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Involving users in the psychiatric care reform
Wolfová, Magdaléna ; Tušková, Eva (advisor) ; Dobiášová, Karolína (referee)
The subject of this diploma thesis is the involvement of users of psychiatric care in the process of planning and realization of psychiatric care reform at the macro level of policy making. The aim of the research is to describe and understand this involvement. In the research are describer possibilities of participation in the phases of involvement, its form, purpose, formal regulation of opportunities, expectations of respondents, perceived power and barriers in involvement. The data was collected during interviews with key actors and studies of relevant documents. The results relate to the theoretical concepts of coproduction, patient-oriented care, strategic and human rights documents (the Convention on the Human Rights of People with Disabilities). The element of power is described through the typology of Sherry Arnstein's participation ladder. Evidence of interviews indicates elements of tokenism and disadvantages. There is a low (one-person) representation of users in reform bodies, lack of time for discussion in consultative bodies, lack of information and lack of capacity (people, time, resources) for greater development of patient organizations. Respondents have identified barriers as the socio-economic situation, lack of capacity for macro-level involvement, mental health constraints or...
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Involving users in the psychiatric care reform
Wolfová, Magdaléna ; Tušková, Eva (advisor) ; Dobiášová, Karolína (referee)
The subject of this diploma thesis is the involvement of users of psychiatric care in the process of planning and realization of psychiatric care reform at the macro level of policy making. The aim of the research is to describe and understand this involvement. In the research are describer possibilities of participation in the phases of involvement, its form, purpose, formal regulation of opportunities, expectations of respondents, perceived power and barriers in involvement. The data was collected during interviews with key actors and studies of relevant documents. The results relate to the theoretical concepts of coproduction, patient-oriented care, strategic and human rights documents (the Convention on the Human Rights of People with Disabilities). The element of power is described through the typology of Sherry Arnstein's participation ladder. Evidence of interviews indicates elements of tokenism and disadvantages. There is a low (one-person) representation of users in reform bodies, lack of time for discussion in consultative bodies, lack of information and lack of capacity (people, time, resources) for greater development of patient organizations. Respondents have identified barriers as the socio-economic situation, lack of capacity for macro-level involvement, mental health constraints or...
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The Approach of Czech Health System to Psychosomatic Medicine in Comparison with International Discourses
Wolfová, Magdaléna ; Háva, Petr (advisor) ; Kotrusová, Miriam (referee)
The research problem in this thesis is the quality of treatment of Czech patients suffering from somatoform disorders. The goal is to evaluate the state of scientific discourse of Czech specialists in Psychosomatics, compared with the international situation as a potential starting point of further institutional change, including its legitimacy (interviews with citizens). Methods were used: (1) critical discourse analysis and (2) semi-structured interview. Findings: The existence of barriers between representatives of the various professional disciplines prevents the development of Czech scientific discourse of Psychosomatics, combined with the applied reform changes focused on individualism and competition. Czech Republic unsufficiently utilizes the knowledge support from international organizations (WHO, OECD, EU) in the field of mental health policy. The formation of Czech health policy is not compliant with human rights related to health and is more focused on the question of financing than on patients' health. Citizens perceive deficits in psychosomatic approach and try to substitute with complementary and alternative forms of medicine.
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