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Dr Marife C Yap Associate Dean  Ateneo School of Medicine and Public Health MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
ASSESSMENT OF THE HEALTH TARGETS OF THE MEDIUM TERM PHILIPPINE DEVELOPMENT PLAN Ramon Pedro Paterno M.D.  Paolo Victor N. Medina M.D.
[object Object],Reduce the Cost of Medications by Half
Achievements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Average 4-week Medicine Expenditures within Household Expenditure Quintiles Source: WHO, World Health Survey, 2002 $88 $153 Poor families cannot afford to pay for medicines
Recommendations  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit Bengzon et al, 2007
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit Bengzon et al, 2007
[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit Bengzon et al, 2007
MECYap 14 April 2010 Health Financing Summit “ Government, because of the immense powers at its  disposal, can readily institute measures to respond to the problems raised to its attention. In doing so, however, approaches may be over simplistic, indicating a failure to appreciate the immensity and complexity of the proposed area of reform. Such quick fixes, at best, provide temporary relief from the symptoms of the ills; in the worst case, long-term complications could arise. Without the benefit of thorough diagnosis and management, a cure cannot be effected.” Bengzon et al, 2007
[object Object],[object Object],[object Object],22 January 2009 Health Financing Summit Bengzon et al, 2007
[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit Principles of a Drug Formulary System, October 2000
[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
MECYap 14 April 2010 Health Financing Summit Hartigan-Go et al, 2007 USE SELECTION DISTRIBUTION PROCUREMENT DRUG MANAGEMENT CYCLE ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit Hartigan-Go et al, 2007
MECYap 14 April 2010 Health Financing Summit Physicians FSG PNDF STG/ CPG BAC COA -  A.O. No. 163  s. 2002 -  E.O. 49 s. 1993 Hartigan-Go et al, 2007
MECYap 14 April 2010 Health Financing Summit FORMULARY LGU -COBAC For Procurement PRIVATE AND PUBLIC PHYSICIANS in prescribing medicines PHILHEALTH 3 RD  PARTY PAYORS To determine reimbursements BENEFICIARIES To obtain information on the drugs, including prices Hartigan-Go et al, 2007
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit Components of the  PNDF System (PNDFS)
[object Object],[object Object],[object Object],[object Object],[object Object],22 January 2009 2 nd  MeTA National Forum
[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
MECYap 14 April 2010 Health Financing Summit Secretary of Health Undersecretary of Health for Regulations Formulary Executive Council (FEC) Epidemiology Committees Clinical Epi Subcomm Public Health Epi Subcomm Pharmacology Committee FSG / NFC Secretariat F S G F S G
[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit
[object Object],[object Object],[object Object],[object Object],MECYap 14 April 2010 Health Financing Summit

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Improve Philippine National Drug Formulary System

  • 1. Dr Marife C Yap Associate Dean Ateneo School of Medicine and Public Health MECYap 14 April 2010 Health Financing Summit
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  • 3. ASSESSMENT OF THE HEALTH TARGETS OF THE MEDIUM TERM PHILIPPINE DEVELOPMENT PLAN Ramon Pedro Paterno M.D. Paolo Victor N. Medina M.D.
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  • 6. Average 4-week Medicine Expenditures within Household Expenditure Quintiles Source: WHO, World Health Survey, 2002 $88 $153 Poor families cannot afford to pay for medicines
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  • 11. MECYap 14 April 2010 Health Financing Summit “ Government, because of the immense powers at its disposal, can readily institute measures to respond to the problems raised to its attention. In doing so, however, approaches may be over simplistic, indicating a failure to appreciate the immensity and complexity of the proposed area of reform. Such quick fixes, at best, provide temporary relief from the symptoms of the ills; in the worst case, long-term complications could arise. Without the benefit of thorough diagnosis and management, a cure cannot be effected.” Bengzon et al, 2007
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  • 19. MECYap 14 April 2010 Health Financing Summit Physicians FSG PNDF STG/ CPG BAC COA - A.O. No. 163 s. 2002 - E.O. 49 s. 1993 Hartigan-Go et al, 2007
  • 20. MECYap 14 April 2010 Health Financing Summit FORMULARY LGU -COBAC For Procurement PRIVATE AND PUBLIC PHYSICIANS in prescribing medicines PHILHEALTH 3 RD PARTY PAYORS To determine reimbursements BENEFICIARIES To obtain information on the drugs, including prices Hartigan-Go et al, 2007
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  • 50. MECYap 14 April 2010 Health Financing Summit
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  • 52. MECYap 14 April 2010 Health Financing Summit Secretary of Health Undersecretary of Health for Regulations Formulary Executive Council (FEC) Epidemiology Committees Clinical Epi Subcomm Public Health Epi Subcomm Pharmacology Committee FSG / NFC Secretariat F S G F S G
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  • 54. MECYap 14 April 2010 Health Financing Summit
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