Graduate School of Business, Ateneo de Manila University, Makati 1200, Philippines.
Department of Information Systems and Computer Science, School of Science and Engineering, Ateneo de Manila University, Quezon 1108, Philippines.
Int J Environ Res Public Health. 2022 Aug 4;19(15):9567. doi: 10.3390/ijerph19159567.
The 2019 Philippine Universal Health Care Act (Republic Act 11223) was set for implementation in January 2020 when disruptions brought on by the pandemic occurred. Will the provisions of the new UHC Act for an improved health system enable agile responses to forthcoming shocks, such as this COVID-19 pandemic? A content analysis of the 2019 Philippine UHC Act can identify neglected and leverage areas for systems’ improvement in a post-pandemic world. While content or document analysis is commonly undertaken as part of scoping or systematic reviews of a qualitative nature, quantitative analyses using a two-way mixed effects, consistency, multiple raters type of intraclass correlation coefficient (ICC) were applied to check for reliability and consistency of agreement among the study participants in the manual tagging of UHC components in the legislation. The intraclass correlation reflected the individuals’ consistency of agreement with significant reliability (0.939, p < 0.001). The assessment highlighted a centralized approach to implementation, which can set aside the crucial collaborations and partnerships demonstrated and developed during the pandemic. The financing for local governments was strengthened with a new ruling that could alter UHC integration tendencies. A smarter allocation of tax-based financing sources, along with strengthened information and communications systems, can confront issues of trust and accountability, amidst the varying capacities of agents and systems.
2019 年菲律宾全民健康保险法案（共和国法案 11223）原定于 2020 年 1 月实施，但随后发生的疫情打乱了实施计划。新的全民健康保险法案中的各项条款能否为改善卫生系统提供助力，使系统能够灵活应对即将到来的冲击，例如本次 COVID-19 大流行？通过对 2019 年菲律宾全民健康保险法案进行内容分析，可以确定在疫情后世界中需要改进的系统的被忽视和可利用领域。虽然内容或文献分析通常作为定性范围或系统审查的一部分进行，但也可以使用双向混合效应、一致性、多位评分者的两种类型的组内相关系数（ICC）进行定量分析，以检查立法中全民健康保险各组成部分手动标记的研究参与者之间的可靠性和一致性。组内相关系数反映了个体在一致性方面具有显著可靠性（0.939，p<0.001）的协议。评估结果突出了一种集中的实施方法，这可能会搁置在大流行期间展示和发展的关键协作和伙伴关系。通过一项新规定加强了对地方政府的融资，该规定可能会改变全民健康保险的整合趋势。更明智地分配基于税收的融资来源，并加强信息和通信系统，可以在不同能力的代理机构和系统中应对信任和问责制问题。
