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Continuity of Hospices and Hospitals
Šottová, Barbora ; Dobiášová, Karolína (advisor) ; Háva, Petr (referee)
This work deals with continuity of inpatient hospices and hospitals in the Czech Republic. In this issue i examine the status of inpatient hospices in the health system and in the social system, reflecting the taboo of death in continuity of care and alternatives of education in palliative care. The work consists of three main parts. The first part involves determining the aims of the work, a description of research methods, theoretical and value foundations and definition of basic terms associated with hospice care. In the second part i focus on the reflection of current situation of hospices in the Czech Republic. Based on the analysis of documents i describe the funding and legislative basis for hospices. The third part is based on qualitative research. Using expert survey, i examined the views of professionals working in hospices. i also analyze the gained knowledge and divide it into individual topics. The key findings include that the interviewed experts evaluate the continuity of hospices and hospitals as affirmative. Capacity of hospices and funding are ceasing to be the main problems. However in the Czech Republic is absence of system of palliative care and the integration of palliative care into general medical disciplines.
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The Relation Between the Socioeconomic Status and Adolescent Alcohol Consumption
Ondřejková, Barbora ; Nekola, Martin (advisor) ; Brázová, Věra - Karin (referee)
The aim of the bachelor thesis is to explore the relationship between adolescent alcohol use and their socioeconomic status (SES). The study also investigates frequency of the adolescent alcohol use and the number of alcohol sessions along with the association of the SES. It also considers differences between girls and boys in relation to alcohol consumption. The European School Survey Project on Alcohol and Other Drugs (ESPAD) held in 2007 in the Czech Republic is used as the main data source. The thesis is based on the following theoretical frames. Social determinants of health describe influence of different social events on individual health and the affiliation to the particular SES. Lifecourse perspective and social gradient highlight the importance of view on the relation between SES and its impact on individual's behaviour health. The thesis also describes main approaches in measuring SES and it also contains a chapter concerning alcohol use and its risks. The author suggesting a few improvements in the current ESPAD in the end of the thesis. When it is implemented there will be a great chance to measure SES with better accuracy.
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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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Effectiveness of coeliac disease management in the Czech Republic
Přibylová, Kristýna ; Háva, Petr (advisor) ; Mašková, Pavla (referee)
This work deals with effectiveness of coeliac disease management. It is a model case of chronic disease management. The analytical framework of this work is the multilevel Innovative Care for Chronic Conditions Framework. Crucial is the interaction between health care team that represents health care system, community partners and patients with their families. In the case of coeliac disease it is necessary to include also the role of representatives of market with gluten free products. The interaction of these participants takes place in wider political context, whose state influences this interaction fundamentaly and reflects so in final results - state of patients and quality of their live. Using the evaluation of the quality of life tool SF-36, it has been ascertained, that the quality of life of coealiac patients is lower in comparison with European standard of healthy population and that the causes of the problem have to be searched and systematically removed at all levels of the system of chronic health care. The findings validate the theoretic presumption, that the chronic health care is still considerably underestimated and that it does not reply to the needs of chronic ill patients, which reflects just on general quality of life.
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Thanks, we are leaving" Campaign in 2010-2011. Case study.
Šimandlová, Nikola ; Mašková, Pavla (advisor) ; Tušková, Eva (referee)
This thesis is concerned with the Czech doctor's campaign "Thanks, we are leaving" on the background of the health care system in the Czech Republic. The campaign started in 2010 by the Czech doctors trying to focus on the working conditions, salary conditions, educational system and some failures of the health care system with the aim to improve it. The campaign resulted in February 2011 in a compromise between doctors and Ministry of Health. This thesis focuses especially on media and on the interest group LOK (Medical union trade club) which set the agenda. The perception of the campaign is ambiguous both for the public and for the doctors themselves. The individual milestones of campaign are explained by the theory of punctuated equilibrium from the authors Bryan D. Jones and Frank R. Baumgartner. Using many helpful methods such as content analysis of media messages, semi- structured interviews with particular actors, analysis of secondary sources, stakeholder analysis or analysis of selected events in health policy I explained the core events and actors who participated in this campaign. The theoretical concepts used in this thesis are: public policy in its multidisciplinary meaning, health policy and health care system, punctuated equilibrium theory, theories concerned with interest groups...
