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Now showing 1 - 10 of 22
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    Population, health expenditure and the health state of the Philippines, 1969-1985
    (1987-03-20) Gamboa, Ana Maria Sophia J.; Miranda, Casimiro V.
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    An analysis of the determinants of the demand for health services: the Philippine case (1967-1985)
    (1987-09-21) Panggat, Maria Asuncion A.; Racelis, Carolina Francisca A.; Herrin, Alejandro
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    Hospital subsidies, costs and the demand for physician services in the Philippines
    (1987-10) Palma, Alexander Michael G.; Chan, Emelinda Uy; Herrin, Alejandro
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    An analysis of the demand for health services of projects 2 and 3 residents
    (1988-09-23) Yabut, Maria Olivia; Lazatin, Sharon
    The study aims to determine the factors that influence the demand of the residents of Projects 2 and 3 for health services available in the area. General information about the services offered by two public and two private health establishments were gathered. Information regarding the demand of the residents for health services were described statistically and four factors that affect this demand were analyzed.
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    National kidney and transplant institute: yesterday, today, and tomorrow (a transitory monopoly case)
    (2002-09) Gamboa, Boogin C.; Villarin, Earl Charles N.; Tecson, Gwendolyn
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    The effects of health personnel migration on health care quality and personal wages
    (2006-04-05) Capones, JOanna Eileen M.; Molina, Ana Kristel C.; Quimbo, Stella
    This paper aims to characterize the patterns of migration of health personnel, by examining the number of migrants over time as well as the skill level of migrating doctors and nurses. it also attempts to determine how the migration of health personnel, a significant trend at present, impacts on the quality of health care and personnel wages. On a micro level, case studies on four hospitals are conducted and used to evaluate the current quality of health care. Data are collected from hospital administrators as well as patients. On a macro level, two sets of regression models are estimated to evaluate empirically the effect of migration on quality and wages. Micro data reveal that there is indeed a deterioration of quality of health care as manifested by the length of time patients have to wait for assistance and their length of stay in the hospital. The prolonged length of stay indicates that prices of health care are too high for the patients since they cannot he discharged without paying all hospital fees thus extending their confinement, and I or health personnel can not immediately treat their patients due to their lack of ability or lack of equipment. Waiting time indicates a shortage of supply due to migration or deterioration in the quality of health personnel that only a few end up being hired. For the macro level analysis, two regression equations are estimated. The first is a model of health outcomes, using three alternative dependent variables, namely mortality, infant mortality at1d life expectancy. Explanatory variables employed in the health outcome- regression model include the number of health personnel, health stations and hospitals. The second is a model of wages in the health care sectors, where explanatory variables include health personnel, number of graduates and the number or enrollees. In both models, the number of migrants serves as an explanatory variable. Regression results show that health personnel migration has indeed significant effects on health care quality and personnel wages. Increase in migration leads to increases in both mortality and infant mortality and a decrease in life expectancy. Worsening of the mentioned health outcomes, manifestations of health care quality, indicates that quality is in fact deteriorating due to migration. The researchers also found that health personnel leaving the country, at least in the hospitals included in this study, are those with adequate skills and are experts in their field. Wages, both nominal and real, increase together with the increase in the number of migrants. It is recommended that policies regarding opening and closing of medical colleges and universities be strictly applied. Wage and incentive policies should also be thoroughly reviewed immediately. For further studies, it is recommended that other measures of quality be obtained and that other areas of the health care field be empirically evaluated, in line with migration of health manpower, such as the price of health care.
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    An analysis of hospital production function
    (2007-11) Arreza, Glenn Ivan O.; Flores, Floyd Angelo M.; Tan, Edita
    The analysis of production is based on the concept of production function. Way back to the 1960's, different studies on the estimation of production functions have been done with others a combination with cost functions. The purpose of this study is to analyze the hospital production function in the Philippines and to find possibilities of input substitution in the production function. A context analysis was performed utilizing the statistical reports (specifically in the year 2004) submitted by the different hospitals in the country. Since previous studies regarding hospital production functions were done abroad, this study offers the same approach but is using Philippine data behind the estimation of the hospital production function.
