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The economic profitability of current obstetric facilities in the Czech Republic
Kobliha, Pavel ; Ševčík, Miroslav (advisor) ; Antonín, Pařízek (referee)
The aim of the thesis is to analyze the economic profitability of current obstetric facilities in the Czech Republic. The theoretical part deals with economic aspects of health such as health determinants and their effect on human health, the specific of health care and role of the state in health care. Further work is focused on exploring different types of health systems, the principles of financing Czech healthcare system and its development in recent years. Despite the increasing role of direct financing of health care and higher patient participation, the public sector still plays the most important role, which follows from the Charter of Fundamental Rights and Freedoms. Based on available data on infant mortality the efficiency of functioning of the Czech and American health care system will be compared. Infant mortality in the Czech Republic is very low and our country in this regard is placed on the top places in the world. The practical part deals with analysis of the costs of planned caesarean section, including the total time a mother spends in hospital. Furthermore, the practical part deals with the future of obstetrics in the Czech Republic in terms of plans for the closing of small hospitals with low numbers of births and infant homes replacing foster care. The final part deals with births at home as a substitute for births in hospitals. This topic is now getting into media interest when it is discussed to ensure adequate care in childbirth and health risks for mother and newborn.
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Health care financing- Total hip replacement surgeries
Kutlák, Štefan ; Szabová, Lucia (advisor) ; Krebs, Vojtěch (referee)
This Bachelor thesis deals with the imperfections in the functioning and financing of public health care on the example of the total hip replacement surgeries. It summarized findings from foreign studies on the phenomenon of informal payments and disadvantages in public health insurance system. Based on the data from the Czech healthcare system describes the differences and inefficiencies between health care providers and suggest the mechanism, which can be helpful with increasing efficiency in spending funds for total hip replacement surgeries.
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The Development of Administration of Chosen University Hospitals in the Czech Republic
Svoboda, Jakub ; Zeman, Karel (advisor) ; Krebs, Vojtěch (referee)
The target of the Bachelor thesis is to analyze and compare the situation in administration of chosen University Hospitals in the Czech Republic. (This is) specifically about Fakultní nemocnice Královské Vinohrady, Všeobecná fakultní nemocnice, Fakultní nemocnice Motol, Fakultní nemocnice Na Bulovce and Fakultní Thomayerova nemocnice. These hospitals will be studied in the interval from 1990 to 2010, this period is sufficiently long from the point of view of a statistical conclusion and it gives us the posibility to analyze the development in each hospital objectively and then to compare it. The funding of the department of health care in the Czech Republic is a long-lasting problem. This department represents a significant item in the government expenditures and also in the expenditures of taxpayers in fact that the University Hospitals are the biggest medical centres in the Czech Republic, it is will be really interesting and useful to analyze theirs administrations. In the theoretical part of the Bachelor thesis there are mentioned the terms and definitions which are mostly used in this thesis. The University Hospitals are contributory organizations of Ministry of Health and that is why I will characterize the running of the state institutions which do the economic activities and I will describe thein specifics. Then I will characterize the administrativ of these subjects of the theoretical point of view and the fundamental parameters of the financial analysis. In the analytical part I will analyze the chosen economic parameters and the economic outcomes of chosen hospitals and other non-economic parameters which influence theirs own administration. The result of the thesis will be the complete evaluation and the comparison of the effectivity of administration in each hospital and my recommendations of improvement not only in the economic area.
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The health care - public or private goods
Havlíčková, Anna ; Vostrovská, Zdenka (advisor) ; Durdisová, Jaroslava (referee)
The main of objective of this diploma thesis is to define health care as economic goods based on the theoretical definitions. The fact whether health care should be considered as private goods or public goods plays a vital role in this debate. The initial hypothesis presupposes that health care is (based on the basic economic criteria) private goods; however there is objective evidence demonstrating that health care should be understood in terms of public goods. The author defines the necessary terminology and theoretical concepts. According to several expert concepts the author concludes that based on the basic economic definitions health care could be understood as private goods, admitting that in the real world objective limitations exist, which prevent keeping health care exclusively in the economic sphere. The thesis also evaluates the role of individual health care sectors, including their drawbacks. The author demonstrates all concepts on the Czech health care system. In the analytic part of the thesis the author demonstrates discrepancies between theoretical concepts and practice on specific models, including the risks of exclusively private financing of health care. For this purpose three income groups has been defined. The author compares expenditures of these groups on selected medical services with different levels of their savings. The thesis also deals with methods of economical analysis and its limitations in health care system analysis.
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Analysis of system of healthcare of Russia
Kolbabová, Irina ; Maaytová, Alena (advisor) ; Urbánek, Václav (referee)
The following thesis is focusing on the public healthcare financing in Russian Federation. The author set the objective as to characterize the sources of public healthcare financing and propose measures oriented towards further development of voluntary health insurance in the Russian Federation. The objective of the first part of the thesis is to investigate Russia's healthcare system from the aspect of finance sources. In the next part of the work the author focuses on the necessity of further development of private financing of healthcare through voluntary health insurance. Furthermore, this part is looking into the draft bill of changes in the Area (territory) program of public expenditures.
