|
|
The Informal Care for People with Disabilities in the Czech Republic
Hošťálková, Jitka ; Dobiášová, Karolína (advisor) ; Háva, Petr (referee)
This diploma thesis deals with the system of the informal long-term care for people with disabilities in the Czech Republic. The first aim of the diploma thesis is to describe this non-conceptually solved issue and confirm the European prevalent tendencies to refamilization and deinstitutionalization in the Czech Republic. Author tries to identify the main problems within the system of informal long-term care through interviews conducted with informal carers and workers from selected social services. The diploma thesis emphasizes the target population of informal carers, who face many obstacles, whether it is the cooperation between the systems of formal and informal care, lack of finances, deterioration of quality of life or insufficient recognition of the status of informal carers from the society and the state. Informal carers are presented on the basis of theoretical perspectives as well as the results of conducted research as the invisible stakeholders of the Czech public policy.
|
|
|
Obstacles and barriers in informal care development in longterm care for elderly in the region of Pardubice
Wohnerová, Monika ; Kotrusová, Miriam (advisor) ; Čabanová, Bohumila (referee)
The target goal of this work is to identify the obstacles and barriers in informal care development in the context of long-term care for the elderly in the Pardubice region. These can be divided into two categories, firstly, the problems which informal long-term care for the elderly raise, secondly, the enhancement of the instruments belonging to social and health policy, which should moderate these difficulties. First of all, this work focuses on the fundamental issues of long-term care and its division into formal and informal aspects. Furthermore, it outlines the demands of informal care and arrangements implemented and intended for the support of this care type. Numerous difficulties arose on the basis of obtained the information from comprehensive interviews with the respective participants, those being problems of physical, psychological and financial character, lack of free time and partnership and family relationship issues. Several factors influence the development of informal care and the extent of support from public policy, these factors being such as the health of the elderly, assistance in the care from environs, vocational, housing and the financial situations of the persons involved, together with the attitudes of the seniors, the individual values and decisions of informal carers....
|
|
|
Business plan for home care agency
Brejchová, Jana ; Trpišovský, Milan (advisor) ; Vrzáček, Petr (referee)
My following thesis introduces the home care segment and points to its present and future role in the field of health and social care. The aim of this thesis is to create a proposal of a business plan for home care agency, which would provide patients with health care in their home. The first part of this thesis describes the theoretical basis this thesis is based on. It introduces a concept of strategic management including a description of a strategic analysis, the structure of a business plan and there are also described aspects contemplated at the opening of the business. The theoretical part also includes detailed introduction of the home care segment including its development and history. The practical part starts with research and analytical chapters. These chapters describe the survey executed among general practitioners and a complete strategic analysis, whose results are summarized in the SWOT analysis. The business plan for the home care agency is based on these findings. In conclusion, I assess whether it would be possible to implement this business plan and I estimate the company's prospects. I also propose a number of recommendations that should contribute to the success of this agency. Keywords: business plan, home care, health care, long-term care, strategic analysis
|
|
|
Financing of social care services for the elderly in the Czech Republic - current problems and challenges
Červenková, Vladimíra ; Mašková, Pavla (advisor) ; Bareš, Pavel (referee)
The thesis "Financing of Social Care services for the Elderly in the Czech Republic - Current Problems and Challenges" deals with analysis of system of social care services for the elderly in view of the fact that the current financing form is subject to criticism for its inefficiency. The aim of this thesis is to critically reflect changes in the provision and financing of social care services for the elderly in the Czech Republic after 2007 in the context of current challenges related to long-term social care and health care. The thesis in its introduction first deals with the formulation of the research problem, deals with particular targets, research questions and the methods of data collection, which are the methods of analysis and public policy making and qualitative research methods. It also discusses the theoretical background of social services and their financing. The next chapter of the thesis deals with the system development of social services and changes in the provision and financing of social care services, which occurred in connection with the adoption of Act No. 108/2006 Coll., On social services. The following chapter deals with analysis of the financing form of social care services in terms of financial resources and problems of financing these services through the care...
