“You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete.” – Buckminster Fuller
Program Development:
Changing the Landscape of Healthcare in the Philippines and Asia
Background/Drivers of Change
Mission/Vision
Executive Summary (Synopsis)
The Problem (The Challenge)
The Solution: Delivering Healthcare to 110 Million Filipinos
Healthcare Ladder (Steps to Success)
The RoadMap
Predictable Change: Accesibility, Cost Effective/Economic Feasibility, Effective Healthcare Delivery, Quality HealthCare, Practicality/Practicability, Replicability, Universality, Sustainability
SWOT Analysis
PowerPoint Presentation
Changing the Landscape of Healthcare:
Moving On Post-Covid
We have seen the world during this last pandemic; it was so draining in every aspect of our lives, yet we endured as a people. Today, we are faced with the challenge of rebuilding, and re-structuring our healthcare to be more effective now and for the future. As nurses, this is our chance to influence the future of nursing. (05/01/23) The American Nurses Association made a difference by announcing the celebration of Nurses, not by just a week but this time, a month-long focus on Our Nurses.Our Future. This gives a closer look at our nurses from different stages and perspectives, starting with the Celebration of Nurses, first as individuals, concentrating on their self care, because they need to be strong and free of burden before they can take care of others; promotion of their professional needs, and encouraging them to become leaders of change in the healthcare system. All these, redefine Nursing as a Profession in this twentyfirst century.
Then, the International Council of Nurses promotes a year long call and commitment from nurses around the world with this message, "Nurses together: a force for global health", to respond to the global need of a healthcare that is accessible, sustainable, affordable and sensitive to peoples' health recovering from the devastating effect of the past pandemic. In addition, a Charter for Change report have been issued to support this dire need for change in the healthcare system.
Looking Back:
CAMPAIGN FOR NURSE DRIVEN HEALTHCARE SOLUTION
DURING COVID PANDEMIC TIMES
As a nurse in this unprecedented time of Corona Virus pandemic, I cannot help but find a way to help the community and do my share in this greatest challenge of the 21st Century in the heights of technical, science, medical, financial and social developments.
In my musings in FB which became one of the widest venues of connections and information channel, I have conceptualized a way to use it as a tool to this Actual Real-Time Descriptive Research on the COVID -19 that continue to claim lives and resources, a global plague.
This descriptive research will include a wide range and extensive review of literature and content about a virus that came and kill, from the joint perspective of every scientists, doctors, nurses and the community that has in anyway affect the way the individuals and the world respond to live and survive in this uncertain time from an unseen enemy, a virus known as COVID-19.
In this Pandemic Era, the government leaders are called to protect its people, from the highest laws of the land, not to instill fear but convince the millions to comply and do their individual share of survival. As the world keep on standstill and lockdown, people of all faith keep their Trust and Hope in God for Divine Intervention.
I give salute to the nurses around the world in their unconditional work in the frontlines. They are working so hard with commitment to their duties together with the healthcare team. Let us pray that they will continue to respond to this global challenge we never had ever before.
Myrna D. Santos, MSN, RN (March,2020)
Chief Nurse
Looking Forward: A Nurse Taking on the Challenge
The Nurse is IN: Nurses Role in Healthcare
Nurses have long fought for a more humane healthcare system based on individual patient need, not ability to pay. More than ever, nurses play a major role on issues of healthcare providing solutions for a healthier tomorrow. We are gaining significant momentum as professionals. This is indeed a compliment and empowerment to us and yet on the other hand, a call of a challenge to us in caring for the American people as well as the international community. How big and how important can this challenge be? Do we have an answer for that? Yes, we do, and yes, we will!
As the new millenium starts, The Nursing Office.Com takes the challenge to promote solutions that are based on the evidence and actual experiences of nurses who are behind the scenes of healthcare. It is the time for us to come forward and be in charge of a domain that is always, and rightfully, ours.
