The Philippines continues to struggle with its economic status as a third world country. Having survived periods of control by both Spain and the United States, it is now striving, like many of its neighbors, to establish itself as a newly industrialized country. The daily lives of many Filipinos are characterized by extreme poverty. Over thirty-five percent of the population has difficulty meeting basic needs such as nutrition. During the first six months of 1998, annual per capita income was as low as U.S.$ 427.3 Disparity in wealth is great. The wealthiest twenty percent of the population controls more than fifty percent of the nation's income, while the poorest twenty percent receives less than five percent. Faced with such a situation, it is easy to understand why the Philippines is anxious to raise its status in the global economic community.
Approximately three quarters of the Filipino people live in scarcity and sheer poverty. Apart from the basic needs which are irregularly met, there is always the problem of unwarranted but frequently inevitable bouts of accidents and afflictions which, when left untreated, often becomes even more complicated, lasting and sometimes even fatal.
To this effect, the Government has developed the National Objectives for Health (NOH), a document that states the national goals for health, objectives and strategies to undertake a common vision in partnership with all stakeholders.
Social health insurance through the Philippine Health Insurance Corporation (PhilHealth) – To make quality primary, secondary and tertiary care services, as appropriate, more accessible to underserved rural and urban communities. PhilHealth has been expanded to enrol indigent families and to increase the enrolment of individually paying patients to 2.2 million by the end of 2002. In August 2001, the Sponsored (Indigent) Program was approved for inclusion as a national priority programme, making donations to the Program by private entities/individuals fully deductible from taxable income.
The main thrust of Philhealth is to assist the Filipino people in securing medical and financial assistance. The Philippines according to the National Statistics Coordination Board, from 2001 to 2003, the real Gross Domestic Product and Gross National Product grew at annualized rates of 4.5 % and 4.9%, respectively while per capita real GDP and per capita real GNP grew at annualized rates of 2.1% and 2.5%, respectively. On the other hand, the FIES of the National Statistics Office shows that the income shares of the lower income brackets have grown but the income share of the richest income bracket has decreased between 2000 and 2003. The share in real terms of the poorest 30% has in fact grown from 7.95% in 2000 to 8.36% in 2003 .
With a vision to provide a sustainable, affordable and progressive social health insurance which endeavors to influence the delivery of accessible quality health care for all Filipinos, Philhealth assumed the responsibility of administering the former Medicare program for government and private sector employees, with its landmark transfer from the Government Service Insurance System in October 1997 and Social Security System in April 1998.
With this transfer came the turnover of the health insurance funds, initially totaling P105 million from the GSIS and P14 billion from the SSS. The amount covers employee and employers’ shares in the medical care program. On the other hand, funds worth P52.3 million contributed by the Local Government units for the premium contributions of indigent members were also entrusted to PhilHealth in 1997 and 1998.
In 1998, Philhealth have launched its National Health Insurance Program (NHIP). The benefits under the NHIP are the following: Inpatient hospital care which covers the Room and board, Services of health care professionals, Diagnostic, laboratory, and other medical examination services, Use of surgical or medical equipment and facilities, Prescription drugs and biologicals and Inpatient education packages. The Outpatient care benefits on the other hand are: Services of health care professionals, Diagnostic, laboratory and other medical services, Personal preventive services, Prescription drugs and biologicals, Emergency and Transfer Services and Such other health care services that the Corporation determines to be appropriate and cost-effective.
The Corporation also provides outpatient services to its members such as chemotherapy, radiation therapy, dialysis, cataract extraction and minor surgical procedures performed in an operating room complex of an accredited facility. They are likewise developing other outpatient packages including basic diagnostics and consultations with general practitioners and other packages as may be included subject to the succeeding section.
The Board also provides a basic inpatient education program as part of the benefits available to a program beneficiary. This package shall include training and instructions on disease prevention, health promotion, and rehabilitation.
