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The impact of the Regulation fees cancelation on demand for Ambulant healthcare
JACHNO, Ondřej
The bachelor thesis is dealing with the impact of the Regulation fees cancelation on demand of Ambulant healthcare. The introductory part of theoretical thesis is describing the development of health care in regards to various financial models within the medical environment. At the beginning of this thesis, all known health care financial models are named and described in the worldwide scope. After the initial description, the bachelor thesis focuses on specific models and their development during the important stages from the second half of the 19th century until current era of the Czech Republic. The current health care system in the Czech Republic is based on public services and financed mainly from public sources. The health care system has multiple sources that help sustain it financially. The prevalent form is indirect financing, specifically the mandatory health insurance. Health care financing has gone through important developments that should not be forgotten. Furthermore, the theoretical part of the thesis also contains a detailed description of regulatory fees. It shows different types and functionalities of regulatory fees since their implementation by the law number 261/2007 (stabilizing of public budgets), until their cancellation on January 1st, 2015. The regulation fee was implemented by the Ministry of Health of the Czech Republic in efforts to solve the increasing deficit of the state budget, and increase the efficiency of the health care system.) The income increase, caused by regulation fees, should serve as a starting point in an era of modernizing of medical facilities and maintaining the overall quality of health care for patients. In the scientific part of the thesis, the main scope and the two types of research are being set. The quantitative research is aimed on a group of patients. The hypotheses of the research are as follows. Hypothesis number 1: The cancellation of regulatory fees leads to the increase in demand of a specialized ambulant care. Hypothesis number 2: The cancellation of regulatory fees for a prescription leads to a higher demand of prescribed medication. A questionnaire was used to determine the results of the research, which will either confirm or deny the presented hypotheses. The method used to receive the results was a frequency analysis that was completed by a statistician. The secondary, qualitative, research is deliberately used to ensure the accuracy of the completed and compared data. This research, which was run simultaneously with the quantitative one, targeted a group of health care professionals, specifically medical doctors. The data collected in the form of a structuralized set of interviews were used to be analyzed as a key to answer the research questions: Research question number 1: After cancellation of the regulatory fees, was there an increase in the amount of visits of patients with a specific health care provider? Research question number 2: Does the health care demand need to be regulated? Based on the research displayed within the thesis, it is possible to predicate: The questionnaire method lead to a confirmation of hypothesis number 1 and also to the conclusion that the cancellation of 30 CZK fee lead to an increase in demand of health care services. The research question number 1 also confirms that after the 30 CZK fee cancellation there was an increase in patient visits of health care facilities. The results are contradicting the findings within the hypothesis number 2, as there was no higher demand in prescribed medication after the regulation fee for medication was cancelled. The comparison of the data that was collected through both types of the research does not prove a direct connection in the increased demand of patients for medicinal drug prescription after the 30 CZK regulation fee cancellation. We can safely state in regards of the research question number number 2 that regulation of health care is a necessity.
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