We have managed through those years, though it was not recognized. This time, we will take the responsibility and leadership to show our wisdom. We will stand up and define our roles. We will no longer be in the background but rather, we will be visible as we walk our talk. We will be in the Board Rooms. We will re-think why it failed and why we need reforms. We will come up with our own nurse driven solutions, initiatives and programs to support a massive change in our healthcare. And in the height of these times of technical, scientific, medical advances and artificial intelligence (AI), it's time to go back to basics. And in as much as we claim it's our domain, let us be with it, in it. Let us be IN, The Nurse is IN!
Myrna D. Santos, MSN, RN (02/2024)
Chief Nurse/Founder
Mission
The overall goal is to open, initiate, provide and facilitate ACCESS TO HEALTHCARE in its broadest meaning, utilizing science-based information and technology for efficient and effective delivery, from health promotion, clinical services, delivery of prescription medicines, Medicare insurance reimbursements, health education, housing, recreation and retirement facilities, clean water and environmental protection, to the manufacturing, marketing and distribution of environment and ecology-friendly health products, supplies or equipment for general health maintenance in homes, schools, offices and other public and private arenas.
The past Philippine Government administration has set up the 2016-2022 Philippine Health Agenda (http://www.doh.gov.ph/philippine_health_agenda) founded on Values of Equity, Efficiency, Quality and Transparency.The PHA guarantees financial freedom when accessing Universal Health Insurance; Service Delivery Network of fully functional health facilities, and Healthcare for all Life Stages & Triple Burden of Disease (communicable, non-communicable diseases & malnutrition, diseases of rapid urbanization & industrialization).
Vision
Access Healthcare Asia
As we morph its vision-mission, we need to fill in the gaps and challenges in health management information, access to health, products and services, leadership training and support, and various structural changes in the healthcare situation of the Philippine and ASEAN regions.
The Philippine Health Agenda (PHA) strategy with the acronym “ACHIEVE” shows an informative and purposive map into how Access Healthcare Asia, could design and formulate its programs, services, and products to address the unmet and/or ever-growing needs of the Rising Tiger of Asia. As outlined “ACHIEVE” provides a solid blueprint and stable public ground for companies like Access Healthcare Asia to truly deliver health care that people deserve and to rise along the tide of urbanization and industrialization in the Philippines and ASEAN regions.
A–Advance quality health care and primary care
C – Cover all Filipinos from health-related financial risk
H – Harness the power of HRH development
I –Invest in eHealth and data for decision-making
E – Enforce standards of accountability and transparency
V – Value all clients, especially the poor, marginalized, and vulnerable
E – Elicit multi-sectoral and multi-stakeholder support for health.
Lutgarda Resurreccion
Program Director/The Nursing Office.Com
3.22.2017
Related Stories/Topics
The Greatest Challenge Begins with Me
The Greatest Solution Begins with US
Connecting the Dots/ Domino-Effect
Reaching for Malacanang
The Evolution of Nursing Science in Healthcare
Healthcare Delivery in Modern Times
The Best Healthcare Systems in the World
Story by Devika Rao, The Week US 07/2024
Coming off the deadly pandemic, health care has taken center stage as a global issue. While the U.S. is facing health care struggles that include increased maternal mortality and lower life expectancy compared to some developed nations, other countries have systems that foster better medical outcomes. More accessible and affordable medical care can improve people's quality of life and decrease inequality across social classes. These are four of the world's best health care systems.
Belgium
Belgium's health care system is affordable and accessible. The country's health coverage covers almost the entire population with its wide scope of services and is a system publicly funded through social security and taxes. "Emphasizing preventative care, the system focuses on early detection and cost-effective measures," said Insider Monkey. The country also "boasts a strong network of health care providers and renowned medical research institutions like the University of Antwerp, Hasselt University and KU Leuven, among others."
Belgium spends a significant amount on health care. The country is "among the top ten spenders on health across EU countries, reaching 10.7% of GDP in 2019. With relatively high public spending on health, households' out-of-pocket payments amounted to 18.2%, spent mainly on non-reimbursed services, official co-payments and extra billings," said a report by the European Health Observatory. Life expectancy is 84 for women and 80 for men.
