PMC:7537094 / 84328-96792 JSONTXT 10 Projects

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Id Subject Object Predicate Lexical cue
T753 0-37 Sentence denotes 9 FAIR ACCESS TO HOSPITAL FACILITIES
T754 38-167 Sentence denotes In an archipelagic country composed of 17 regions across more than 7,000 islands, healthcare facilities are unevenly distributed.
T755 168-315 Sentence denotes In 2018, around two thirds of hospital beds in the Philippines were in one area, the National Capital Region.126 Dayrit, et al., op. cit., note 69.
T756 316-435 Sentence denotes The problem of physical location has been complicated by the suspension of public transportation during the quarantine.
T757 436-521 Sentence denotes The quarantine period started in March 17, 2020.127 Medialdea, S.C. (2020, March 16).
T758 522-660 Sentence denotes Community Quarantine over the Entire Luzon and Further Guidelines for the Management of the Coronavirus Disease 2019 (COVID‐19) Situation.
T759 661-755 Sentence denotes Office of the President of the Philippines Malacañang Memorandum from the Executive Secretary.
T760 756-876 Sentence denotes Retrieved July 6, 2020, from https://www.officialgazette.gov.ph/downloads/2020/03mar/20200316‐MEMORANDUM‐FROM‐ES‐RRD.pdf
T761 877-939 Sentence denotes Since then, public transportation has not been fully restored.
T762 940-1039 Sentence denotes Various problems have ensued with largely ineffective government support for safe mass conveyances.
T763 1040-1170 Sentence denotes A bone cancer patient with only one leg had to walk to her healthcare facility for her monthly check‐up.128 KBK. (2020, March 18).
T764 1171-1244 Sentence denotes One‐Legged Cancer Patient Walks from Masinag to Checkpoint to Get to PGH.
T765 1245-1261 Sentence denotes GMA News Online.
T766 1262-1424 Sentence denotes Retrieved April 27, 2020, from https://www.gmanetwork.com/news/news/regions/730172/one‐legged‐cancer‐patient‐walks‐from‐masinag‐to‐checkpoint‐to‐get‐to‐pgh/story/
T767 1425-1555 Sentence denotes A leukemia patient had to walk in excess of five kilometers to get his chemotherapy medication.129 dela Peña, K. (2020, March 18).
T768 1556-1601 Sentence denotes Last updated 2020, March 18. ‘Walang Choice’:
T769 1602-1664 Sentence denotes Man with Leukemia Walks to Get Chemo Meds amid Luzon Lockdown.
T770 1665-1673 Sentence denotes Rappler.
T771 1674-1803 Sentence denotes Retrieved April 27, 2020, from https://www.rappler.com/move‐ph/254995‐man‐leukemia‐walks‐get‐chemotherapy‐medicine‐luzon‐lockdown
T772 1804-1945 Sentence denotes As with other countries, the Philippines has a healthcare infrastructure that was not adequately prepared for the magnitude of this pandemic.
T773 1946-2038 Sentence denotes Hospital facilities and opportunities for safe medical confinement are not well distributed.
T774 2039-2094 Sentence denotes People have variable access to good quality facilities.
T775 2095-2173 Sentence denotes Access is largely dependent on two factors: location and financial capability.
T776 2174-2240 Sentence denotes Access in relation to location was taken up in an earlier section.
T777 2241-2339 Sentence denotes This section focuses on financial capability as well as infrastructure and equipment availability.
T778 2340-2476 Sentence denotes While universal healthcare funding is not fully in place, financial capability is a huge factor affecting access to hospital facilities.
T779 2477-2730 Sentence denotes A survey done in March 2020 showed that there were only 2,335 beds in all intensive care units (ICUs) in the Philippines, accounting for 3.1% of the total approved bed capacity of Levels 2 and 3 hospitals in the country.130 Tantuco, V. (2020, March 28).
T780 2731-2790 Sentence denotes In Numbers: what Hospitals Need to Treat COVID‐19 Patients.
T781 2791-2799 Sentence denotes Rappler.
T782 2800-2933 Sentence denotes Retrieved May 1, 2020, from: https://www.rappler.com/newsbreak/in‐depth/256133‐numbers‐what‐hospitals‐need‐treat‐coronavirus‐patients
T783 2934-3144 Sentence denotes Therefore, there were not enough beds in ICUs to cater to the projected 8,800 to 19,800 critical COVID‐19 cases if the number of additional cases did not go down.131 UP COVID‐19 Response Team. (2020, April 20).
