the supply of health man power
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THE SUPPLY OF HEALTHMAN POWER
Philippine Setting
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What is the present situation of thePhilippines's supply and demand forhealth care services?
The Philippines' Department of Health (DOH)(Filipino:Kagawaran ng Kalusugan) is theprincipal health agency in the Philippines. It isthe executive department of thePhilippine
Government responsible for ensuring access tobasic public health services to all Filipinosthrough the provision of quality health care andthe regulation of providers of health goods andservices.
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There was substantial migration of physiciansand nurses to the United States in the 1970sand 1980s, The Department of Health hadmade efforts to provide every barangay with at
least minimum health care, but doing so wasboth difficult and expensive, and the moreremote areas inevitably received less attention.The Philippines has a dual health care systemconsisting of modern (Western) and traditional
medicine.
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Lured by higher salaries abroad and fed upwith political instability at home, over 100,000nurses -- including former doctors -- have leftthe Philippines in the last decade and are
now working overseas, .of the roughly 1,600private hospitals in the country, only 700 werenow operational due to the shortage ofnurses and doctors. the nurses who remain inthe Philippines are overwhelmed by the
number of patients they must take care of. Atsome hospitals on the southern island ofMindanao, there is one nurse for 55 patients,
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Even at the government-run PhilippineGeneral Hospital in Manila, the country'slargest medical institution, the nurse-to-
patient ratio is 1-to-30 as of 2005.
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As of 1995
Total population in 1995: 69,282,000
Number of physicians per 100,000 population(1993): 11
Number of medical schools: 28
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As of 2010
Countrys Population is 91,983,000
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As of 2004
In 2004, there was one physician forevery 880 people, one nurse for every 235,one dentist for every 1800, and onepharmacist for every 1664. However,these ratios have most likely changed,especially with the exodus of nurses in thepast five years. The country is
purportedly the leading exporter ofnurses to the world and the secondmajor exporter of physicians.
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According to World HealthOrganization Western PacificRegional Office (2004)
PROFESSION NUMBER RATE PER
1000
POPULATION
PHYSICIANS 93,862 1.14
DENTIST 45,903 0.55
PHARMACIST 49,667 0.60
NURSES 352,398 4.26
MIDWIVES 136,036 1.65
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In 2007
56,000 number of doctors in the Philippines
9,000- number of Filipino doctors that retrainedto become nurses abroad
5,000- number of doctors-turned-nurses thathave already left for abroad
1,800 number of physicians who pledged toremain in the Philippines for the next 3 years
2,200 number of doctors that refused to signthe pledge
25% percentage of overseas nurses providedby the Philippines worldwide
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The Philippines has about 95,000 orabout 1 per 800 people with about1,700 hospitals where 60% are privatetotaling 85,000 beds. An expat in thePhilippines shared how cheap it is inthe Philippines in the Rest of theWorld Expat Forum last August 7,
2009
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The country is purportedly the leadingexporter of nurses to the world
The Philippines supply the 25% of all nursesWorldwide
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If you take all the NLE (Nurse LicensureExams) data from 2000 to 2008, you will
find out that there had been 224, 977registered nurses for that 8 year-period.
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SO, WHERE IN THE WORLD
ARE ALL THOSE FILIPINONURSES?
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Gone with the wind