Key Vocabulary

• Ateneo de Zamboanga University School of Medicine (ADZU-SOM): An institution focused on providing medical education that is responsive to community health needs, incorporating problem-based and competency-based learning.

• Community-Engaged Medical Education (CEME): An educational approach that involves learners engaging with local communities to understand health care challenges and solutions.

• Decentralization: The transfer of authority and responsibility from central to local governments, allowing local units greater autonomy in decision-making and resource allocation.

• Fourmula ONE for Health: A strategic framework aimed at enhancing the efficiency and equity of the Philippine health care system.

• Health system fragmentation: The existence of multiple health subsystems that can lead to gaps in service provision and accessibility, particularly for vulnerable populations.

• No Balance Billing (NBB) Policy: A policy that ensures indigent patients do not incur additional costs beyond packaged rates during their hospital stay.

• Universal Health Coverage (UHC): A program designed to ensure that all individuals and communities receive the health services they need without suffering financial hardship.

Key Points

Vision, Mission, and Philosophy

• Vision: ADZU-SOM aims to create a medical curriculum that integrates experiential learning and is sensitive to the health care needs of the community.
• Mission: To address health problems in Western Mindanao by producing self-directed, competent medical professionals.
• Philosophy: Focus on mission-driven, socially accountable medical education.

Curriculum Components

• Key Curriculum Features: Emphasis on Problem-Based Learning, Competency-Based Assessment, and Community-Engaged Medical Education.
• Learning Strands: Include perspectives from biological, behavioral, and population health, alongside professional skill development.

Healthcare System Insights

• Philippine Health System History: Ranges from traditional practices during the Pre-Spanish and Spanish periods to the establishment of public health institutions.
• PhilHealth Achievements: As of 2022, coverage reached 108 million Filipinos, with measures to support indigent patients through NBB policies.

Government and Policy

• Executive Order No. 138: Aims for efficient health service delivery by devolving more responsibilities to local governments.
• Department of Health (DOH): Oversees local health system management, ensuring adherence to national standards.

Challenges and Opportunities

• Decentralization Pros: Better resource allocation, improved health service efficiency, and increased accountability.
• Decentralization Cons: Challenges in fund allocation lead to inefficiencies in health service delivery at local levels.

Health System Performance

• Health system fragmentation results in gaps that hinder healthcare delivery, particularly for economically disadvantaged individuals.

Reform Initiatives and Goals

• The UHC program aspires to enhance access to healthcare for all citizens, supported by legislative efforts and health reform initiatives.

Important Data

• PhilHealth Coverage: Approximately 92% of the Filipino population is covered, with a goal to reach 100% with additional funding.
• Life Expectancy and Population Data (2017): Population was approximately 104.9 million, with a life expectancy of 69.2 years.
• Key Components of Health System: Leadership and governance, health information systems, health financing, human resources, essential medical products, and service delivery.

Additional Aspects

Key Reports and Frameworks

• Flexner Report: Evaluated medical education in the United States and Canada, significantly influencing modern medical school curricula.

Health System Structures

• Healthcare in the Philippines is characterized by public-private partnerships and a push towards decentralized governance for more localized health service delivery.

Major Historical Milestones

• Establishment of the Department of Public Health and Welfare in 1939, marking a critical development in the Philippines' public health landscape.

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