A Health Care Provider may be an individual (health
worker) or an institution (health facility) which carries out a
broad function of providing health care services to health care consumers which may be an individual or a community. In the Philippines, the term may refer to any of the following a public or a private health care institution, a health care professional, a health maintenance organization or a community-based health care organization, as defined in the National Health Insurance Act of 1995. The health care providers are an essential part of the health care system. This sector can profoundly influence the health outcomes of the country. And it is because of this that policies and plans should be created to protect and strengthen this sector to succeed over numerous challenges in the health care system. Challenges Perhaps the top challenge is the fragmentation of health care. This fragmentation is demonstrated in the Philippines by the huge gaps between public health care and clinical medicine, the dichotomy between public and private health services, the factions of general practitioners and subspecialty medical care, and the difference between central government health services with a devolved local government health system of care. The next challenge the lack of accountability among institutions and sector leaders further worsens the situation of the health system. There are inconsistencies between the central government and the devolved local government health which are exacerbated by disparities among policy-makers and program managers in the levels of implementation. The third challenge is the exclusivity of the health care system. It takes a society to heal a patient. We often forget that the improvement of access to health care involves the entire community and is multi-disciplinary. Ignoring these challenges and their corresponding probable solutions, or even not addressing these challenges properly ions will make the society suffer. The Government is perceived as abdicating its important role in maintaining the health and welfare. Non-Governmental Organizations (NGOs) mushroom to patch some of the gaps but does it inefficiently due to fragmentation. An example of a possible solution that is receiving inadequate attention is the area of Information and Communication Technologies (ICT) for health. ICT promises cost-effective solutions to limited access to health services but there are difficulties in getting the facts through the policy-makers and regulatory bodies. In addition, there are trust issues in working with the engineers and the private sector to create the software and platforms and to translate the technology into application, respectively. Innovations as responses to challenges One significant innovation is Health Financing and its various models. Though some experts disagree due to the scale of expenditures, and the Government not seeing the investment value of pouring in large sums of money in health care; health financing is acknowledged as a critical trigger to drive the performance of the other building blocks for health systems strengthening. The potential benefits are better access to health care and improved capacity of human resources for health. The downside, however, is the inadequate budget allocation for health due to the fear of having insufficient resources and the fear of the inability to catch up to rising inflation costs of health care. In the Philippines, the drivers for health care innovations include the Health Sector Reform Agenda, the Universal Health Care and lastly, the Private Public Partnerships for Health. Local private sectors appear to be open and supportive to health care innovations. Within the next 10 years, it is worth mentioning that the key driver to watch out for in Asia is a new initiative called NIHA (National University of Singapore Initiative to improve Health in Asia). # The note reflects the opinion of the executive director of the AIM Zuellig Center for Asian Business Transformation. It does not reflect the official stand of AIM. CONTACT US: The AIM Dr Stephen Zuellig Center for Asian Business Transformation (ZCABT). Room 509, AIM Conference Center Manila. Benavides corner Trasierra Street, Legaspi Village, Makati City 1260. Tel. No. (632) 892-4011 local 2073. Email: zuellig.center@aim,edu