Expenses for the following services however, shall not be covered by the NHIP except when the Corporation, after actuarial studies, recommends their inclusion subject to the approval of the Board: Outpatient psychotherapy and counseling for mental disorders; Home and rehabilitation services; Normal obstetrical delivery; Non-prescription drugs and devices; Drug and alcohol abuse or dependency treatment; Cosmetic surgery; Optometric services; and, Cost-ineffective procedures as defined by the Corporation.
Members and / or their dependents shall be entitled to benefits if the following conditions are met: (a) Confinement in an accredited health care institution due to illness or injury requiring hospitalization; or, Undergoes a surgical procedure on an outpatient basis in an accredited health care institution; or, Receives out patient benefits provided by the Corporation in a health care institution accredited to provide such services. (b) The member must have paid at least three (3) monthly premium contributions within the immediate six (6) months prior to the first day of availment. If covered through the Indigent Program and the OWWA Medicare Program, the members are entitled to avail of benefits on the date of effectivity stated in the ID Card / Eligibility Certificate (EC) .
STATEMENT OF THE PROBLEM
The main concern of this study is to examine the perception of residents in selected Barangays in Pagbilao. Quezon.
The study sought to answer the following questions:
1. What is the demographic profile of the respondents in terms of:
1.1 Age
1.2 Gender
1.3 Civil Status
1.4 Profession
1.5 Members who have availed and have not yet availed of PHILHealth benefits
2. What is the respondents’ degree of awareness in terms of Philhealth’s benefits and services?
3. What are the possible factors that influence the respondents’ level of satisfaction with Philhealth’s benefits and services?
4. What type of benefits and services are considered by the respondents as adequate of satisfactory?
5. What general implications could be derived from this study?
HYPOTHESES
The study is based on the supposition that:
1. The knowledge scope of the respondents regarding Philhealth’s services and benefits is variable and the narrowness or extensiveness of such information may significantly affect the respondents level of satisfaction
2. Factors such as personal needs, experiences, motives, work orientation, status and level may influence the respondents’ view regarding the suitability of Philhealth’s system
3. Owing to the premise that man will naturally prioritize his basic needs, it is postulated that the type of benefits and services that would answer each respondents’ basic health needs or concerns, would determine his level of satisfaction
4. The diversity of standpoints likely to be exhibited by the respondents would measure the level of the respondents satisfaction regarding PHILHealth benefits and services and their collective thoughts would likewise mirror a mirror a certain portion of the opinion of the general populace.
Copyright © 2007 MR Lusterio
All Rights Reserved
Approximately three quarters of the Filipino people live in scarcity and sheer poverty. Apart from the basic needs which are irregularly met, there is always the problem of unwarranted but frequently inevitable bouts of accidents and afflictions which, when left untreated, often becomes even more complicated, lasting and sometimes even fatal.
To this effect, the Government has developed the National Objectives for Health (NOH), a document that states the national goals for health, objectives and strategies to undertake a common vision in partnership with all stakeholders.
Social health insurance through the Philippine Health Insurance Corporation (PhilHealth) – To make quality primary, secondary and tertiary care services, as appropriate, more accessible to underserved rural and urban communities. PhilHealth has been expanded to enrol indigent families and to increase the enrolment of individually paying patients to 2.2 million by the end of 2002. In August 2001, the Sponsored (Indigent) Program was approved for inclusion as a national priority programme, making donations to the Program by private entities/individuals fully deductible from taxable income.
The main thrust of Philhealth is to assist the Filipino people in securing medical and financial assistance. The Philippines according to the National Statistics Coordination Board, from 2001 to 2003, the real Gross Domestic Product and Gross National Product grew at annualized rates of 4.5 % and 4.9%, respectively while per capita real GDP and per capita real GNP grew at annualized rates of 2.1% and 2.5%, respectively. On the other hand, the FIES of the National Statistics Office shows that the income shares of the lower income brackets have grown but the income share of the richest income bracket has decreased between 2000 and 2003. The share in real terms of the poorest 30% has in fact grown from 7.95% in 2000 to 8.36% in 2003 .
With a vision to provide a sustainable, affordable and progressive social health insurance which endeavors to influence the delivery of accessible quality health care for all Filipinos, Philhealth assumed the responsibility of administering the former Medicare program for government and private sector employees, with its landmark transfer from the Government Service Insurance System in October 1997 and Social Security System in April 1998.
