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Comparative analysis of health care funding system in Czech Republic and Netherlands
Juřenčáková, Michaela ; Lechner, Tomáš (advisor) ; Krebs, Vojtěch (referee)
The thesis is focused on health care funding in Czech Republic. Comparative analysis confront current Czech health care system with effective one used in Netherlands. First part explains importance of health care activities in welfare state as a public interest priority that influence national economy. Second part presents positive and negative aspects of each type of health care system used abroad. Summary of all these fund sources, type of compensations and health care providers characteristics shapes a hypotetical effective system that can be implemented into a practice of universal health insurance system with detailed considaration of historical, political, legal and social aspects of Czech Republic. According to all these analysis I aim to recommend healt care system improvements that would enhance health care quality.
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View of nurses on the health - care reform
ABRMANOVÁ, Michaela
This thesis analyses the reforms of health and social care in the Czech Republic, focusing on the impacts of the reform measures on providers and consumers of health care. Health reforms are currently very up to date, but have not yet been adequately processed and published. Health care of the modern state which Czech republic undoubtedly is must provide affordable and quality health care to all children and people of the society. There is however a necessary role of the state as the representative of the entire health system and relevant legislation. In this thesis we studied the prepared government reforms. The aim of this work was to understand this difficult area and bring this issue further primarily to medical professionals. The results of the research can serve professionals in health social area and be published in scientific journals. The thesis contains a theoretical and empirical part. In the theoretical part we focused on health care systems after 1989, the need for a new reform, the economic development, the health legislation and we also mentioned problems of the current health care system in the Czech Republic. In more detail, we focused on the amended laws related to the new changes in the healthcare system of the Czech Republic. Regarding the reform measures of the Ministry of Labour and Social Affairs, we focused on the change in the institutional child care and thus a possible replacement of nurseries foster care. For the empirical part research was chosen qualitative method of semi-structured interview with nurses. The research sample consisted of 20 university educated nurses who work mainly on children's wards in hospitals in Czech Budejovice, Tabor, Czech Krumlov and General University Hospital in Prague. In the thesis we stated six goals and six research questions. First, we wanted to determine nurses opinions on the big planned new health and social reform. Furthermore, we were interested in awareness nurses would planned changes in the health and social sphere with other goals we wanted to see what would nurses would like to change in the health system of the Czech Republic, how well informed Theky are about the changes in health care since 1989, what they know about the problems of institutional care and what their opinion on the possible cancelation of nurseries and they replace ment of institutional care by foster care is. From the research it was shown that the specifics of the health reform were seen by the respondents from different point of views. During the qualitative investigation it was found that the knowledge of university educated nurses regarding the planned health reforms was not fully sufficient. With the year of 2014 crucial changes occurred in the Czech health system. In particular, we do not pay medical fees for inpatient stay (1st. January 2014). By the media discussed many medical fees majority of the respondents was aware of but they didnt know the other reforms. In this thesis we focused on the lack of (un) awareness of nurses of planned the health reforms. Our hope is to convince the wider professional public that basic knowledge of politics in the Czech Republic is a very important issue.
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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.
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The changes in the personal insurance market in the current period
Šubrtová, Gabriela ; Ducháčková, Eva (advisor) ; Daňhel, Jaroslav (referee)
The bachelor thesis deals with the changes in the personal insurance market in the current period. Personal insurance with its different types is defined at the beginning of the thesis. The thesis analyzes the issues of contemporary Czech insurance market with a focus on personal insurance. Changes and reforms that are being prepared appear in the next part of the thesis. A special chapter is focused on the anti-discrimination EU directive with its impact on the insurance market. The analysis of gender insurance products is defined at the end of the thesis.