Japan
Japan has "maintained a health insurance system that all permanent residents of Japan for more than three months are required to join, allowing people living in Japan to access appropriate health care services at a cost they can afford," said the World Economic Forum. In addition, patients are allowed to "choose any health care provider, from small clinics to large hospitals with the latest medical facilities, and all medical services are provided at a uniform price anywhere in Japan." The system is mostly publicly funded through taxpayer dollars, with some aspects of the system requiring self-pay or coinsurance.
The health care system "covers 98.3% of the population, while the separate Public Social Assistance Program, for impoverished people, covers the remaining," said Columbia University. The country has some of the best medical outcomes in the world, with the life expectancy at 88 for women and 82 for men. Infant and maternal mortality is also some of the lowest globally. The biggest risk to the system is the country's increasing medical costs caused by the "rapid aging of the population and sluggish income growth caused by slow economic growth," said the World Economic Forum.
Sweden
Sweden's health care system is decentralized, or "nationally regulated and locally administered," where the "Ministry of Health and Social Affairs sets overall health policy," and the country's "regions finance and deliver health care services and the municipalities are responsible for the elderly and disabled," said the Commonwealth Fund. All legal residents automatically have health care. "There are both public and private providers of health care, and the same regulations apply to both," said Sweden's website.
"The Swedish health care system has high public funding, universal coverage, an ambitious uptake of modern technologies and efforts to prevent unhealthy lifestyles," said the European Health Observatory. The life expectancy is approximately 85 for women and 82 for men, and maternal and infant mortality rates are low. "These attributes contribute to low levels of unmet needs, favorable health outcomes and good health status in the population compared with other countries."
Taiwan
Taiwan has a universal health care system. "The single-payer system is funded primarily through payroll-based premiums, although the government provides generous premium subsidies for low-income households, civil servants and others," said the Commonwealth Fund. "Health care services are provided mostly by contracted private providers." Every citizen and resident who has lived in the country for more than six months is required to be enrolled in the health care system.
The country's single-payer system has been quite successful following decades of unsuccessful health care systems. "The benefits are quite comprehensive: hospital care, primary care, prescription drugs, traditional Chinese medicine," said Vox. "Patients must make copays when they visit the doctor or fill a prescription or go to the ER, but they are generally low." Life expectancy is 84 for women and 78 for men, and infant and maternal mortality rates are low. But hospitals are understaffed and overfilled because "Taiwan's national health insurance has given patients such a good deal on medical care that they are overwhelming the system."
6-Step Ladder
Conceptualization of a Continuum of Educational Programs in Healthcare
The System: Designing and Building of Healthcare Infrastructures
I Community Healthcare Workers: Introduction to Healthcare
II Home Caregivers: The first Defense/Caregiving/Healthcare Begins at Home
III Associate Degree for Nurses (Professional Level I Registered Nurses)
IV Bachelor of Science Degree (Professional Level II Registered Nurses)
V Advance Nurse Practitioners (Professional Level III Registered Nurses)The Next Doctor
VI Midwifery (Professional Level III, Licensed)
Key Words to Success
Global Health Crisis
Universal Healthcare/Healthcare for All
Health Care is a Human Right
Scientific, On-going/Dynamic Research
Charter for Change
Community Care. Worldwide Healing
Concepts, Principles, Philosophy
Nursing Theory
Back to Basics in Healthcare
Culture of Health
Marketing Slogan
Delivering Healthcare to One, Delivering Healthcare to All
Locally, Globally
Resources
American Nurses Association (ANA)
International Council of Nurses (ICN)
Philippine Nurses Association (PNA)
World Health Organization (WHO)
Carl E. Balita Institute of Health
Taiwan can help, Universal Health for All
References
Harvard T.H.Chan School of Public Health
Bloomberg School of Public Health
Columbia Mailman School of Public Health
Johson & Johnson
Robert Wood Johnson
Institute of Medicine (I.O.M.)