    0.6

    0.5

    0.5

    0.5

    0.3

    0.3

    0.3

    0.2

    0.2

    0.2

    0.1

    0

    ANESTHESIA

    0.5

    0.4

    0.3

    0.3

    0.2

    0.2

    0.2

    0.2

    0.1

    0.1

    0.1

    0.1

    0.1

    0.1

    0.1

    0.1

    0

    0

    PATHO/RADIO

  • Do the equipment and services

    correspond to demand?

    Data shows that there is no

    correspondence between the

    mortality rate of leading diseases

    and the level of service availability

    in the regions.

  • 0

    20

    40

    60

    80

    100

    120

    140

    160

    0

    5

    10

    15

    20

    25

    30

    35

    40

    45

    50

    AR

    MM

    Reg

    XII

    CA

    R

    CA

    RA

    GA

    Reg

    IV-B

    Reg

    IX

    Reg

    XI

    Reg

    VIII

    Reg

    X

    Reg

    II

    Reg

    VII

    Reg

    VI

    Reg

    V

    Reg

    IV-A

    Reg

    I

    NC

    R

    Reg

    III

    Rat

    e p

    er 1

    00,0

    00

    Nu

    mb

    er o

    f h

    osp

    ital

    s

    Diseases of the Heart

    No. of Hospitals Rate per 100,000

    0

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    0

    5

    10

    15

    20

    25

    30

    AR

    MM

    Reg

    IV-B

    Reg

    VIII

    CA

    RA

    GA

    CA

    R

    Reg

    II

    Reg

    IX

    Reg

    XII

    Reg

    V

    Reg

    XI

    Reg

    X

    Reg

    VI

    Reg

    I

    Reg

    VII

    Reg

    III

    Reg

    IV-A

    NC

    R

    Rat

    e p

    er 1

    00,0

    00

    Nu

    mb

    er o

    f H

    osp

    ital

    s

    Malignant Neoplasm

    No. of Hospitals Rate per 100,000

    0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    0

    5

    10

    15

    20

    25

    30

    35

    AR

    MM

    Reg

    IX

    Reg

    XII

    Reg

    IV-B

    Reg

    VIII

    Reg

    X

    Reg

    II

    CA

    R

    CA

    RA

    GA

    NC

    R

    Reg

    VI

    Reg

    VII

    Reg

    IV-A

    Reg

    XI

    Reg

    III

    Reg

    V

    Reg

    I

    Rat

    e p

    er 1

    00,0

    00

    Nu

    mb

    er o

    f H

    osp

    ital

    s

    Cerebrovascular Diseases

    No. of Hospitals Rate per 100,000

    0

    5

    10

    15

    20

    25

    30

    35

    40

    0

    5

    10

    15

    20

    25

    30

    35

    40

    45

    50

    AR

    MM

    Reg

    XII

    Reg

    IX

    CA

    R

    Reg

    XI

    Reg

    X

    CA

    RA

    GA

    Reg

    VII

    Reg

    VIII

    NC

    R

    Reg

    IV-B

    Reg

    IV-A

    Reg

    V

    Reg

    VI

    Reg

    II

    Reg

    III

    Reg

    I

    Rat

    e p

    er 1

    00,0

    00

    Nu

    mb

    er o

    f H

    osp

    ital

    s

    Chronic Lower Respiratory Disease

    No. of Hospitals Rate per 100,000

    Source: 2011 Survey of Equipment and Facilities, BHFS; 2011 Philippine Health Statistics

  • Bed Occupancy Rate

    A hospital operates efficiently if it has a BOR of 85-95%.

    DOH-Retained Hospitals

    LEVEL Bed Occupancy Rate

    Level 1 (n=4) 70%

    Level 2 (n=13) 103%

    Level 3 (n=9) 114%

    Level 4 (n=25) 108%

    All DOH-retained (n=51) 105%

  • Average length of stay (ALOS) is longer for Surgery and

    Medicine cases, while DOH-retained hospitals seem to

    have longer ALOS than other hospitals.

    2.2

    2.5

    2.1

    2.4

    2.4

    2.9

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