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Privatization of Hospital in Ceske Budejovice
Hrubá, Jana ; Písař, Pavel (advisor) ; Vebrová, Ludmila (referee)
In my work I would like to pay the privatization of hospitals and analyze the situation in the Hospital in České Budějovice, which has been transformed in 2003 into a limited company. At the beginning of the work I will describe the general reasons for the transfer of hospitals to joint stock company and how it treated the transfer law. In the next section, I will pay particular economic analysis Hospital in České Budějovice. I will refer to changes in the financing of health care in the hospital and try using several economic indicators (such as debt, profitability, assets or change the amount of wages of doctors and medical staff, the individual cost per patient and per day, the impact of fees on the quality of care, etc.) assess the changes that have occurred after the transformation. I will create a comparison of management in a few years, covering the period before and after transformation. I will also pursue the issue of improving health care and comfort in the hospital. In the last part, I will assess whether it would be good to return the hospital into the hands of the state or leave the form of private property.
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Possibilities of regulation of economical subjects behavior on health care market
Valtr, Jan ; Maaytová, Alena (advisor) ; Maaytová, Alena (referee)
The bachelors theses deals with settings of the health care financing. It explains reasons for government interventions to the health care market, describes possible models of health care system, defines economical subjects of health care market and analyses possibilities how to regulate their economical behavior. The healt care system is affected mainly by interests groups, who push their particular aims at the expense of others. By asserting their interests they affect other subjects of health care market as well as the entire health care system. It is impossilbe to choose the exactly correct settins of health care system. Settins of each individual regulatory mechanism has no optional value, it have to match locally and temporally given specific economical and social conditions. The selection of concrete parametres of regulation is always determinated by application of public choice.
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Hodnocení úhradového mechanismu poskytovatelů zdravotní péče ? možnost různých variant.
Rokos, Pavel Bc. ; Mlčák, Jan (advisor) ; Střítecký, Rudolf (referee)
Zdravotnické systémy, způsoby financování a úhradové mechanismy mezi elementárními subjekty ?občan/pacient ? poskytovatel ? třetí strana (plátce)? jsou to, čím se zabývá tato práce. Jsou popsány a vzájemně porovnány jednotlivé zdravotnické systémy používané ve vyspělých zemích světa, konkretizovány na Spolkové republice Německo, Velké Británii a Spojených státech amerických. Zvláštní pozornost je věnována současnému zdravotnickému systému ČR včetně připravovaného návrhu na jeho změnu a důvodům, které hovoří pro jeho reformu.
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Economic aspects of health in modern society
Mertl, Jan ; Krebs, Vojtěch (advisor) ; Slaný, Antonín (referee)
Předmětem zkoumání jsou specifika zdravotní péče jako ekonomické kategorie, zdraví a jeho determinanty, význam a postavení zdravotnictví v moderní společnosti, ekonomické a institucionální charakteristiky tří odlišných zdravotnických systémů (Německo, Spojené státy americké, Velká Británie) a zejména vývoj a perspektivy českého zdravotnictví. Cílem práce je analyzovat ekonomické aspekty zdravotnictví v moderní společnosti v kontextu historie a současnosti zdravotnických systémů a zhodnotit relevantní implikace pro české zdravotnictví. Práce vychází z vlastností zdravotní péče jako ekonomického statku, konceptu investic do zdraví a významu zdraví pro lidský kapitál. Diskutuje rizika a příležitosti rostoucí potřeby a spotřeby zdravotní péče vyplývající z ekonomického rozvoje, stavu determinantů zdraví a změn v chování lidí, které sebou přináší rychlý vývoj současného světa. Přibližuje měnící se roli státu ve zdravotnictví a zkoumá otázky obecné dostupnosti zdravotní péče v moderní společnosti. Zabývá se vymezením vazeb ekonomických aspektů zdravotnictví ve vztahu k souvisejícím medicínským, etickým, sociálním a institucionálním aspektům, jež zpětně determinují prostředí a podmínky pro racionální rozhodování a jednání aktérů zdravotnického systému. Identifikuje a srovnává významné ekonomické a institucionální charakteristiky zdravotnických systémů v rámci zvolené typologie, včetně zhodnocení problematiky jejich konvergence. Ukazuje logiku jejich vnitřního fungování a příčiny jejich typických problémů (čekací seznamy, deficity, nerealizovaná péče). Zjištěné poznatky jsou využity v diskusi o perspektivách českého zdravotnictví a vyúsťují v analýzu možností využití ekonomických nástrojů se zaměřením na implementaci spoluúčasti pacientů a na další rozvoj pluralitního prostředí zdravotních pojišťoven (variabilní sazba zdravotního pojištění a stropy pro spoluúčast).
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Zdravotní politika v České republice
Benešová, Lucie ; Stočková, Olga (advisor) ; Mertl, Jan (referee)
Obecná část diplomové práce se zabývá vymezením základních pojmů souvisejících se zdravotnictvím (zdraví a péče o něj, zdravotnické služby, zdravotní politika a zdravotnictví), zdravotnickým systémem a jeho typologií, možnostmi financování a úhrad zdravotní péče. Analytická část je věnována českému systému zdravotnictví, výdajům na zdravotnictví v ČR a možným návrhům na zlepšení situace.
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