|
|
|
Long-Term Care in the Czech Republic: The Way Forward
Blechová, Lucie ; Pavloková, Kateřina (advisor) ; Lebovič, Michal (referee)
This thesis focuses on the future development of expenditures on long-term care in the Czech Republic. It consists of an introduction to the problems of population ageing and long-term care and then uses a mathematical model to predict the future expenditures on long-term care until the year 2060. The impact of population ageing on these costs is crucial. The prediction is based on an external population projection and uses data on long-term care capturing about 65% of Czech population which makes the prediction very unique. The thesis contains the results of this projection as well as their comparison with another model using the same population projection.
|
|
|
Development of population ageing and its impact on long-term care expenditures in the Czech Republic
Konířová, Kristýna ; Pavloková, Kateřina (advisor) ; Dózsa, Martin (referee)
This paper examines and analyzes development of population ageing in the Czech Republic and its likely future development and impact on long-term care costs. Long-term care is defined in detail and subdivided. Views of the European Union and the Czech Republic on the future development of long-term care are also summarized. Selected categories of expenditures are described and analyzed, including differences in spending on inpatient care and home care. The model, which tests whether and how population aging and other factors (e.g. GDP, number of beds, etc.) affect the long-term care expenses is processed at the end of the thesis.
|
|
|
The Prognosis of the Development of Expenditures on Funding of the Long-Term Care in the Context of Demographic Changes of the Czech Republic
Mudra, Martin ; Chytil, Zdeněk (advisor) ; Slaný, Martin (referee)
The aim of this thesis is to quantify future public costs of providing long-term care services in the environment of population ageing of the Czech Republic until the year 2060. The methodology of this thesis is based on a macrosimulation model of European Commision (EC, 2012), but better data were used. The results of this thesis confirm the hypothesis, that population ageing will have significant impact on future public long-term care costs. The demografic effect causes an increse of these expenditures as a share of GDP from 0, 69 % in 2012 to 2, 02 % until the year 2060. The rate of this increase could be partially compensated by the improvement of the health status of population according to the theories of compression of morbidity (Fries, 1980) and the dynamic equilibrium theory by Manton (1982).
|
|
|
Long-Term Care fot the Elderly
TESAŘOVÁ, Marie
The bachelor thesis deals with the Long-term care for the elderly. This thesis is divided into two parts, theoretical and practical. In the theoretical part, I acquainted reader with the concept of aging, age and what its types are distinguished. I also mentioned the changes in the age and species of the needs of seniors. Since the theme was the need to include in the theoretical part of the concept of long-term care and what its types are. In the practical part I examined how long-term care users are satisfied with the level of care provided by the qualitative research method. To collect data, I used a form of questioning and interviews were conducted with ten communication partners who are momentary users of long-term care. These users I chose the quota sampling, the essence of which is to establish a certain quota and the subsequent withdrawal compliant research file. My quota in this case was the age of users (over 65 years) and gender, that percentage was well represented in both research file (3 women and 2 men). Interviews lasted between 40 60 minutes and was selected the technique of semi-structured interview. The questions need to get data have been divided into four main headings. The research was conducted in six long-term care facilities, three of which were social system and three of health. In the research, the research questions were determined to have us closer to client satisfaction. The aim of this thesis was compare the social care system for the elderly, the health system. The operational objective was to map the situation of seniors in facilities to assess their quality of care and assess the situation at the end whether the social beds that are part of the health facilities in the event of cancellation can be replaced beds consequential or long-term care.
|
|
|
Costs of providing nursing and rehabilitation care in institutions of social services.