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The analysis of Leos Heger´s health care reform
Vavřinová, Tereza ; Vostrovská, Zdenka (advisor) ; Durdisová, Jaroslava (referee)
This thesis aims to analyze the impacts of the first phase of minister Leos Heger's health care reform on the financial stability of the Czech health care system. The specific features of the health care market are taken into consideration in the analysis. Heger's reform is introduced in the context of the development of the Czech health care system since the early 90's and its main problems are identified by analyzing financial flows in the health care system. Measures within the reforms are analyzed by using the methodology conceived by experts from the working group Kulatý stůl (2009) who presented the guidelines of health care reforms in the European countries. The measures of the first phase of the health care reform are estimated to have a minor impact upon the sustainability of the health care financing in the Czech republic.
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U.S. Health Care Reform
Čapková, Lenka ; Durdisová, Jaroslava (advisor) ; Munzi, Tomáš (referee)
This thesis deals with the basic moments in the U.S. health care reform. The theoretical part is based on the concept of health as human capital, as a factor of labor productivity. The rate of depreciation of health capital is closely associated with age and grows throughout the life cycle. In the U.S. is currently more than 46 million people uninsured and their access to health care is very limited. U.S. health care system is a highly cost, total expenditure exceeded 16 percent of GDP. Based on various calculations, the thesis describes assumed purposes of reform in terms of health coverage of population, share of private and public spending, additional insurance, etc. The thesis also deals with a reduction in price elasticity of demand for health care in context of increasing the number of insured persons. Theoretically justifies a possibility of moral hazard at participating elementary subjects.
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The Health Care Providing System in the Switzerland
Štěpánek, Petr ; Lešetický, Ondřej (advisor) ; Střítecký, Rudolf (referee)
The Diploma paper " The Health Care Providing System in Switzerland" describes the development, structure and typical aspects of health care providing system in Switzerland. The Diploma paper concentrates on identification of the key factors which helped Switzerland health care providing system to reach very high quality and also ensured large availability of the services. The work is divided into theoretical and practical part. Theoretical part describes Swiss Confederation and its health care providing system. The practical part offers the comparison with the system in Czech Republic. The finale part is devoted to the key factors which could be implemented into the Czech system and which would be helpful for its further development.
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Understanding and Public Approach to Contemporary Health Reform
BORŮVKOVÁ, Eliška
Abstract Understanding and attitudes of the public towards the current Health Care Reform This thesis summarizes the basic facts about the current reform within the Health Care Sector and how it is being perceived by the general public. The theoretical part focuses on the basic information about the development of the Health Care Sector in the Czech Republic and its current reform. The development of the Health Care Sector from the year of 1918 until present is highlighted. At the beginning of the last decade of the 20th century, a new set of laws were passed, which triggered the initial reform of the Czech Health Care Sector. However, a period of passivity regarding subsequent legislation has resulted in the present problems. Further, there is a focus on current Health Care Reform enquiring: why the reform is needed, the nature of its stages and its legislative and non-legislative changes. Only a small part of the reform measures came into force. This included the introduction of regulation fees, the introduction of an `annual safe limit{\crq}, and the pricing and payment for medication. The practical part presents the research findings in relation to the issues mentioned above. The research part of the thesis, carried out using questionnaires, is concerned with the views of the public with respect to current Health Care Reform and investigates whether it has been understood by the public. The research shows that most of the respondents disagree with the reform and think that it is not developing in the right direction. The majority of respondents with this view were found to be within the age group of 60 and over, and within the group of respondents with a basic level or vocational education. Further, the research suggests that the public is not adequately informed about the new Health Care Reform, and therefore demonstrates a lack of understanding of its nature. In addition, the current political climate suggests that the public may lose interest in these issues and will become disengaged with the reform without further consideration.
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Impact of regulatory fee
Klovrza, Tomáš ; Slintáková, Barbora (advisor) ; Kubík, Rudolf (referee)
This study is focused on the analysis of regulatory fee and its impact on the financing of health care system of the Czech Republic. The study consists of two parts. The first chapter describes the principles of regulation and the medical service from the economical point of view. Furthemore, it evaluates the reasons for regulatory fee and the impact of chosen factors on the health of population. The second part considers the influence of regulatory fee in Czech health care system. The problematics of solidarity between relatively healthy and seriously ill people is also mentioned there.
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