Primary Healthcare (PHC)

Mao's System of Barefoot Doctor- Equitable and efficient healthcare system. 20 years from 1960. Covering the whole China healthcare.

Evolution of PHC

4 decade. 1) Start from 1920(Rockefeller grant). 2)1960(Mao's System). 3)1980 healthcare privatization, 4) 1990 (Health for all)

Types:

• Selective PHC- Vertical Approach

• Comprehensive PHC- Horizontal Approach

Health for All Weakness:

1) Intrinsic- Lack in: Planning, Organization, Leading, Information, Control, Evaluation

2) Extrinsic- Lack of: Content, Context, Actor, Process Failure

Key Features PHC : Accessibility, Availability, Affordability, Acceptability, Equability

Challenges/Gaps/Issue of PHC: (L.I.F^.T.S)

1) Leadership and Information

2) Financing

3) Force worker, Technology and Services + Quality

Key Features Healthcare Reform: [Universal Healthcare (6P): Preventing- Promoting- Participating- Proper- Provision- Providing + Health Building Block (L.I.F^.T.S): Leadership, Information, Financing, Force, Technology, Services] X Quality +Coverage = Equitable, Efficient, Reactive, Protective

Philippines 5 Reform area:

1. Public Health

2. Hospital

3. Local Health System

4. Regulation

5. Financing

#HealthcareReform, #PrimaryHealthCare