SKRUŽNÁ, Andrea
The dissertation themed "Costs of providing nursing and rehabilitation care in institutions of social services." maps out current issues in provision of health care in the residential facilities of social services. The dissertation focused on analysis of expenses for provision of nursing and rehabilitation care in residential facilities of social services. The theory part is divided into five chapters. In the first chapter, I deal with the social services in the European Union and in the Czech Republic. Further, I describe the system of long-term care. The second chapter focuses on residential facilities of the social services, their division by types and specification of their basic activities. In the third chapter, I describe funding of the residential facilities of the social services, where I focus on description of each funding source. The fourth chapter is focused on health care in the residential facilities of the social services. I describe author's expertise of general nurse in the social services, the list of tasks of health care for the expertise, conditions for indication of health care, the ways for payments of health care by health insurance companies, and audits of the reported health care conducted by the health insurance companies. The last chapter deals with the issues related to per os administration of drugs in the residential facilities of the social services. The practical part of the dissertation consists of my own quantitative research. Described is methodology for data collection; in addition, the research set is characterized, and the research implementation description is given. Results of obtained data were processed in two chapters where structure of users of facilities as well as health care provided to the user was described in a statistical way using tables and graphs. Thereafter, discussion on results obtained was made. The research survey was performed in Senior House in Roudnice nad Labem (hereinafter referred to as "the facility") in November 2013, where data was collected for period from 18 to 24 November 2013. The facility provides social service of senior house and social service of a house with a special regime to its users. At the moment of the research, there were 129 users, of which 95 received health care from health care employees of the facility. Two hypotheses were defined for the dissertation. The hypothesis No. 1 is: The number of health care professionals in the residential facilities of the social services corresponds to time demands for health care indicated by a general practitioner. The hypothesis No. 2: Administration of medical therapy per os as indicated by a general practitioner is the most frequent health care service provided to the users of the residential facilities of the social services. The research confirmed both hypotheses. I can see importance of results of the dissertation particularly in that they outlined how the medical care in the residential facilities of the social services is currently provided. The processed results of the provided health care could then serve as one of the grounds in making a draft for transition of funding of the health care in the residential facilities of the social services from performance-based to flat-based model. The dissertation could also be used as the grounds for training of health care professionals of the residential facilities of the social services in the field of indication, provision, and reporting of health care provided to users of the residential facilities of the social services.
|
|
|
Quality of life of seniors hospitalized in long-term care.
DOLEJŠOVÁ, Markéta
The basic theoretical basis: According to demographic development the average and maximum lifespan prolongs. Therefore global population spends a bigger part of adulthood in their old age. This phenomenon is irreversible and brings significant changes into global geriatric nursing and we need to take note of the care that is provided to old patients. The seniors form an irreplaceable and a more and more considerable part of population, they create a varied group with individual needs, priorities and demands in sickness as in health. It is the very polymorbidity of senior patients which is often the reason for a long-term hospitalization. Nowadays, for these purposes more and more beds are built in long-term care facilities (LTCF) which are officially defined as specialized medical institutions which provide care to patients whose health states cannot be substantially improved by any medical treatment as they worsen without a continuous care. The life quality of seniors and the quality of the provided care in these facilities are the main long-term care level indicators. The goals of the thesis: 1) Ascertain the life quality of seniors hospitalized in long-term care institutions. The research questions: 1) How does the hospitalization of seniors in LTCF influence their subjectively perceived quality of life? 2) In which areas do seniors hospitalized in LTCF feel the difference of life quality in LTCF and at home? 3) How are the patients in LTCF satisfied with the quality of health care? 4) Within the rise of seniors' life quality in LTCF, in which areas should the nurse improve the provided care? Methods employed: For the empirical part of the thesis the qualitative analysis of gathered data method was used. The data accumulation was implemented by semi-structured interviews with clients-patients hospitalized in LTCF. The instructions for the interviews were adopted from a QOL Research Unit life quality model of the university in Toronto. This model emphasizes the individual's relations towards the surroundings and the possibilities of maintaining and improving skills. It is divided into 3 categories - existence, togetherness and adaptability. Interview transcriptions create a part of the thesis on an enclosed CD. For illustrative purposes, the results of the research were transformed into mind maps using the XMind software. There are also annotations with respondents' quotations concerning individual map as a part of the thesis. The results: The analysis of in-depth interview gathered information brought several factors which are highly subjective and have a logical level of individuality. The results concerning the research of the seniors' life quality dimensions are more or less in agreement with the basic division found in professional literature. However, they bring a further view on these dimensions and introduce subjective opinions, wishes and evaluation of seniors who found themselves in unknown environment of LTCF. The positive influence of nurses, which often impact the satisfaction of seniors in a medical institution, proved its importance. However, it was the area of communication skills of medical staff which was mentioned as lacking or insufficient. Also the fields of free time activities, seniors' adaptation in LTCF and social isolation were found to be neglected. Conclusion: The long-term care becomes, thanks to demographic development, the most rapidly evolving kind of health care. The emphasis on life quality of hospitalized seniors, as their biggest consumers, should be a matter of course for every medical and social facility. The contribution of the thesis is in detailed mapping of the issue of life quality in LTCF, warning against lack in health care and the neglected fields of life quality.
|
guest ::