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    Determinants of provincial maternal mortality rates of the Philippines
    (2007-11) Broñosa, Karen Mae Ravalo; Malana, Rachel Cantor; Tan, Edita Abella
    This paper identifies the various determinants of maternal mortality rates (MMR) of the 75 provinces of the Philippines. It uses panel data which covers the years 1997, 2000, 2003 and 2006 and analyses which variables exert significant effects on MMR differences across provinces. Using fixed effects model type of regression, the equation explains about 68% of the variations in MMR levels. Variables examined are a combination of socio-demographic, socio-economic, quality of health care and environmental indicators. Fixed regression results show that health manpower (doctors, nurses, midwives, etc.) significantly affects MMR while health facilities such as public hospitals, private hospitals, rural health units and barangay health stations have negative relationship with MMR. Bed capacity is rather more significant than health facilities per se. The socio-economic variables: percentage of high school graduate per province (as a proxy for education) and poverty incidence and average family income (as a proxy for income) are seen to have a great impact on MMR levels showing significance and negative relationship with MMR. Also, the authors examine the relationship of the indicators of. maternal health to maternal mortality rate which represents the quality of maternal health care available. The paper finds that the variable percentage of women who had tetanus toxoid immunizations is negatively correlated with MMR while percentage of pregnant women seen on their third pre-natal visits, percentage of women · who receive at least one post-partum visit, percentage of women in their reproductive years given iodized oil capsules and percentage of lactating mothers given Vitamin A- all have significant effects on MMR. Access to safe water supply is also proven to have negative relationship with MMR.
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    Medical tourism and its impacts on health care labor sector: a solution to the brain drain poblem
    (2007-04-10) Gatchalian, Myrella Lauren C.; Joson, Jobelle Rea B.; Arcenas, Agustin
    The Philippines is one of the world's largest exporters of healthcare workers. Many Filipinos particularly our health care professionals are migrating to other countries for better opportunities and income. Consequently, it is expected that our country might not have enough nurses and doctors to sustain its own healthcare industry, specifically the medical tourism industry. Medical Tourism has been an emerging industry now in the Philippines. The Department of Health reported that the Philippines earned an estimated $200 million in 2006 from foreign patients seeking cheap medical services. This study has been conducted in view of the situation above. The focus of this research is to determine if medical tourism can address the brain drain problem of the country. The researchers used supply and demand analysis to determine the impact of medical tourism on the supply of health care professionals through an increase in demand. A survey was also conducted to find out the importance of non-wage factors to future nurses; and to estimate the salary they are willing to accept both in the Philippines and abroad. Given the results of the survey and impacts of medical tourism, a simple model of migration condition was used to identify if health care professionals would migrate or not. Based on the results, it was verified that the supply of health care professionals increased due to increase in wages brought about by increase in demand for health care services as a result of medical tourism. The floor price of health care professionals to stay in the Philippines is estimated to range from Php20,000-30,000. Economic growth and better resources in the health care sector - prompted by medical tourism - also contributes to the increase in the supply of health care professionals.
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    Philippine health inequality: measurement and decomposition 1980 and 2000
    (2008-01) Aduana, Leova Rose D.; Kabigting, Genellene Vanessa V.; Kraft, Aleli
    This paper estimates the extent of overall health inequality in the Philippines. Child mortality rates of provinces and regions are computed to proxy for the health status of the population. Concentration indices for each region are generated to measure the degree of health inequality. This paper finds that although health status improved from 1980 to 2000, as shown by the decrease in the child mortality rates of all provinces and regions, the degree of national health inequality has increased favoring more affluent regions and provinces. Decomposing the contribution of inequalities in the determinants of health, we find that inequalities in education and access to health care services contribute significantly to the extent of socioeconomic health inequality in the country. In addition, the economic status of women explains the level of child mortality across regions. Evidence of health inequality and its causes implies the need for a careful review of health policies.