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Ethics in healthcare
Matuská, Nela ; Drozen, František (advisor) ; Šípek, Ladislav (referee)
Our health is what we value most. Medicine as a scientific branch has made a great step forward in the last decades. Due to this fact, the demographical structure of inhabitants changed significantly. People reach higher age, we are able to treat diseases, which used to cause death. Nevertheless, we are not anymore in a phase, when financial costs equal treatment needed for all people in Czech Republic. Therefore, the topic Ethics in healthcare is an actual one. The aim of this thesis is the description and following analysis of actual problems in Czech healthcare. There are stated the main problems in Czech healthcare, where the relationship between ethics and economics is mostly visible. The proposal for improving the actual situation, is to extend the Ethical code of Czech Medical Chamber, as the document, which brings the main ethical standards in healthcare. The next proposal for improving the actual situation in Czech healthcare, is to make new ethical codes for different medical specialties. It is also advised to place the Ethical code of Czech Medical Chamber on visible places. The used method is compilation of literature and interviews with professionals and medics for analytical approaches. In this thesis, data from Czech Institution for Health Information and Statistics are used. There are also used articles form healthcare magazines and from general periodicals.
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View therapist of necessity for an ad'vancement community health care in Czech Republic
NAGYOVÁ, Věra
Community nursing services provide health care services in communities outside health care institutions. They are targeted at the sick people in their own home environments, especially providing disease prevention, health support and health care assistance. The goal of community health services is to improve the whole community health, especially of those people who are exposed to risky lifestyles and who are under risk of petting sick, or of dech, and to provide a specific care to them. The introductory part of my thesis contains the theory and elementary parts and types of the health care system in the CR as well as categorized structures and functions of the World Health Organization. It also includes the primary health care goals as well as the goals of the European Union and of the Czech Ministry of Health for the health care system development. In the second part the theory deals with the meaning of the community care, its foundations, the past and the present in the CR. It also describes the nurses´ job descriptions. In the course of the quantitative research I chose the technique of a questionnaire on the grounds of a stratified selection. It was made up by questions used in interviews with nurses. In the frame of qualitative research I chose a method used in interviews with workers in health insurance companies in which I used a guided interview. The goal of my thesis was to find out whether health care workers are aware of health care deficits. I asked for the workers´ opinions on the necessity of community care development in the CR. The goals of my work were reached. The research question was used to find out what the of health care insurance companies representatives´ opinions on the necessity of the community care in the CR are. On the grounds of the questionnaire it was found out that the representatives of health care insurance companies have a positive opinion on the necessity of the community care development in the CR. I did not prove the first hypothesis which stipulated that nurses working outside hospitál facilities do not feel any deficit in providing health care services referring to the provided care. The second hypothesis was proven stipulating that nurses working in hospital facilities can see the most serious deficit in the the fact that people lack their interest in their own health. The third hypothesis was proven, too. The health care workers´ opinions on the the necessity of the community care in the CR are positive.
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Effectiveness of public health system and impact of introduction of regulatory payments
Pleva, Michal ; Ševčík, Miroslav (advisor) ; Bartoň, Petr (referee)
This diploma thesis aims to describe Czech health care system participants` motivations and impact and meaningfulness of setting up regulatory payments on supply of health care. It also attempts to suggest other meanings to rising effectiveness of whole system. This work is based on theoretical concepts of various health care systems and endeavours to expose their positive and also negative features. The theory of health care markets comes out from works of Stiglitz (1997) and Arrow (1963). They focused rather on US, but this thesis aims to use this knowledge also in conditions of Czech Republic. Thesis sum up expenditures on health care during the time in Czech Republic, compare with expenditures abroad and estimate their trend in future. The central point of this paper is the analysis of the introduction of regulatory payments and its influence on concrete types of health services and on the consumption of drugs. It includes also a short survey.
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Regulatory Fees at Children's Department in Klatovy Hospital
GOLDSCHMIDOVÁ, Kateřina
Regulatory Fees at Children´s Department in Klatovy Hospital The bachelor thesis deals with effects and impacts after an introduction of regulatory fees in the health service. An aim of the thesis was to ascertain effects of the introduction of regulatory fees at Children´s Department in Klatovy Hospital. First I investigated how the fees influenced an exploitation of the hospital care, and then I investigated whether the fees influenced a possibility of parents to accompany their children during the hospitalization. In the theoretical part I deal with basic definitions of terms related to the issue of regulatory fees. These include concepts of a health, an illness, a health policy, health systems, a structure of the health system in the Czech Republic and a definition of the regulatory fees, their types, an importance of their introduction, a protection limit, effects of the introduction and a consumption of the health services after the introduction of the fees. In the practical part I attend to a description of objectives and hypotheses, a research methodology and an interpretation of results. The research part was realized by using a quantitative form of the research, I used a method of interviewing, a questionnaire technique. As an auxiliary method I chose a document analysis {--} secondary data analysis. The research sample consisted of the parents accompanying their children for an examination at an outpatient clinic and parents accompanying hospitalized children. The research results showed that regulatory fees do not influence the possibility of parents to accompany their children during the hospitalization and although parents say that in case of repeated hospitalizations the fees could influence this possibility, they continue to accompany their children during their hospitalization and on the contrary, there is an increasing number of the accompanying. The research also showed that at Children´s Department a use of First Aid Medical Service (Baby Call) decreased after the introduction of the fees and thus it was not further misused. On the contrary there was no decline in the number of hospitalized patients. I suppose that this bachelor thesis can be used for a better orientation in this new area of the health care charges and for an outline of real impacts which were brought into the health care in the first two years. Just because of the relatively short period of the existence of the fees, I would recommend to continue monitoring the impact of the charging and to follow any further changes in legislation.
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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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The analysis of health care system in Germany
Beneda, Tomáš ; Maaytová, Alena (advisor) ; Láchová, Lenka (referee)
The diploma paper analyses the health care system in Germany with a view to principles of organization and financial relations in the system. After short description of historical system development follows brief analysis of incomes. Then there is made the analysis of the health care system focused on the expenditures. In this chapter there are presented the segments of health care, way of their organization, forms of payment and analysis of expenditures between the years 1995 and 2007. An unavoidable part of this paper is also the selection of positive constructional elements of health care system and their recommendation for application in the system of Czech Republic.
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The analysis of the health systems in the Czech Republic and Slovakia after the year 1993
Eliašová, Mária ; Maaytová, Alena (advisor)
The work deals with the analysis of the health systems in the Czech Republic and Slovakia in terms of the development of health care expenditures from 1995 to 2006. Attention is also focused on the characteristics of the health system, especially concerning the providing of health care assistance and its financing. The aim of the analysis is not to evaluate the effectiveness of the system, but rather to bring a picture of how the indicators of both countries which came out of one system have been developing and changing. The thesis includes the demographic structure of the population which plays an important role in the changes in the volume of funds spent on health care. Last but not least, the work points out the most significant changes in the health care reform to the year 2006.
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The Health Care Reform ČR - What are their pros and cons?
Marvan, Petr ; Janíčko, Martin (advisor) ; Kadeřábková, Klára (referee)
My bachelor thesis is concerned with health care system of the Czech Republic. At the begining of this work, there is a short round up of elementary economic terms and problems, connected with providing health services. Second part is focused on the situation of health care system in the Czech Republic. It is concerned with its functioning, its contemporary situation, and its contemporary problems. Third part describes individual steps taken and specificities of the Czech reform conception of health care system and compares them with certain foreign experience. The thesis is, in its prevailing form, composed instrumentally, in order to form a wiew about potential impact of health care reform.
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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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