Does Volume Matter for Long-Term Surgical Outcomes in Countries with Universal Health Care? A Population-Based Analysis in Taiwan

Background. The enactment of the Universal Health Care Act is anticipated to bring wider coverage and accessibility of quality healthcare services as stipulated in its objectives. With the integration of the healthcare system at the provincial level, determining population- and individual-based services is crucial in mapping the managerial and financial roles. Hence, this study aimed to establish the criteria for identifying population-based and individual-based health services in the Philippines. Methods. A systematic review of literature was conducted to generate evidence for the policy brief and discussion points on the roundtable discussion spearheaded by the UP Manila Health Policy Development Hub in collaboration with the Department of Health. Key stakeholders of the policy issue convened to share expertise and insights in determining criteria for population- and individual-based services, intending to generate consensus policy recommendations. Results. The general scope of individual-based health services stipulated in the Law are to be financed under the benefit packages of PHIC and HMOs. Meanwhile, population-based services are those that address public health issues such as health promotion and disease surveillance. Several services considered as ‘grey areas’ are those that fall in the overlap of the individual- and population-based services. These services may be examined through an outcome-based algorithm that examines fragmentation issues both in the supply and demand side of service delivery. Conclusion and Recommendation. Proposed criteria in identifying individual- and population-based services include the number of recipient/s, the effectivity of service delivery and utilization, and source of funding. Health programs that are in the grey areas can be examined through an outcome-based algorithm.

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The Association Between Income Status and Treatment Selection for Prostate Cancer in a Universal Health Care System: A Population-Based Analysis. Letter.

The Journal of Urology ◽

10.1097/ju.0000000000002418 ◽

2022 ◽

Author(s):

Antonio Andrea Grosso ◽

Fabrizio Di Maida ◽

Andrea Mari ◽

Andrea Minervini

Keyword(s):

Prostate Cancer ◽

Health Care ◽

Health Care System ◽

Population Based ◽

Universal Health Care ◽

System A ◽

Income Status ◽

Universal Health Care System ◽

Selection For ◽

Universal Health

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Use of colonoscopy following colorectal cancer surgery: A population-based study in a setting of universal health care

Gastroenterology ◽

10.1016/s0016-5085(00)82920-0 ◽

2000 ◽

Vol 118 (4) ◽

pp. A212

Author(s):

Robert J. Hilsden ◽

Heather Bryant ◽

Lloyd R. Sutherland ◽

Anthony La Fields ◽

Penny Ma Brasher

Keyword(s):

Colorectal Cancer ◽

Health Care ◽

Population Based ◽

Cancer Surgery ◽

Universal Health Care ◽

Colorectal Cancer Surgery ◽

Population Based Study ◽

Universal Health

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Policy Analysis on Financing Roles for Population- and Individual-based Health Services in Light of the Universal Health Care Act

Acta Medica Philippina ◽

10.47895/amp.v54i6.2605 ◽

2020 ◽

Vol 54 (6) ◽

Author(s):

Leonardo R. Estacio, Jr. ◽

Christine Mae S. Avila ◽

Ma-Ann M. Zarsuelo ◽

Ma. Esmeralda C. Silva ◽

Michael Antonio F. Mendoza ◽

...

Keyword(s):

Systematic Review ◽

Health Care ◽

Health Services ◽

Policy Issue ◽

Population Based ◽

The Philippines ◽

Universal Health Care ◽

Health Board ◽

Health Maintenance ◽

Universal Health

Objectives. The health financing scheme brought by the Universal Health Care Act has a significant change in the landscape of allocating funds for health services, as well as in the delineation of roles among the key actors. Consistent with the law, the protection from the health financial risks of Filipinos must be guaranteed. This study aimed to determine the roles of the government and other key agencies in financing population-based and individual-based health services in the Philippines. Methods. A systematic review of literature was done to generate evidence for the policy brief and proposed policy alternatives. The UP Manila Health Policy Development Hub organized a roundtable discussion in collaboration with the Department of Health participated by key stakeholders from various sectors involved in the policy issue. Systematic review and insights from the discussion were analyzed to produce consensus policy recommendations. Results. Given the current procurement and financing, the DOH should fund population-based services while PhilHealth, with the assistance of Health Maintenance Organizations (HMO) for premium holders, should fund individual-based services. Health programs with grey areas (i.e. with both individual- and population-based services) need further technical discussions. It is imperative to have clear-cut specific guidelines on the managerial and financial roles of the provincial health board and the scope of financing service delivery. Conclusion. Delineating the roles of DOH, PhilHealth, and HMOs in financing health services is not without risks. The utilization of the special health fund at the provincial level should be carefully implemented and monitored to minimize inefficiencies and fraud.

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