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The life of people with cystic fibrosis in terms of social needs and quality of life
TŮMOVÁ, Markéta
The objective of the bachelor's thesis is to find out how Cystic fibrosis family members assess their situation in term of their social needs fulfilment and quality of life. Two research questions were defined to achieve the selected objective: How is the aspect of quality of life assessed by CF families? How are CF families' social needs satisfied? The right form for this thesis research proved to be the qualitative research. The selected method was questioning with two techniques used a closed-question questionnaire and a narrative interview. The research was divided into two stages. The closed-question questionnaire was used during the first study stage and the S1 research group including 29 respondents was created by snowball sampling. Three respondents from the S1 research group were selected to participate in narrative interviews in the second research stage. Out of original sample, those patients were chosen who had been suffering from the disease over a long period to show an objective picture. This second research group was labelled S2 research group. This thesis purpose was to show, based on the results of this conducted research, how CF patients assess their lives in terms of the fulfilment of their social needs and perceive the quality of life. The results clearly showed their situation does not allow them to live and enjoy their lives fully. The disease limitations proved to be present in many areas of life, including school, work, partnership. The CF patients often encounter other people's misconception too, thanks to generally low knowledge about Cystic Fibrosis.
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Current Problems of Czech Medical Assessment Service and Suggestions for Possible Solution
Macháčková, Zuzana ; Tušková, Eva (advisor) ; Kotherová, Zuzana (referee)
The aim of the thesis is to identify all current problems of The Medical Assessment Service and to suggest possible changes and recommendations that could make the system more effective. In the theoretical part is used the concept of the welfare state and points out its crisis of efficiency. Furthermore, the development of the field of Assessment Medicine and its current form was described. In the analytical part was selected an analysis of the information content of documents, which helped to identify all problems and their gradual development. The analysis was also used to propose changes and recommendations. An expert interview was conducted to substantiate the results of the analysis.
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Current Problems of Czech Medical Assessment Service and Suggestions for Possible Solution
Macháčková, Zuzana ; Tušková, Eva (advisor) ; Kotherová, Zuzana (referee)
The aim of the thesis is to identify all current problems of The Medical Assessment Service and to suggest possible changes and recommendations that could make the system more effective. In the theoretical part is used the concept of the welfare state and points out its crisis of efficiency. Furthermore, the development of the field of Assessment Medicine and its current form was described. In the analytical part was selected an analysis of the information content of documents, which helped to identify all problems and their gradual development. The analysis was also used to propose changes and recommendations. An expert interview was conducted to substantiate the results of the analysis.
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Care allowance as a pillar of care for person with disability
Zíková, Markéta ; Arnoldová, Anna (advisor) ; Dolista, Josef (referee)
The thesis is focused on the issue of care allowance. The theoretical part contains basic information about this social benefit. There are described various forms of administrative proceedings. It is imperative that you know the social services that you can turn to if necessary, so they are also mentioned in the work. Attention is paid to the characteristics of the social worker. The practical part aims to give the reader an insight into this issue. There are actual stories of people here to see where difficult people can be. The questionnaire survey found that the respondents had a negative experience with the care allowance, as the proceedings took several months. Furthermore, it was found that the primary information about this social benefit is learned from the doctor. Research has shown that they most often need help with shopping, household cleaning, or hygiene. These are tasks that are physically demanding for the respondents and often helped by family members.
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Perception of the Medical Assessment Service by Applicants of the Care Allowance.
