|
|
Analysis of regulatory out-of-pocket fees implementation on Czech healthcare system
Běgeřová, Michaela ; Janíčko, Martin (advisor) ; Čermáková, Klára (referee)
This bachelor theses analyses impact of regulative out-of-pocket payments that have been introduced in January, 2008 as a part of a Czech healthcare reform. It summarizes specific characteristics of healthcare economy, compares main healthcare-financing models and describes development and current layout of the Czech healthcare system. Out-of-pocket payments were implemented mainly to prevent over-using the healthcare system and also to bring additional financial means to the healthcare budget. Conducted econometric analysis revealed that an obligation to pay the fee reduces quarterly number of outpatient doctor visits by 0,198.
|
|
|
Analysis of the impact of the implementation of regulative out-of-pocket payments on health care system in the Czech Republic after 2008
Suchomel, Jiří ; Prachař, Ondřej (advisor) ; Lukášová, Tereza (referee)
This bachelor thesis deals with the impact caused by the implementation of regulatory out-of-pocket payments in health care in the Czech Republic since 2008. The theoretical part introduces the financing system of health care in the Czech Republic. The practical part analyzes individual indicators which, according to the Ministry of Health, had an influence on the introduction of regulatory out-of-pocket payments. The objective of this thesis is to determine whether the effect of these indicators was different than planned, and whether that was the reason why the regulatory out-of-pocket payments have been revoked. The results of this analysis show that the impact of the regulatory out-of-pocket payments was, for the most part, as expected, and that their dissolution thus had a different reason.
|
|
|
The impacts of regulatory fees in health care on public health insurance
PRAŽMOVÁ, Věra
The Public health insurance system in the Czech Republic was established more than 20 years ago. During this period, the public health insurance system has gone through many transformations. A lot of reform proposals have been submitted with the aim of keeping the increase of healthcare expenses under control but simultaneously not limiting the quality and the accessibility of healthcare. The introduction of the regulatory fees was a part of the healthcare reformation and its purpose was to reduce the demand for healthcare and thus regulate the consumption of health services. Secondarily, the regulatory fees should bring private funds into healthcare system. In the theoretical part of the research, the author describes healthcare systems of several European countries mainly from the point of view of cost sharing by patients. The funding of healthcare in the Czech Republic is then evaluated in more detail. The research characterises all the types of regulatory fees including all the legal changes they have undergone prior to their implementation. The author summarizes the amounts of funds received from the different types of fees which patients have paid since the introduction of regulatory fees in 2012 on the basis of data received from health insurance companies. In the practical part of the research, the author analyses and statistically processes data which were taken from one specific bureau of employee health insurance company. On the basis of this data, the author maps the development of average visits of healthcare institutions per patient in the chosen fields of ambulant care specializations. The author compares the number of average visits in 2007, which is the year before the introduction of regulatory fees, with the number of average visits after the regulations implementation that means during the 2008-2013 period. The aim was to discover whether the fees had any effect on the amount of healthcare services and whether they led to decrease in the number of patients´ visits (at the doctor). The development of the number of patients´ visits was studied in 22 different fields of ambulatory specialization in total. The collected results have been statistically processed using one sample, one-tailed T test. Furthermore, the influence of fees on the healthcare expenses was surveyed in the respective ambulatory fields. In the similar manner as with the patients´ visits, the author compares the average expenses per one patient before the introduction of regulatory fees in 2007 with the average value after the implementation of regulatory fees to the healthcare system. The research offers a comprehensive overview of these issues and can be used as a basic material for further research about regulatory fees and patient cost sharing in healthcare.
