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245	0	0	_aHealth systems impact of COVID-19 in the Philippines / _cDiana Beatriz S. Bayani and Soon Guan Tan
260			_aWashington, DC : _bCenter for Global Development, _c2021.
300			_a25 pages.
336			_2rdacontent _atext
337			_2rdamedia _aunmediated
338			_2rdacarier _avolume
490			_aWorking Paper ; _v 569
520	3		_aLockdowns 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.
650		2	_aCOVID-19
650		2	_aDelivery of Health Care _zPhilippines
650		2	_aPandemic
653			_aHealth Systems
700	1		_aBayani, Diana Beatriz S.
700	1		_aTan, Soon Guan
856			_uhttps://www.cgdev.org/publication/health-systems-impact-covid-19-philippines
942			_2nlm _cCV
999			_c3952 _d3952