KOZINOVÁ, Jaroslava
In bachelor thesis I focused on the perception of the medical assessment service, whose aim is, besides other tasks, also to assess the health condition for the purpose of the care allowance. The aim of the theoretical part is to map the process of assessing health condition of the applicants of the care allowance and in this part, I describe the classification and tasks of the medical assessment service, medical assessors, newly established position as the specialist assistant of the medical assessor, assessment criteria, principles of health assessment and principles of assessing the ability to handle basic living needs. In the third chapter I outlined perceptions, prejudices, stereotypes and mistakes in social perception. The aim of the empirical part is to find out what are the stereotypes and prejudices by applicants of the care allowance. Three hypotheses have been established, which were investigated in the quantitative research by the questioning method, through the semantic differential technique. The selection sample was chosen randomly from the records of received applications for assess the health condition for the purpose of care allowance and was made up of 400 respondents. The return rate of questionnaires was 62 %, so the research sample was composed of 212 respondents. To evaluate the data and verify the hypotheses, statistical methods were used to sort the data for first and second degree. The research confirmed only the hypothesis that applicants for care allowance are not satisfied with the length of assess the health condition. Other 2 hypotheses have been disproved and it has been found out that applicants of the care allowance perceive the medical assessment service rather neutral, as well as they perceive neutral the objectivity of the assessment. The results of the bachelor thesis can be used by the state administrative bodies as an indicator of current perception of the medical assessment service by applicants of the care allowance and can be used in the process of assessing the dependence levels in non-legislative aspects.
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Contribution to Care - Social Investigation and its Success in Proceeding Amendments and Reassessment
Matulová, Jana ; Mašát, Vladimír (advisor) ; Urban, David (referee)
This Bachelor Thesis titled "Care subsidy - Social Investigation and Its Success in the Proceedings of the Proposals for Change and Reassessment of the Claim" consists of a theoretical and a practical part. The theoretical part explains some concepts and describes the course of the entire process of the application for care subsidy focusing on social research. The practical part contains mainly individual examples of social investigations and their course as well as the results of the whole process, including the comparison of the proposals of the social investigation with the assessment of the medical assessment service.
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The Role and Competence of the Medical Assessment Service in the Social Security System
VÁŇOVÁ, Romana
The Bachelor´s thesis called The Role and Competence of the Medical Assessment Service in the Social Security System deals with the workings of the Medical Assessment Service and health assessment of people for the purposes of care allowance. The Medical Assessment Service consists of the Consultative Committees. The Consultative Committees have the consultative authority. They give out opinions of objective ascertained state of health of the person in accordance with the law. The medical assesment is used as the basis for the decision of welfare benefits granting. It´s about the sickness and pension insurance, non-insurance benefits, it means the social security benefits, benefits of social care and employment. The goal of this thesis was a current competencies description of the Medical Assessment Service. Another purpose was to find out if it is possible to transfer the current competencies to another medical or non- medical institution. Theoretical part describes the workings of the Medical Assessment Service, competencies and role in the particular social security systems. The practical part of the thesis is verifying the hypotheses of the transfer of competencies to another medical or non- medical institution. In the practial part of this thesis I focused on the assessment of health for the purpose of the care allowance. The care allowance is provided to those who are dependent on assistance of another person because of the long-term health condition. It was made a quantitative research. There were distributed 90 questionnaires to respondents aged under 65 years from Benešov city and vinicity. In the connection with the goal of the thesis they were determined the following hypotheses. The hypothesis H1: The Competence of the Medical Assessment Service can be tranfered to another medical institution during the assessment of dependence degree. This hypothesis was confirmed. 62 % of respondents wants to be assessed only by a general practicioner. I think there is a posibillity of transfering the competencies of the medical assessment service on general physicians. The hypothesis H2: The Competence of the Medical Assessment Service can be transfered to another non- medical institution during the assessment of dependence degree. The hypothesis H2 was confirmed as well. 69 % of respondents wants somebody else than the psysician assesment service to write the medical assessment. 55 % of respondents thinks competencies of the Medical Assessment Service can transfer to specially trained people. So, there is a posibility to transfer the competencies to the assessment service´s officer. The results of the thesis may work as an indicator of the current perception of the Medical Assessment Service by the non-professional public.