T784 3145-3215 Sentence denotes Estimating Local Healthcare Capacity to Deal with COVID‐19 Case Surge:
T785 3216-3245 Sentence denotes Analysis and Recommendations.
T786 3246-3276 Sentence denotes University of the Philippines.
T787 3277-3426 Sentence denotes Retrieved May 1, 2020, from https://www.up.edu.ph/estimating‐local‐healthcare‐capacity‐to‐deal‐with‐covid‐19‐case‐surge‐analysis‐and‐recommendations/
T788 3427-3653 Sentence denotes Earlier on, a number of private hospitals had announced that they were temporarily not accepting suspected or confirmed COVID‐19 patients due to unavailable facilities and equipment.132 CNN Philippines Staff. (2020, March 24).
T789 3654-3720 Sentence denotes Hospitals Close Doors to COVID‐19 Patient after Reaching Capacity.
T790 3721-3737 Sentence denotes CNN Philippines.
T791 3738-3911 Sentence denotes Retrieved May 1, 2020, from https://cnnphilippines.com/news/2020/3/24/st‐lukes‐coronavirus‐patients.html?fbclid=IwAR0gXkJvLT6woPwp_‐3C32uy9c2‐vEP8_iSo8RxnJCZbxjI‐7spAVxRa6CI
T792 3912-3962 Sentence denotes Philippine hospitals are classified into 3 levels.
T793 3963-4039 Sentence denotes Level 2 and Level 3 hospitals, which have ICUs, can admit COVID‐19 patients.
T794 4040-4275 Sentence denotes There are 456 of these hospitals nationwide with a combined total number of 67,119 beds, and 41% are in government owned hospitals while the remaining 59% are owned by private hospitals.133 UP COVID‐19 Response Team, op. cit. note 131.
T795 4276-4390 Sentence denotes As public hospitals become congested, some patients have been forced to consider confinement in private hospitals.
T796 4391-4442 Sentence denotes But this is a privilege that very few could afford.
T797 4443-4661 Sentence denotes One patient’s bill for a 16‐day stay at a private hospital totaled PHP 3 million or around USD 59,000, which is about equivalent to a middle‐class Filipino worker’s salary for 3 years.134 Garcia, M.A. (2020, April 15).
T798 4662-4707 Sentence denotes COVID‐19 Patient’s Hospital Bill Reaches P3M.
T799 4708-4724 Sentence denotes GMA News Online.
T800 4725-4858 Sentence denotes Retrieved April 27, 2020, from https://www.gmanetwork.com/news/news/nation/734202/covid‐19‐patient‐s‐hospital‐bill‐reaches‐p3m/story/
T801 4859-5024 Sentence denotes An estimate for a private hospital bill for a moderate COVID‐19 case amounts to at least PHP 1 million or a little under USD 20,000.135 Punzalan, J. (2020, April 9).
T802 5025-5139 Sentence denotes How Much to Be Treated for COVID‐19 in a Metro Manila Private Hospital? for a Moderate Case, Prepare at Least P1M.
T803 5140-5147 Sentence denotes PEP.ph.
T804 5148-5277 Sentence denotes Retrieved April 27, 2020, from https://www.pep.ph/lifestyle/health‐and‐fitness/150720/covid‐19‐treatment‐cost‐a3830‐20200409‐lfrm
T805 5278-5481 Sentence denotes To address these financial concerns, the Philippine Health Insurance Corporation (PhilHealth) has come out with new policies for at least partial coverage of COVID‐19 cases.136 Garcia, op. cit. note 134.
T806 5482-5544 Sentence denotes The problem with PhilHealth is not everyone is able to use it.
T807 5545-5699 Sentence denotes In 2018, 53.9 % of Current Health Expenditures came from household‐out‐of‐pocket payment instead of medical insurance.137 Mapa, C.D.S. (2019, October 17).
T808 5700-5753 Sentence denotes Total Health Expenditure Grew by 8.3 Percent in 2018.
T809 5754-5786 Sentence denotes Philippine Statistics Authority.
T810 5787-5867 Sentence denotes Retrieved April 27, 2020, from https://psa.gov.ph/pnha‐press‐release/node/144466
T811 5868-5981 Sentence denotes Both public and private healthcare sectors have been overloaded to the point that inequities have often surfaced.
