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Regulatory fees in healthcare from the perspective of the public
KOLLÁROVÁ, Iva
Part of the Czech healthcare system is public health insurance and health care is paid to beneficiaries from its funds. From 1.1.2008 a new system of regulatory fees and annual protective limit forms its part. Regulatory fees were introduced by Act No. 261/2007 Coll. about stabilizing public budgets, which amended many laws, in this case also the Act No. 48/1997 Coll., about public health insurance. The reason for their introduction should be reduction of inefficiency of health care and, consequently, reduction of health care costs, reduction of misuse of health services, as well as increase in revenues of medical facilities. Funds saved should be used to improve medical care, to treat sick people and to finance expensive medical services. The objective of my thesis was to make a survey of public opinion on the introduction of regulatory fees. In the theoretical part I briefly described basic concepts relating to public health service, health policy, insurance and in detail I mentioned functioning of regulatory fees and the annual protection limit. In the practical part I used quantitative research, method of interviewing, data collection was performed using the questionnaire technique and then also secondary analysis of data. For the research section one statistical sample was established {--} the public of South Bohemia. Based on available literature I stated 2 hypotheses, both of which were confirmed by the research. Research pointed at the diversity of views and perception of regulatory fees among citizens. Citizens´ awareness certainly also affects the issue of regulatory fees, and the awareness, as revealed in the survey, has been improving compared to previous years. Regulatory fees in health care in the Czech Republic have become a most discussed topic. But this step is only the first step, unfortunately still unpopular with many people, and it should lead to step-by-step implementation of planned changes in health care. I think that compared to previous years an increasing number of citizens understand the purpose of regulatory fees and they realize that modern medicine is very expensive and that from the current health insurance system it is not always possible to grant all care to everyone. In my opinion, the introduction of regulatory fees is a very important step for our health care, but it will be necessary to improve some legal details and gain greater public trust so that the purpose that these fees should have would be reached. The thesis could serve as an information brochure, study material, or respondents´ views and the research findings could be used in other studies for comparison.
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Understanding and Public Approach to Contemporary Health Reform
BORŮVKOVÁ, Eliška
Abstract Understanding and attitudes of the public towards the current Health Care Reform This thesis summarizes the basic facts about the current reform within the Health Care Sector and how it is being perceived by the general public. The theoretical part focuses on the basic information about the development of the Health Care Sector in the Czech Republic and its current reform. The development of the Health Care Sector from the year of 1918 until present is highlighted. At the beginning of the last decade of the 20th century, a new set of laws were passed, which triggered the initial reform of the Czech Health Care Sector. However, a period of passivity regarding subsequent legislation has resulted in the present problems. Further, there is a focus on current Health Care Reform enquiring: why the reform is needed, the nature of its stages and its legislative and non-legislative changes. Only a small part of the reform measures came into force. This included the introduction of regulation fees, the introduction of an `annual safe limit{\crq}, and the pricing and payment for medication. The practical part presents the research findings in relation to the issues mentioned above. The research part of the thesis, carried out using questionnaires, is concerned with the views of the public with respect to current Health Care Reform and investigates whether it has been understood by the public. The research shows that most of the respondents disagree with the reform and think that it is not developing in the right direction. The majority of respondents with this view were found to be within the age group of 60 and over, and within the group of respondents with a basic level or vocational education. Further, the research suggests that the public is not adequately informed about the new Health Care Reform, and therefore demonstrates a lack of understanding of its nature. In addition, the current political climate suggests that the public may lose interest in these issues and will become disengaged with the reform without further consideration.
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Public Health Insurance and Competition of Insurance Companies
ŠTROBLOVÁ, Nikola
The duty to have a health insurance and the right to choose a health insurance company are stated, in the Czech Republic, by law nr. 48/1997 of legal code (on public health insurance). Nowadays, people have a choice of eleven health insurance companies whose main responsibility is to collect premiums from the insured and thereby cover the expenses made by medical facilities when taking care of these people. In my bachelor thesis, I used quantitative research and, more specifically, the method of inquiry. To collect the data I chose the questionnaire technique. This research based on questionnaire was conducted among the inhabitants of Klatovy who represented the main set for the analysis. The group consisted of 200 respondents. The goal of my bachelor thesis was to asses the level of satisfaction among clients with their current health insurance company. In the thesis were set the following hypotheses. Hypothesis nr.1: The insured are content with the services offered by their health insurance company. Hypothesis nr.2: The insured choose their health insurance company by the offer of above-standard services. Hypothesis nr.3: Women are more interested in the offer of above-standard services than men. According to the results of the questionnaire-based inquiry, all the above-listed hypotheses proved correct. The research has showed that the inhabitants of Klatovy are satisfied with their current health insurance company.