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Welfare state in developing countries: Case study of Botswana, Ghana and India
Šanc, Filip ; Novotný, Josef (advisor) ; Matoušek, Roman (referee)
This diploma thesis explores the emergence of the welfare state in developing countries, in particular shown on the example of Botswana, Ghana and India. The inquiry is focused on the period beginning in 1990, when the neoliberal paradigm was dominating, untill 2010. The recent years are in token of the shift from the neoliberalism to the post-neoliberalism characterized by a number of concepts, which are taking into account. The common feature of these concepts is the diversion from the narrow focus on GDP, as the only indicator of the growth, to the social dimension of the development. This shift is also being distinguished as a transition from the basic-needs concept to the rights-based approach. Therefore, the thesis explores, if these shifts are remarkable in the analyzed countries, eventually, if there are any divergences as compared to the theoretical concepts. To achieve this goal, a broader analysis of the welfare state was used, which involves social, health and education policy. Based on this analysis, the diploma thesis tries to classify the analyzed countries into the welfare state typology; eventually, in case such classification is impossible, it describes the weaknesses of this welfare state the typology. Powered by TCPDF (www.tcpdf.org)
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Comparison of the proceeding of government political parties in formulation of targets in health policy in the Czech Republic since year 1990
Vacátko, Michal ; Háva, Petr (advisor) ; Bodnár, Jan (referee)
bakalářské práce: The basic problem of this work is the method of formulating targets of health policy in the Govertment of Czech Republic since 1990. These targets is often preferd for economic and organizational interests, which may be restrained for the interests of society and aimed at targets improving the health of citizens. The aim of this study is to compare whether the individual Govertment came out of formulating targets health policy in the Czech Republic. If the governments reflect the interests of citizens and if they are based on the international discourse, which is devoted to this topic . This study used the method of case studies and analysis of documents. Applied documents are contemporary programs of the Government of Czech Republic after 1990. The assessment framework is a combination of targets and values formulated in the strategic documents of the WHO-Health for All by the Year 2000, Health 21 and A Framework for Assessing the Performance of Health Systems by Christopher Murray. In the theoretical part of this work are defined the basic terms and actors, who associated on the creation and formulation of health policy targets. There are, also described the values that should be reflected in the targets of health policy. In the empirical part of the study are analyzed targets...
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Trust of citizens in health care system CR
Bauerová, Lucie ; Háva, Petr (advisor) ; Kružík, Lubomír (referee)
Thesis "Citizens' trust in health system CR" discusses the current state of czech health system, how is perceived by the citizens. In this thesis the focus is on the functioning of modern medicine. The theoretical part is devoted to the wider context of the problem of trust in the health care system. This section is trying to describe the changes in society which has been changing relationship of a doctor and patient. Most significant changes that affect this relationship are represented by the development of information society, as well as commercial and system pressure on the doctor. It also highlighted the importance there is the of human rights related to health and patient rights. The empirical part focuses on the research results and their discussion. The research method was applied in the form of qualitative interviews, which were then rewritten and clarified schematically using tables. Research results did not confirm the assumption that citizens lose trust in medicine as a science (lege artis). Problems of the health system respondents associate more with its wrong settings, which can be blamed for the Ministry of Health. Citizens were fairly unsatisfied with the current political situation and this is surely reflected the results of the decreased trust in state institutions.
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Palliative care in the Czech republic
Zatloukalová, Zdeňka ; Dobiášová, Karolína (advisor) ; Angelovská, Olga (referee)
UNIVERZITA KARLOVA V PRAZE FAKULTA SOCIÁLNÍCH VĚD Institut sociologických studií Katedra veřejné a sociální politiky Zdeňka Zatloukalová Paliativní péče v České republice Diplomová práce Praha 2012 Diplomová práce Název práce 4 SUMMARY The master thesis "The palliative care in the Czech Republic" is focused on the reflection of the current situation of the problem which is defined as an insufficient capacity of the specialized palliative care. A mere fraction of dying (2,7 %) receives a specialized palliative care in the Czech Republic. Only 7,5 % of cancer patients are provided with the specialized palliative care. (Sláma, 2008) Specialized palliative care has different forms. It is hospice palliative care, special palliative care in the hospital facilities or consulting teams in the hospitals. The hospice palliative care is provided in the form of the inpatient hospice, home palliative care and day care canters. In the practical part of the thesis I focused on the analysis of the state of care through the statistical data obtained mainly from the Czech Statistical Office and the Institute of Health Information and Statistics of the Czech Republic. For the comparison with other countries I used the researches Palliative care in the European Union, 2008 and Economist Inteligence Unit, 2010. The annual...
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