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Comparisation the Role and Activities of the Czech and Slovak Medical Assessment Services in the Assessment of Medical Condition for the Purposes of Sickness Insurance
ADAMCOVÁ, Pavlína
The diploma thesis called The comparison of medical assessment service (MAS) aim and activities within the health insurance system in the Czech and Slovak Republic and it is focused on the pieces of information related to the system of social security aiming its attention to the health insurance during both the time of Czechoslovakia and its current arrangement of the Czech and Slovak Republics in its theoretical part. Related to that there is also elaborated the issue of the medical assessment service. There is a conclusion of the most important services of the MAS and particular competences of bodies involved into the health insurance. There is also a mention of the body adjusting the public health insurance including the related area of the review medicine to get a more comprehensive view. The diploma thesis main aim is to compare the tasks and activities of the MAS in the Czech and Slovak Republics. There are determined partial aims to get a more comprehensive elaboration. One of them is focused on the benefits that are awarded based on a health condition within the health insurance in these two countries and the other one is the comparison of Czech and Slovak health condition of citizens based on the statistics of temporary sick leaves taking into consideration the conditions while awarding them. The document analysing method is used to reach the aims mentioned above. This method follows Mayring´s proposed plan and the sources where the information was taken from were firstly evaluated from a criteria relevance viewpoint. After that the gained data was compared within a comparative method in a synchronous way. The empiric diploma thesis part contains data organized in well-arranged tables with comments and in the following Chapter 5 Discussion there is data compared according to the methodology mentioned above. The basic system comparison of social security and health insurance in the Czech and Slovak Republics belongs among the topics of the final discussion. The possibility of consolidation of health and social insurances in both countries also taking into consideration the opinions of the involved experts is largely covered here. The most significant discussion focus is the comparison of the aim and activity of the MAS in the Czech and Slovak Republics. The results show that the aim and activity of the MAS are very similar in both countries; which is logical regarding the common historical base. Czech and Slovak main MAS activity within the health insurance is the auditing activity; i.e. the audit of evaluation of the health condition by the involved medical doctor as well as the inspection if the treatment mode of people on sick leave is being followed. It is also possible to notice some nuances in the elaboration in both MAS systems; which are separated today. Regarding the legislation it is possible to say that the Slovak medical assessment service work in a more consistent way that is also supported by the statistic data containing more performed audits of the treatment mode following and a more frequent usage of sanction means towards insurers which is the result of the more detailed strategic planning of inspections. The diploma thesis offers a comparison of health insurance systems and tasks and activities of the MAS in the Czech and Slovak Republics. It can be used as a study document for students of social politics and a social security law. It can also be used as an impulse to other explorations in this area and to start thinking of various possibilities how to arrange the social security system of these two countries.
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Assessment of Health Status of Citizens for Purposes of Social Security Benefits {--} with Focus on Care Allowance
SUCHANOVÁ, Markéta
Social Security is the main instrument of social policy that serves to balance social inequalities and helps address adverse social situations. This thesis provides a basic overview of individual retirement and sickness insurance allowances, state social support benefits, social care, poverty relief allowances and the offer of social services. The thesis also deals with the Medical Assessment Service and the health assessment of persons for purposes of individual social security systems. The main attention is paid to the care allowance, the benefit addressed to persons who are, mainly due to poor health status, dependent on the assistance of another person in regular daily self-care and self-sufficiency. The research is focused on care allowance recipients who live in homes for the elderly, in nursing homes and in their own households with their families or separately. The objective of this thesis is to survey the provision of social security allowances, activities of the Medical Assessment Service and the issues of the health assessment process for the purposes of the care allowance entitlement. Another objection is to determine the quality of life of people receiving the care allowance. A part of the thesis is a questionnaire by which the course of the care allowance entitlement was assessed, the reasons for applying for the care allowance and the manner of the care allowance use are described, and the health status assessment of respondents and quality of their lives were determined. The information obtained from the questionnaires was evaluated and recorded in graphs. It was found that 93.6% of respondents use the care allowance for payments for care services, personal assistance or to pay the rent and services in senior homes, i.e. payments of services related to the security assistance and support to the allowance receiver. The first hypothesis, assuming that the care allowance is mainly used to cover expenses related to the security assistance and support to the allowance receiver, was confirmed. It was also found that, with the exception of respondents living in nursing homes, the respondents´ quality of life did not change when they were drawing the allowance. The second hypothesis, assuming that the care allowance improved the respondents´ quality of life, was not confirmed. The considered replacing the current 36 self-care and self-sufficiency operations with 10 areas of basic needs of life might be a simplification and an increase in effectiveness of the health condition assessment for the purpose of the care allowance admission.
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