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Opinions of citizens on health system in the Czech republic
HEJZLAROVÁ, Miroslava
Inhabitants´ Opinions to the Health Service Problems in the Czech Republic The diploma thesis {\clqq}Inhabitants´ Opinions to the Health Service Problems in the Czech Republic`` deals with the problems of the Czech health service. The theoretic part treats of the definitions of the main terms, legislative framework, state health service policy, public health insurance, public finances reform and first of all treats of the new Act on Public Budget Stabilization n. 261/2007 Law Code, effective from January 1st, 2008. Recently there have been discussed the Czech health service problems within the context of publication of the health service reform. The implementation of the regulation fees evokes the atmosphere of disagreement and fear from financial non-capacity in the inhabitants resulting from the fees implementation on particular items of health care. It is necessary to realize that there have been health service problems all the time. But this situation doesn´t apply to the Czech Republic solely. Quite a number of states have to solve the problems and shortcomings of the health service system. To point out these problems, to find out the cause but first of all to find the ways to deal and eliminate problems should be the main objective of the state. The Czech health service needs badly the alternation. It has to tackle the 21st century challenges and at the same time to continue in european tradition which is based on the availibility of health care for all our inhabitants. There are no doubts that population ageing, new medical procedures, services quality requirements and the possibility of co-determination will lead to the significant changes of financing and organization of the health service all over the world. (18) The aim of the diploma thesis is to survey the ideas applying to the health service problems in the Czech Republic by the inhabitants over 18 years old living in Nachod region. In the framework of quantitative research there were used the questioning method (questionnaire) and the method of document analysis (the technique of secondary data analysis). The diploma thesis {\clqq}Inhabitants´Opinion to the Health Service Problems in the Czech Republic`` tries to illustrate comprehensive aspect of the general public to the Czech health service and challenge to study this problem.
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Private health insurance
Sedláček, Petr ; Ducháčková, Eva (advisor) ; Daňhel, Jaroslav (referee)
The theme of work is private health insurance. First is it described in the system of health insurance and then in the territory of Czech Republic. In the work is analyzed a new draft bill of Public health insurance and systems of health insurance in the Europe. Main goal of the thessis is to find suitable privat insurance product for Czech Republic.
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The comparison of systems of health insurance in the Czech republic and in the United States of America
Benešová, Kristýna ; Písař, Pavel (advisor) ; Chalupníček, Pavel (referee)
The main purpose of my bachelor's work is to analyse the system of health insurance in the Czech Republic in comparison with the system established in the United States of America. The choice of these two countries is wholly intentional, because I would like to show the strong points and possible weaknesses of these two absolutely different systems. I shortly summarize the general principles of providing the public and private health insurance in the introductory part of my bachelor's work. Then I go over to the specific systems used in these two countries. I point out the defects of the public health insurance on an example of the Czech Republic, particularly its inefficiency and actual problems. I focus on an example of the USA in the next chapter, where is the private health insurance based on a voluntary base provided. I compare real indicators of these two countries in the analytical part of my work, e.g. the total expenditures on the health care etc. In this analysis I consider a rate of the efficiency, solidarity, accessibility and quality of the provided health care in these different systems. In conclusion I sum up the results of my analysis and consider whether and possibly in which way the Czech system of health insurance could be inspired by the American system.
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The Development of Commercial Health Insurance in the Czech Republic and its Co-existence with the System of Public Health Insurance
Válková, Stanislava ; Lešetický, Ondřej (advisor) ; Drozenová, Alice (referee)
This thesis is aimed at learning selected aspects of the private health insurance system in OECD countries and its co-existence side by side with the public health insurance. Introductory chapters describe theoretic starting points and principles of functioning of the health insurance system in harmony with existing models of the healthcare policy. The analytical part of the thesis, using qualitative methods of investigation, deals with the development and the current state of the system of the health insurance in the Czech Republic from 1989 and characterizes briefly major problems being encountered and solved. Furthermore, the thesis maps trends of the health insurance in selected OECD countries, showing issues within the structure of healthcare system expenses in countries followed and their influence on the system of the health insurance. The thesis is also informing about present problems on the private health insurance market in OECD countries precisely as described in a study made by the Organization for Economic Co-operation and Development. The final chapter compares the mentioned health insurance systems from the point of view of co-payment and co-existence.
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Interactions between income taxes and social insurance
Trávníčková, Jana ; Vítek, Leoš (advisor) ; Vítek, Leoš (referee)
The bachelor's thesis is focused on interactions between income taxes and social insurance according to the Czech Republic law in 2009. At the beginning there are a brief insight into the history of these systems and the characteristics of the current state. The main part of the text is aimed at the determination of natural person income tax sub-bases, legal entity income tax base and the assessment bases for the social security and public health insurance. The emphasis is also placed on (i) the persons who are involved in particular systems, (ii) on the tax rates and (iii) on the payment of taxes/premium.
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System of funding of provided health care focused on particular medical facility
Tomášová, Eva ; Maaytová, Alena (advisor) ; Maaytová, Alena (referee)
Nearly all states, in order to protect health of their inhabitants, have formed a system of public heatlhcare provided to people which is formed besides other circumstances also by influence of standard social values. The value of a humam life and the value of health are the basic values, which influence the development of the systems of healthcare in modern societies. The bachelor thesis describes the healhcare system from a point of view of 3 subjects involved and relations between them. It considers patients or insured people, who need and consume the healthcare, providers, who offer it and insurance companies, who arrange it financially.
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