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Gender and social inequalities in mental health
Machů, Vendula ; Dzúrová, Dagmar (advisor) ; Pikhart, Hynek (referee)
Gender inequality is the root cause of the differences in mental disorders prevalence between men and women. The aim of this thesis was to examine social inequalities in mental health, focusing on gender as a critical determinant of mental health and mental illness. In the first chapter, the ways mental health is shaped by gender and other social determinants are discussed. Gender-based discrimination, traditional gender roles, unequal distribution of power and lack of control over life events are the most common risk factors for higher prevalence of mental disorders in women. In the empirical part of this thesis the European countries were grouped based on indicators related to women's mental health. The typology was developed using factor and cluster analyses. Subsequently, logistic regression analysis investigated associations between prevalence of depression and various social determinants of mental health in respondents of the Survey of Health, Ageing and Retirement in Europe (SHARE). The results suggest that risk factors for common mental disorders are gender specific.
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The health care cost analysis for VZP clients during their last year of life
Jirsová, Karolína ; Dzúrová, Dagmar (advisor) ; Lustigová, Michala (referee)
The health care cost analysis for VZP clients during their last year of life Abstract Objective of this thesis is a health care cost analysis for VZP clients, who died in 2014. An analysis of cost has been approached from a few different aspects, but mainly by segmentation of health care providers and chapters of diagnosis by ICD-10. Following analysis has been also processed in this thesis - the analysis of average health care costs of one day in life and the regional analysis of average health care costs of one client by district of permanent residency with use of a direct method of standardisation. The characteristics of population of dead and living clients have been compared in a same reporting period to fulfill problematics of health care costs. The statistics analysis has been processed in the IBM SPSS software with unique data collections provided by VZP. Keywords: Health care cost, Last year of life, VZP clients, IBM SPSS
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Socioeconomic and Spatial Determinants of Occupational Diseases in the Automotive Industry in Czechia
Jarolímek, Jan ; Dzúrová, Dagmar (advisor) ; Blažek, Jiří (referee) ; Nakládalová, Marie (referee)
Health and reducing disparities in health between and within countries are among the principal global sustainable development objectives for the period 2016-2030. The incidence of Occupational Diseases (OD) is characterized by very distinct differentiation, both regional and sectoral, and has considerable dynamics in time and place. Given that Czechia is at the top among all EU member states in terms of employment in the automotive industry and production of new vehicles, new research on OD in the automotive industry acquires importance. The Ph.D. Thesis is conceived as an ecological correlation study focusing on the study of the determinants of OD in automotive industry. Its own core work is to analyze 32,646 cases of OD (in the past 20 years) and a set of data from a survey of 247 companies of the automotive industry (employing nearly 110,000 employees, i.e. 78 % of the economically active population working in this sector). In the present work are used available data from routine statistics, data from registers and basic sanitation data from a questionnaire survey. The study innovatively links research of Global production networks and medical-geographical approach. At the end of the Ph.D. Thesis, specific outcomes for praxis and discusses possible topics for further research in this area are...
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Analysis of morbidity in Czechia investigating health care provision and take-up in relation to diabetes mellitus
Kocová, Markéta ; Šídlo, Luděk (advisor) ; Dzúrová, Dagmar (referee) ; Hnilicová, Helena (referee)
Analysis of morbidity in Czechia investigating health care provision and take-up in relation to diabetes mellitus Abstract Diabetes mellitus is a life-threatening disease which presents as hyperglycaemia or raised blood glucose. Late detection or a failure to follow treatment guidelines may lead to complications that significantly impact on the sufferer's daily life and require expensive medical treatment. The growing prevalence of this disease, which no longer only affects developed countries, therefore presents enormous risks to health care systems and society as a whole. The aim of this thesis is to analyse the geodemographic characteristics of the current diabetic population in Czechia. Particular attention will be paid to the age of diabetes sufferers, since in Czechia data on this is lacking. In pursuit of this aim the thesis makes use of anonymised data from the largest Czech health insurance company (Czech General Health Insurance). The first part of the thesis looks at diabetes mellitus as a medical condition, concentrating primarily on the basic types of the disease but also considering the potential health complications this disease causes. The theoretical part will discuss the main risk factors of developing the disease, such as genetic predisposition, age, obesity and other potential factors...
