The 2019 Philippine UHC Act, Pandemic Management and Implementation Implications in a Post-COVID-19 World: A Content Analysis

Maria Cristina G. Bautista, Paulyn Jean Acacio-Claro, Nori Benjamin Mendoza, Christian Pulmano, Maria Regina Justina Estuar, Manuel M. Dayrit, Vincent Edward Festin, Madeleine Valera, Quirino Sugon and Dennis Andrew Villamor
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Maria Cristina G. Bautista: Graduate School of Business, Ateneo de Manila University, Makati 1200, Philippines
Paulyn Jean Acacio-Claro: Graduate School of Business, Ateneo de Manila University, Makati 1200, Philippines
Nori Benjamin Mendoza: Graduate School of Business, Ateneo de Manila University, Makati 1200, Philippines
Christian Pulmano: Department of Information Systems and Computer Science, School of Science and Engineering, Ateneo de Manila University, Quezon 1108, Philippines
Maria Regina Justina Estuar: Department of Information Systems and Computer Science, School of Science and Engineering, Ateneo de Manila University, Quezon 1108, Philippines
Manuel M. Dayrit: Ateneo School of Medicine and Public Health, Ateneo de Manila University, Pasig 1604, Philippines
Vincent Edward Festin: Graduate School of Business, Ateneo de Manila University, Makati 1200, Philippines
Madeleine Valera: Graduate School of Business, Ateneo de Manila University, Makati 1200, Philippines
Quirino Sugon: Department of Physics, School of Science and Engineering, Ateneo de Manila University, Quezon 1108, Philippines
Dennis Andrew Villamor: Department of Information Systems and Computer Science, School of Science and Engineering, Ateneo de Manila University, Quezon 1108, Philippines

IJERPH, 2022, vol. 19, issue 15, 1-13

Abstract: 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.

Keywords: UHC implementation; content analysis; intraclass correlation; partnerships; pandemic response management; fiscal space (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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