Overview of devolution of health services in the Philippines.
Identifieur interne : 000547 ( PubMed/Checkpoint ); précédent : 000546; suivant : 000548Overview of devolution of health services in the Philippines.
Auteurs : J. Grundy [Australie] ; V. Healy ; L. Gorgolon ; E. SandigSource :
- Rural and remote health [ 1445-6354 ]
Abstract
In 1991 the Philippines Government introduced a major devolution of national government services, which included the first wave of health sector reform, through the introduction of the Local Government Code of 1991. The Code devolved basic services for agriculture extension, forest management, health services, barangay (township) roads and social welfare to Local Government Units. In 1992, the Philippines Government devolved the management and delivery of health services from the National Department of Health to locally elected provincial, city and municipal governments.
PubMed: 15877513
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Sandig</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2003 Jul-Sep</MedlineDate></PubDate></date><idno type="RBID">pubmed:15877513</idno><idno type="pmid">15877513</idno><idno type="wicri:Area/PubMed/Corpus">000449</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000449</idno><idno type="wicri:Area/PubMed/Curation">000449</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000449</idno><idno type="wicri:Area/PubMed/Checkpoint">000449</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000449</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Overview of devolution of health services in the Philippines.</title><author><name sortKey="Grundy, J" sort="Grundy, J" uniqKey="Grundy J" first="J" last="Grundy">J. Grundy</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Remote Health, Alice springs, Northern Territory, Australia. johngrundy@hotmail.com</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Remote Health, Alice springs, Northern Territory</wicri:regionArea><wicri:noRegion>Northern Territory</wicri:noRegion></affiliation></author><author><name sortKey="Healy, V" sort="Healy, V" uniqKey="Healy V" first="V" last="Healy">V. Healy</name></author><author><name sortKey="Gorgolon, L" sort="Gorgolon, L" uniqKey="Gorgolon L" first="L" last="Gorgolon">L. Gorgolon</name></author><author><name sortKey="Sandig, E" sort="Sandig, E" uniqKey="Sandig E" first="E" last="Sandig">E. Sandig</name></author></analytic><series><title level="j">Rural and remote health</title><idno type="eISSN">1445-6354</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In 1991 the Philippines Government introduced a major devolution of national government services, which included the first wave of health sector reform, through the introduction of the Local Government Code of 1991. The Code devolved basic services for agriculture extension, forest management, health services, barangay (township) roads and social welfare to Local Government Units. In 1992, the Philippines Government devolved the management and delivery of health services from the National Department of Health to locally elected provincial, city and municipal governments.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">15877513</PMID><DateCreated><Year>2005</Year><Month>05</Month><Day>09</Day></DateCreated><DateCompleted><Year>2005</Year><Month>05</Month><Day>24</Day></DateCompleted><DateRevised><Year>2005</Year><Month>05</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1445-6354</ISSN><JournalIssue CitedMedium="Internet"><Volume>3</Volume><Issue>2</Issue><PubDate><MedlineDate>2003 Jul-Sep</MedlineDate></PubDate></JournalIssue><Title>Rural and remote health</Title><ISOAbbreviation>Rural Remote Health</ISOAbbreviation></Journal><ArticleTitle>Overview of devolution of health services in the Philippines.</ArticleTitle><Pagination><MedlinePgn>220</MedlinePgn></Pagination><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">In 1991 the Philippines Government introduced a major devolution of national government services, which included the first wave of health sector reform, through the introduction of the Local Government Code of 1991. The Code devolved basic services for agriculture extension, forest management, health services, barangay (township) roads and social welfare to Local Government Units. In 1992, the Philippines Government devolved the management and delivery of health services from the National Department of Health to locally elected provincial, city and municipal governments.</AbstractText><AbstractText Label="AIM" NlmCategory="OBJECTIVE">The aim of this review is to (i) Provide a background to the introduction of devolution to the health system in the Philippines and to (ii) describe the impact of devolution on the structure and functioning of the health system in defined locations.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">International literature was reviewed on the subjects of decentralization. Rapid appraisals of health management systems were conducted in both provinces. Additional data were accessed from the rural health information system and previous consultant reports.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Subsequent to the introduction of devolution, quality and coverage of health services declined in some locations, particularly in rural and remote areas. It was found that in 1992-1997, system effects included a breakdown in management systems between levels of government, declining utilization particularly in the hospital sector, poor staff morale, a decline in maintenance of infrastructure and under financing of operational costs of services.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The aim of decentralization is to widen decision-making space of middle level managers, enhance resource allocations from central to peripheral areas and to improve the efficiency and effectiveness of health services management. The findings of the historical review of devolution in the Philippines reveals some consistencies with the international literature, which describe some negative effects of decentralization, and provide a rationale for the Philippines in undertaking a second wave of reform in order to 'make devolution work'.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Grundy</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Centre for Remote Health, Alice springs, Northern Territory, Australia. johngrundy@hotmail.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Healy</LastName><ForeName>V</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>Gorgolon</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Sandig</LastName><ForeName>E</ForeName><Initials>E</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2003</Year><Month>07</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>Australia</Country><MedlineTA>Rural Remote Health</MedlineTA><NlmUniqueID>101174860</NlmUniqueID><ISSNLinking>1445-6354</ISSNLinking></MedlineJournalInfo></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>5</Month><Day>10</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2005</Year><Month>5</Month><Day>10</Day><Hour>9</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>5</Month><Day>10</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15877513</ArticleId><ArticleId IdType="pii">220</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Gorgolon, L" sort="Gorgolon, L" uniqKey="Gorgolon L" first="L" last="Gorgolon">L. Gorgolon</name><name sortKey="Healy, V" sort="Healy, V" uniqKey="Healy V" first="V" last="Healy">V. Healy</name><name sortKey="Sandig, E" sort="Sandig, E" uniqKey="Sandig E" first="E" last="Sandig">E. Sandig</name></noCountry><country name="Australie"><noRegion><name sortKey="Grundy, J" sort="Grundy, J" uniqKey="Grundy J" first="J" last="Grundy">J. Grundy</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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