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Observation of the satisfaction with care in community services for people with mental disorder
Čechová, Dana ; Niederlová, Markéta (referee) ; Hrachovinová, Tamara (advisor)
This work is focused on satisfaction with care in mental health services. In the theoretical part we will deal with generally statisfaction, next we will focus on the satisfation with care and various aspects of this satisfaction. And then we put the emphasis on mental disorder and treatment, community care and we tried chart the surveys dealing with the satisfaction. In the practical part we charted various aspects of care which related with the satisfaction. On basis gained results we generate the questionnaire and then was realized the pilot survey with sample of community services users. The results showed that reliability (measured by Cronbach's alpha) is good, but showed that the questionnaire must be partial adjusted. Our findings shoved that overall satisfaction is good. The best was assessed the admission to patients and communication, on the contrary availability was assessed worse.
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Econometric analysis of effects of regulatory fees on length of stay in hospital
Junga, Přemysl ; Zouhar, Jan (advisor) ; Školuda, Václav (referee)
The thesis analyses the influence of reimbursement regulatory fee for hospitalization which was introduced in regional hospitals in 2009 in Czech Republic. The difference in differences analysis was used to study the possible relationship between reimbursement of the fee for length of hospitalization in acute care hospitals and in after-care facilities. In acute care the influence was 0,5-1 % of the length and in after-care facilities between 8-12 %. This relationship may be biased because of introduction of DRG system which may decrease the length of stay and may be differently distributed between the treatment and control groups.
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Tertiary preventive care in orofacial clefts
Jasaňová, Katarína ; Dušková, Markéta (advisor)
Congenital Cleft lip and palate in the Czech Republic is one of the most occurring congenital defects. Neural tube defect is a complex disabilities whose treatment requires multudisciplinární approach and guides the individual from birth to adulthood. It represents the life of the victim, especially during childhood , adolescence and young adolescence , a number of complications that manifested in virtually all areas of life affected people and have biological, psychological and socio-economic manifestations and consequences. primarily, the defect negative functional consequences of biting , swallowing, breathing and making the voice and speech. Aesthetically affects facial triangle, which most affects the appearance of the face. Isolated defect is not lethal or associated with mental defect , but in up to 20 % may be associated with an associated morphological disabilities. damage to the face has a significant impact on the self-image of the affected individual , the reaction of the environment may be another source of stress. The consequences of defects is significantly reflected in the claims asked to close the affected individual , in particular the family. After 80 years, the increasing attention paid to the psychological explorations , dealing with self-image and quality of life of patients with cleft...
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Ethics of clinical research provided in intensive care by nurses.
Lerchová, Martina ; Haškovcová, Helena (advisor) ; Tošnarová, Hana (referee)
This presented gradual thesis deal with problems connected with research projects provided by nurses in cooperation with doctors on Coronary Intensive Unit in the IKEM hospital Praha. The exact name of this thesis is - Ethics of clinical research provided in intensive care by nurses. This thesis is composed from two parts - theoretical and practical. Theoretical part is divided into the seven parts. The first chapter descripe a develop of relationship between the doctor and patient whitch is very important especially during the research studies. The second chapter is focus on problems of informed consent area. Describe its historical development and process its standardization in big hospitals. The third chapter contain an information about ethicall comitte and its role in medical researchs. Fourth chapter contain some information about development and changes in documents important in research area. Nursing as a area for research is mentioned and discuss in five part of this thesis together with supervision which is very important in research too. Part six try to solve a problems connected with competention of nurses in the Czech republic in research area. The last seven part try to explain the meaning of some research studies, which are actualy running on Coronary Department in the IKEM Praha hospital....
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Present system of nurse's education and nurse's competention in the health education area (in intensive care units).
Povolná, Pavla ; Haškovcová, Helena (advisor) ; Holmerová, Iva (referee)
Autor highlights present situation of health education providing by nurses and thinking about nurse's competentions and knowledges in the education and information area as well. Transmission of information in health care is difficult, irritable, unclearly task, perceiving by nurse's often as potentionally danger. There are descripted different contexts of the problem in each part of theoretical view of the graduation thesis (legal, historical, social, relational, educational). Practice part gives an overview of quantitative research and explanation of some tasks by confirmation or negation of hypothesis generated by qualitative research. Results of questionnaire investigation shows, that nurse's competentions to educate are uncrearly area neither nor nurses, nor for experts in health care or public. Recognizing of present situation is a first step to the future improvement. Frame 0standardization of providing health education by nurses could be a way out of the maze.This way must be announced, consisted, commemorated and continually evaluated on each care unit.
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The Reform of the Health Care System in the United States of America
Horáková, Kateřina ; Střítecký, Rudolf (advisor) ; Lešetický, Ondřej (referee)
The Diploma work "Health care reform in the United States of America" is the sequel of the Bachelor work of 2008 called "The liberal health care system of the United States of America". The work is focused on the financial means and changes which has been effective since singing The Patient Protection and Affordable Care Act (acronym PPACA) into the United States law on 23rd March 2010 by the democratic president Barack Obama. The special attention is drawn to permanently increasing health care costs and defrauding of money within the social heath care program Medicare that is designated for seniors 65 and over as well as handicapped people. This work deals with Massachusetts Mandatory Health Insurance Program of 2006, which has been used like a model for the new federal law PPACA. The practical part presents the particular changes brought by the new law, including their impact on the chosen social groups -- the uninsured, the employers, the families and their kids, the seniors and the people with "pre-existing conditions". Since the Health care reform is the political issue as well, at the end there are mentioned some pros and cons opinions.
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