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The Health Care Costs Analysis of Policyholders of VZP ČR
Jirsová, Karolína ; Dzúrová, Dagmar (advisor) ; Lustigová, Michala (referee)
The Health Care Costs Analysis of Policyholders of VZP ČR Abstract The main objective of this thesis is an analysis of VZP ČR policyholder`s health care costs in terms of sex, age and regions. The analysis was performed by calculating the average health care cost according to given points of view. The analysis of variance was applied during a research of costs in terms of regions and it examined if there are statistically major differences in costs of health care in each region. There is a theoretical chapter before the practical part of this thesis, which links terms and definitions with medical care and it`s costs. In this thesis there is also a description of the historical development of medical insurance on our territory and an identification of the economic aspects of health care and the medical system. The statistical analysis for this thesis was done in statistical software IBM SPSS and is based on unique data file. The datas from regional analysis were drawn using the program ArcMap. Keywords: Health Care Costs, Medical System of Czech Republic, VZP ČR, IBM SPSS
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Determinants of the circulatory system diseases among the Czech population
Lustigová, Michala ; Dzúrová, Dagmar (advisor) ; Dáňová, Jana (referee) ; Šídlo, Luděk (referee)
Determinants of circulatory system diseases among the Czech population Abstract The determinants of circulatory system diseases are very well known, modifiable risk factors and factors widely spread among populations are in focus for the public health research. The aim of this thesis is a quantification of main cardiovascular risk factors in the Czech population using the survival analysis and HAPIEE cohort data. The epidemiologic situation, trends in the Czech population health including "the cardiovascular revolution" is discussed in the first part of the thesis. Among the Czech population high prevalence of many risk factors were found. The education had the strongest impact on cardiovascular health from sociodemographic characteristics. The negative effect of smoking, prevalence of high blood pressure, prevalence of diabetes and physical inactivity was confirmed. On the other hand the impact of obesity, binge drinking and high blood cholesterol level was not significant among the Czech population. The population approach in cardiovascular epidemiology and cardiovascular health promotion as well are discussed in the last chapter. Keywords: diseases of the circulatory system, mortality, health transition, cardiovascular health, risk factors, survival analysis, health promotion
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Health of Migrants in Czechia - Political and Regional Perspective
Chourová, Renáta ; Dzúrová, Dagmar (advisor) ; Hnilicová, Helena (referee)
Health of Migrants in Czechia - Political and Regional Perspective Abstract The submitted thesis analyses an access to and use of health care among migrants from Ukraine and Vietnam in Czechia in the regional and political context. The analysis is based both on data collection of research of the Faculty of Science, Charles University in Prague in 2013 and further information that were gathered by author of the thesis in the course of survey questions focused on experts (doctors, representatives of medical and non-profit organizations as well as on representatives of health insurance companies and the ministries). There were used methods of qualitative and quantitative research in the analytical part of the thesis. There were also identified key factors that influence an access of migrants to their own health condition and also to the health care that were further interpreted in the regional context. The thesis reveals differences in access to the health of migrants in different regions within Czechia. The thesis conclusions are compared with the health policy standards in Czechia. Key words: health care, health condition, health policy, qualitative and quantitative research, migrants from Ukraine and Vietnam, Czechia
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Regional variability of mortality level on death causes suggestible by health care
Procházka, Martin ; Dzúrová, Dagmar (advisor) ; Šídlo, Luděk (referee)
The aim of this thesis is to map regional variability in the intensity of mortality using methods avoidable mortality and a few selected characteristics of health care. The thesis describes the development of the concept of avoidable mortality, which is then used for the Czech Republic for the period 2006-2010 and to individual districts for the period 2006-2010. Furthermore, this thesis focuses on the relationship between expenditures of General Health Insurance Company and the level of mortality in the regions. For showing regional differences depending on the health care intensity of mortality from ischemic heart disease (both acute and chronic forms) was also selected, depending on the distance of specialized medical care. The last chapter focuses on National screening programs and cancer mortality, which are integrated in a comparison of the percentage of people examine in this program for districts. The relationship between spending per insured and intensity of mortality and outcomes related to the intensity of mortality, depending on the availability of specialized health care has been confirmed by statistical methods - correlation (Pearson correlation coefficient). Relationship between the intensity of mortality in cancer within screening programs and the percentage of people who passed...
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Infectious diseases and migration
Vostrá, Jana ; Dzúrová, Dagmar (advisor) ; Seidlová, Markéta (referee)
The topic of this diploma thesis is Infectious diseases and migration. Its aim is to assess the distribution of selected infectious diseases in the world and in Europe, with a focus on Czech context. While from the literature it can be concluded that the spread of serious infectious diseases is conditioned by migration, based on the available data it cannot be confirmed that immigration currently constitutes a significant threat for Czech citizens.
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