T812 5982-6062 Sentence denotes Infected patients have been sent home to ease the burden on hospital facilities.
T813 6063-6284 Sentence denotes For example, in Quezon City, reports of 3 COVID‐19 positive patients being sent home were followed by reports of another 14 patients being sent home for the same reason of patient overload.138 Chaves, C. (2020, March 22).
T814 6285-6364 Sentence denotes Belmonte ‘Shocked’ 3 Patients who Tested Positive for COVID‐19 in QC Sent Home.
T815 6365-6381 Sentence denotes Manila Bulletin.
T816 6382-6524 Sentence denotes Retrieved April 27, 2020, from https://news.mb.com.ph/2020/03/22/belmonte‐shocked‐3‐patients‐who‐tested‐positive‐for‐covid‐19‐in‐qc‐sent‐home/
T817 6525-6715 Sentence denotes Many more mildly symptomatic patients were subsequently refused admission, not being made aware earlier of the policy that only those who were likely to need ventilators were being admitted.
T818 6716-6816 Sentence denotes Some of those who required admission could only be accommodated in tents set up on hospital grounds.
T819 6817-6932 Sentence denotes The stress on the healthcare system brought about by COVID‐19 has reverberated in the management of other diseases.
T820 6933-7128 Sentence denotes A 56‐year‐old man died from cardiac arrest in a tent outside a hospital after calls to more than 30 hospitals were met with rejection citing the lack of ventilators.139 Canoy, J. (2020, April 2).
T821 7129-7205 Sentence denotes Her 56‐Year Old Father Had a Heart Attack and No Hospital Would Take him in.
T822 7206-7211 Sentence denotes ANCX.
T823 7212-7375 Sentence denotes Retrieved April 27, 2020, from https://news.abs‐cbn.com/ancx/culture/spotlight/04/02/20/her‐56‐year‐old‐father‐had‐a‐heart‐attack‐and‐no‐hospital‐would‐take‐him‐in
T824 7376-7640 Sentence denotes A woman who needed an immediate operation to remove her placenta after giving birth died due to blood loss after being refused by six hospitals in Metro Manila because their hospital rooms were fully occupied by COVID‐19 patients.140 Cayabyab, M. (2020, April 26).
T825 7641-7687 Sentence denotes Woman Dies after Being Refused by 6 Hospitals.
T826 7688-7813 Sentence denotes Retrieved April 27, 2020, from https://www.philstar.com/nation/2020/04/26/2009815/woman‐dies‐after‐being‐refused‐6‐hospitals.
T827 7814-8066 Sentence denotes Another patient died after spending 11 hours in a tent outside the Lung Center of the Philippines, prompting the Department of Health to remind hospitals that COVID‐19 is not the only disease that has to be accommodated.141 Sabillo, K. (2020, April 3).
T828 8067-8168 Sentence denotes After Man Dies in Tent, DOH Reminds Hospitals to Take in Patients Ill with COVID‐19, Other Illnesses.
T829 8169-8182 Sentence denotes ABS‐CBN News.
T830 8183-8351 Sentence denotes Retrieved April 27, 2020, from https://news.abs‐cbn.com/news/04/03/20/after‐man‐dies‐in‐tent‐doh‐reminds‐hospitals‐to‐take‐in‐patients‐ill‐with‐covid‐19‐other‐illnesses
T831 8352-8431 Sentence denotes The problems have been exacerbated by the lack of safety equipment for doctors.
T832 8432-8613 Sentence denotes Public institutions like the Philippine General Hospital, the national university hospital, have had to call for donations of alcohol and masks.142 Baticulon, R.E. (2020, March 20).
T833 8614-8642 Sentence denotes Last updated 2020, March 20.
T834 8643-8717 Sentence denotes Opinion: the Philippine Health Care System Was Never Ready for a Pandemic.
T835 8718-8734 Sentence denotes CNN Philippines.
T836 8735-8881 Sentence denotes Retrieved April 29, 2020, from https://cnnphilippines.com/life/culture/2020/3/20/healthcare‐pandemic‐opinion.html?fbcid%3Ffbclid%3Ffbclid%3Ffbclid
T837 8882-9049 Sentence denotes At one point, the National Centre for Mental Health was operating with 100 PPEs instead of its requirement of a minimum of 250 in a day.143 Dancel, R. (2020, April 8).
T838 9050-9077 Sentence denotes Last updated 2020, April 8.