|
|
| |
|
|
Regulatory Fees Five Years after Establishing
ŠILLEROVÁ, Veronika
Regulatory fees were launched by the Act No. 261/2007 Coll. on stabilization of public budget. Many acts were amended through this Act including the Act No. 48/1997 Coll. on public health insurance. This amendment set the obligation for the person insured or their legal representative to pay regulatory fees to the medical facility providing health care ? a practitioner, a medical facility or a pharmacy. The aim of this thesis was to summarize legal adjustment considering regulatory fees and to map citizens´ opinions of both this issue and regulatory character of fees. The author´s goal was to ascertain whether citizen´s opinions have changed in past five years since their implementation. Whether citizens became accustomed to the fees and if they understood their purpose or they would rather abolish them. Theoretical part explains the terms relating to health care and insurance industry where the particular regulatory fees are explained in detail, such as their amount and the range of people involved. The attention is paid even to cases of the regulatory fee exemption. Theoretical part also deals with the safety limit which is directly concerned with regulatory fees as well as it is explained which fees belong to this limit. The next subsection is concerned with the basic rules of providing health care in member states of the European Union. The theoretical part concludes with the description of the individual changes and amendments which regulatory fees underwent during 2008-2013. The practical part was created by the means of quantity research which was conducted through the questioning method. The questioning survey of 331 respondents among the public of South Bohemia was implemented through online questionnaire and the tangible forms. Three following hypotheses are defined on the basis of the secondary sources: Hypothesis 1: Respondents do not agree with the fee increases for a hospital stay from 60,- CZK to 100,- CZK. Hypothesis 2: From all the launched regulatory fees only the emergency service fee affects the use of health care. Hypothesis 3: Patients agree with the prescription charges. The hypotheses H1 and H3 were confirmed whereas H2 were proved false on the basis of the questionnaires. It was proved that 90,- CZK treatment fee in emergency service is not for the majority of people so high so that it would prevent them from using emergency service and therefore negatively affected the use of health care. On the contrary, it follows from the confirmed hypothesis that the cancellation of 30,-CZK fee for prescription item and the replacement for fee prescription as a whole was correct. As patients are more willing to pay a fee for prescription rather than pay for every item. The outcome of hypothesis 1 was virtually unequivocal for most of respondents do not agree with the fee increase for a one day of hospital stay. Research outcomes show the fact that in comparison with previous years not only does the acceptance of citizens about regulatory fee system gets better but also does their acceptance of citizens and citizens? willingness to pay them. There is always a group of people who are not satisfied with the current adjustment of regulatory fees. It also seems improbable to eliminate fees to affect personal and family budget. The important goals of Czech public health and responsible bodies are to set regulatory fees in the way to accomplish their regulatory objective as well as make sure fees do not limit the ability of people who end up in socially or otherwise difficult situation to use health care. The thesis may work well as an information booklet for the wide public, as a study material for the students of Health and Social Studies or as a source for comparison with future researches.
|
|
| |
|
|
Regulation Fees in the Czech Health Care System
KYTLEROVÁ, Ivana
A large part of the work has been devoted to regulation fees as one of the health care systems regulating mechanisms. An essential place in the work is taken by elaboration of the topic of increase of costs for the health care systems functioning in the current world and the possibilities of their solution. The work also deals with an extensive and frequently discussed topic of justice in the physician-patient relationship. This topic has been processed in connection with historical circumstances and a philosophical dimension of perception of justice in health care. Further to this, ideas and ideological foundations of justice, which project into political ideologies, have been dealt with. Health care systems, the system of health insurance in the Czech Republic and its legal regulation have been briefly characterized. The aim of the work was to map an opinion of some ordinary citizens regarding perception of justice in the Czech health care and introduction of the regulation fees. Partial goals were to find out in what way political orientation reflects in the opinion on justice of the collected regulation fees and furthermore to map, in what way an amount of income of respondents influences an opinion that regulation fees represent an income for a health care facility. Two hypotheses were determined. Hypothesis no. 1: University graduates understand better the system of regulation fees. Hypothesis no. 2: More than 80% or respondents consider it unjust that regulation fees represent an income of a physician, health care facility, or pharmacy. A method of questioning was used for the processing, data collection was carried out by using a questionnaire technique. Statistical methods suitable for an analysis of categorical data were used for evaluation of information. 300 questionnaires were handed out, the return rate being 74%, the final research population consisted in 182 respondents from the city of Votice. Another employed processing method was the secondary data analysis. Results of the questionnaire research brought a number of intriguing facts relating to attitudes of the respondents as to the issue of justice and state of the Czech health care. Further to this, it has been confirmed that university educated respondents understand better the system of regulation fees. In more than 65%, respondents consider it unjust that the proceeds from the regulation fees collection represent income of a health care facility. One of the hypothesis was confirmed and the other was disproved. The acquired information can be used as a guideline for public discussion.
|
|
|
The Problem of Equality and Efficiency in the Implementation of Government Programmes
Benda, Vladislav ; Musil, Martin (advisor) ; Krbová, Jana (referee)
The goal of this work is to show particular conditions and problems according to Equality and Effecciency of Government Progammes and offer possibilities how to solve them, improve them or alternatives to those problems on particular examples. Theoretical part of this work is at first about the role of Public Sector in the National Economy, reasons why is this sector involved in some parts of economy, especially in Healthcare Services. This part is followed by concepts of Efficiency evaluation of particular Government Programmes and theoretical concepts about Equality. Practical part is then aimed on Regulative charges introduced in the Healthcare Services in the Czech Republic.
|
|
| |
|
| |
guest ::