With this transfer came the turnover of the health insurance funds, initially totaling P105 million from the GSIS and P14 billion from the SSS. The amount covers employee and employers’ shares in the medical care program. On the other hand, funds worth P52.3 million contributed by the Local Government units for the premium contributions of indigent members were also entrusted to PhilHealth in 1997 and 1998.
In 1998, Philhealth have launched its National Health Insurance Program (NHIP). The benefits under the NHIP are the following: Inpatient hospital care which covers the Room and board, Services of health care professionals, Diagnostic, laboratory, and other medical examination services, Use of surgical or medical equipment and facilities, Prescription drugs and biologicals and Inpatient education packages. The Outpatient care benefits on the other hand are: Services of health care professionals, Diagnostic, laboratory and other medical services, Personal preventive services, Prescription drugs and biologicals, Emergency and Transfer Services and Such other health care services that the Corporation determines to be appropriate and cost-effective.
The Corporation also provides outpatient services to its members such as chemotherapy, radiation therapy, dialysis, cataract extraction and minor surgical procedures performed in an operating room complex of an accredited facility. They are likewise developing other outpatient packages including basic diagnostics and consultations with general practitioners and other packages as may be included subject to the succeeding section.
The Board also provides a basic inpatient education program as part of the benefits available to a program beneficiary. This package shall include training and instructions on disease prevention, health promotion, and rehabilitation.
Expenses for the following services however, shall not be covered by the NHIP except when the Corporation, after actuarial studies, recommends their inclusion subject to the approval of the Board: Outpatient psychotherapy and counseling for mental disorders; Home and rehabilitation services; Normal obstetrical delivery; Non-prescription drugs and devices; Drug and alcohol abuse or dependency treatment; Cosmetic surgery; Optometric services; and, Cost-ineffective procedures as defined by the Corporation.
Members and / or their dependents shall be entitled to benefits if the following conditions are met: (a) Confinement in an accredited health care institution due to illness or injury requiring hospitalization; or, Undergoes a surgical procedure on an outpatient basis in an accredited health care institution; or, Receives out patient benefits provided by the Corporation in a health care institution accredited to provide such services. (b) The member must have paid at least three (3) monthly premium contributions within the immediate six (6) months prior to the first day of availment. If covered through the Indigent Program and the OWWA Medicare Program, the members are entitled to avail of benefits on the date of effectivity stated in the ID Card / Eligibility Certificate (EC) .
STATEMENT OF THE PROBLEM
The main concern of this study is to examine the perception of residents in selected Barangays in Pagbilao. Quezon.
The study sought to answer the following questions:
1. What is the demographic profile of the respondents in terms of:
1.1 Age
1.2 Gender
1.3 Civil Status
1.4 Profession
1.5 Members who have availed and have not yet availed of PHILHealth benefits
2. What is the respondents’ degree of awareness in terms of Philhealth’s benefits and services?
3. What are the possible factors that influence the respondents’ level of satisfaction with Philhealth’s benefits and services?
4. What type of benefits and services are considered by the respondents as adequate of satisfactory?
5. What general implications could be derived from this study?
HYPOTHESES
The study is based on the supposition that:
1. The knowledge scope of the respondents regarding Philhealth’s services and benefits is variable and the narrowness or extensiveness of such information may significantly affect the respondents level of satisfaction
2. Factors such as personal needs, experiences, motives, work orientation, status and level may influence the respondents’ view regarding the suitability of Philhealth’s system
3. Owing to the premise that man will naturally prioritize his basic needs, it is postulated that the type of benefits and services that would answer each respondents’ basic health needs or concerns, would determine his level of satisfaction
4. The diversity of standpoints likely to be exhibited by the respondents would measure the level of the respondents satisfaction regarding PHILHealth benefits and services and their collective thoughts would likewise mirror a mirror a certain portion of the opinion of the general populace.
Copyright © 2007 MR Lusterio
All Rights Reserved
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