T839 9078-9159 Sentence denotes Struck down by COVID‐19, Philippine Doctor Returns to Front Line to Rally Troops.
T840 9160-9178 Sentence denotes The Straits Times.
T841 9179-9319 Sentence denotes Retrieved April 29, 2020, from https://www.straitstimes.com/asia/se‐asia/struck‐down‐by‐covid‐19‐doctor‐returns‐to‐frontline‐to‐rally‐troops
T842 9320-9430 Sentence denotes The situation in hospitals is further complicated by issues whose underlying roots are not so easy to explain.
T843 9431-9575 Sentence denotes A person under investigation for having COVID‐19 escaped from a private hospital where he or she was being observed.144 KBK. (2020, February 6).
T844 9576-9647 Sentence denotes Person under Investigation Dahil sa nCoV sa Cavite, Tumakas sa Ospital.
T845 9648-9657 Sentence denotes GMA News.
T846 9658-9822 Sentence denotes Retrieved May 22, 2020, from https://www.gmanetwork.com/news/balitambayan/promdi/725055/person‐under‐investigation‐dahil‐sa‐ncov‐sa‐cavite‐tumakas‐sa‐ospital/story/
T847 9823-9964 Sentence denotes An overseas Filipino worker with COVID‐19 symptoms also escaped from a hospital to probably go back to work abroad.145 FRJ. (2020, March 13).
T848 9965-10044 Sentence denotes OFW na Nakitaan ng Sintomas ng COVID‐19 sa Sarangani, Tumakas Umano sa Ospital.
T849 10045-10054 Sentence denotes GMA News.
T850 10055-10232 Sentence denotes Retrieved May 22, 2020, from https://www.gmanetwork.com/news/balitambayan/pinoyabroad/729486/ofw‐na‐nakitaan‐ng‐sintomas‐ng‐covid‐19‐sa‐sarangani‐tumakas‐umano‐sa‐ospital/story/
T851 10233-10420 Sentence denotes Another patient who tested positive for the SARS‐CoV‐2 virus escaped by jumping from a hospital window after she was not given permission to go home.146 Estrada‐Larino, J. (2020, May 12).
T852 10421-10483 Sentence denotes Babaeng Positibo sa COVID‐19 Tumakas sa Ospital sa Davao City.
T853 10484-10496 Sentence denotes DWIZ 882 AM.
T854 10497-10623 Sentence denotes Retrieved May 22, 2020, from http://www.dwiz882am.com/index.php/babaeng‐positibo‐sa‐covid‐19‐tumakas‐sa‐ospital‐sa‐davao‐city/
T855 10624-10780 Sentence denotes Expenses or space limitations are possible explanations but the exact reasons why these quarantined patients have tried to escape need to be probed further.
T856 10781-10864 Sentence denotes Of course, the reasons may have to do with things that are not unique to hospitals.
T857 10865-11129 Sentence denotes For instance, socio‐economic conditions characterized by inequity and a lack of safety nets for the worst off may compel patients to ignore their health and avoid long hospitalizations so they can continue to try to make a living for themselves and their families.
T858 11130-11317 Sentence denotes As earlier noted, the fair allocation of critical care resources is a concern that arises way before the need to prioritize patients arises in the triage context within hospital premises.
T859 11318-11476 Sentence denotes Many people affected – or suspected to be affected – by COVID‐19 do not have full information about their options for consultation, treatment, or confinement.
T860 11477-11598 Sentence denotes Access to the relevant services or facilities can easily be denied if pertinent information is not properly disseminated.
T861 11599-11737 Sentence denotes People need to know about confinement options, contact procedures, costs, prerequisites for admission, etc., in order to gain fair access.
T862 11738-11846 Sentence denotes Knowledge about these factors helps one decide which treatment alternatives suit one’s financial capability.
T863 11847-11980 Sentence denotes To be able to fully understand these factors, people need to be functionally literate and to have a minimum level of health literacy.
T864 11981-12142 Sentence denotes As we address these issues during the pandemic, it should be clear to us that these are also long‐standing concerns that have been waiting for durable solutions.
T865 12143-12226 Sentence denotes Only durable solutions can help us maintain emergency readiness over the long term.
T866 12227-12312 Sentence denotes In the meantime, during the COVID‐19 pandemic, guaranteeing fair access is necessary.
T867 12313-12464 Sentence denotes One way for authorities to do this is to uphold fair allocation principles in the various areas taken up so far, as well as in emergency critical care.