02063nam a22002897a 4500 D0001C000171 DOH 20210528102244.0 210408b ||||| |||| 00| 0 eng d rda Health systems impact of COVID-19 in the Philippines / Diana Beatriz S. Bayani and Soon Guan Tan Washington, DC : Center for Global Development, 2021. 25 pages. rdacontent text rdamedia unmediated rdacarier volume Working Paper ; 569 Lockdowns and policy actions to curtail the transmission of COVID-19 have widespread health system, economic, and societal impacts. Health systems of low-to-middle-income countries may have fewer buffering resources and capacity against shocks from a pandemic. This paper presents a preliminary review on the collateral health systems impact of COVID-19 in the Philippines through review of academic and grey literature, supplemented by a qualitative survey. Community quarantines alongside transport and boarder restrictions have universally impacted health service access and delivery, affecting patients requiring specialist care the most. Existing record-keeping and surveillance measures were hampered as existing resources were tapped to perform COVID19-related tasks. Local health systems reinforced gatekeeping mechanisms for secondary and tertiary care through referral systems and implemented telemedicine services to reduce face-to-face consultation. The health system impacts in the Philippines have been variegated across municipal income class and topography, contributed by long-standing symptoms of inequitable resource allocation. COVID-19 Delivery of Health Care Philippines Pandemic Health Systems Bayani, Diana Beatriz S. Tan, Soon Guan https://www.cgdev.org/publication/health-systems-impact-covid-19-philippines nlm CV 3952 3952 0 0 nlm 0 0 DOHCL DOHCL ElectronicRes 2021-04-08 0 COVID-19-000171 D0001C000171 2021-04-08 00:00:00 2021-04-08 CV