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Soukromé zdroje při financování lůžkové péče
Lukášová, Lucie
Main aim of the diploma thesis was to find a method to include private sources into inpatient care financing in Czech Republic. Inpatient care was characterized in context of Czech healthcare system. Current methods of reimbursement were de-scribed with focus on DRG system. Regulatory fees, which applied in the past, were analysed. These fees brought 1,2 billion Kč to inpatient healthcare provid-ers. Regulatory fees had slight effect on reduction number of hospital cases and no effect on average length of hospitalization. In St. Anna University Hospital (FNUSA) were improved financial indicators after applying regulatory fees, but this situation did not last long, as the hospital started major investment activity in 2010. Reimbursement for inpatient care does not cover expenses for this care in FNUSA or any other university hospital in Czech Republic. It is possible to found methods within EU, to cover growing costs of inpatient care, which can be used in Czech as well. To bring more private sources into health care system is possible by applying these methods: fee for day in a hospital, private health insurance or coinsurance or deductible.
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Determinanty výdajů za zdraví českých domácností
Doubková, Dominika
Doubková, D. Determinants of Health Expenditure of Czech Households. Bachelor thesis. Brno: Mendel University, 2018. The bachelor thesis is focused on the evaluation of the amount of private health expenditure spent by Czech households between years 2007–2014. The dataset comes from Household Budget Survey, Czech Statistical Office database, which provides information on expenditure and income structure of Czech households. The thesis compares the structure of health expenditure across different social groups and assesses the impact of regulatory fees over the examined period. Multiple linear regression model is used to assess the influence of the determinants of health expenditure. The most important factors which determine the level of private expenditure are age and education of household head. The most vulnerable group of households are pensioners.
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The Effect of the Introduction of Fee-For-Service on the Demand for Outpatient Care
Žílová, Pavlína ; Votápková, Jana (advisor) ; Pavloková, Kateřina (referee)
The thesis estimates the effect of the 2008 introduction of regulatory fees for outpatient visits by using 2009 health reform, abolition of co-payments for children, as a natural experiment. To estimate this effect we use micro-level data from EU-SILC survey and two different econometric models - Multinomial logit (MNL) and Zero-inflated negative binomial (ZINB). As co-payments for examination were abolished only for children, we use children as a treatment group and adult part of the population as a control group in difference-in-differences approach. We found an insignificant effect, i.e. introduction of user charges was ineffective in reducing number of doctor visits in Czech Republic. Another important result from this analysis is the significant role of the socio-economic characteristics, associated with the tendency of health-care utilization.
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Ekonomická situace lázeňství v České republice
Cahová, Markéta
Diploma thesis on topic Economic situation of balneal care in the Czech Republic was arised as reaction to ordinance No. 267/2012. Many balneal equipment have caused the economic problems, although regulations was medical character. The aim of this Diploma thesis is evaluate economic situation balneal care in the Czech Republic, to assess the effectiveness of the legal change over time 2004 – 2013. Assessment of the balneal care is carried out by selected health indicators. A significant part of the practical part is also devoted to case study to compare disability benefits with balneal care paid from public health insurance. The aspect evaluated indicators was lower burden of public expenditure. The Diploma thesis ends with evaluated impacts ordinance No. 267/2012 and proposed references to support balneal care in the Czech Republic.
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The impact of the Regulation fees cancelation on demand for Ambulant healthcare
JACHNO, Ondřej
The bachelor thesis is dealing with the impact of the Regulation fees cancelation on demand of Ambulant healthcare. The introductory part of theoretical thesis is describing the development of health care in regards to various financial models within the medical environment. At the beginning of this thesis, all known health care financial models are named and described in the worldwide scope. After the initial description, the bachelor thesis focuses on specific models and their development during the important stages from the second half of the 19th century until current era of the Czech Republic. The current health care system in the Czech Republic is based on public services and financed mainly from public sources. The health care system has multiple sources that help sustain it financially. The prevalent form is indirect financing, specifically the mandatory health insurance. Health care financing has gone through important developments that should not be forgotten. Furthermore, the theoretical part of the thesis also contains a detailed description of regulatory fees. It shows different types and functionalities of regulatory fees since their implementation by the law number 261/2007 (stabilizing of public budgets), until their cancellation on January 1st, 2015. The regulation fee was implemented by the Ministry of Health of the Czech Republic in efforts to solve the increasing deficit of the state budget, and increase the efficiency of the health care system.) The income increase, caused by regulation fees, should serve as a starting point in an era of modernizing of medical facilities and maintaining the overall quality of health care for patients. In the scientific part of the thesis, the main scope and the two types of research are being set. The quantitative research is aimed on a group of patients. The hypotheses of the research are as follows. Hypothesis number 1: The cancellation of regulatory fees leads to the increase in demand of a specialized ambulant care. Hypothesis number 2: The cancellation of regulatory fees for a prescription leads to a higher demand of prescribed medication. A questionnaire was used to determine the results of the research, which will either confirm or deny the presented hypotheses. The method used to receive the results was a frequency analysis that was completed by a statistician. The secondary, qualitative, research is deliberately used to ensure the accuracy of the completed and compared data. This research, which was run simultaneously with the quantitative one, targeted a group of health care professionals, specifically medical doctors. The data collected in the form of a structuralized set of interviews were used to be analyzed as a key to answer the research questions: Research question number 1: After cancellation of the regulatory fees, was there an increase in the amount of visits of patients with a specific health care provider? Research question number 2: Does the health care demand need to be regulated? Based on the research displayed within the thesis, it is possible to predicate: The questionnaire method lead to a confirmation of hypothesis number 1 and also to the conclusion that the cancellation of 30 CZK fee lead to an increase in demand of health care services. The research question number 1 also confirms that after the 30 CZK fee cancellation there was an increase in patient visits of health care facilities. The results are contradicting the findings within the hypothesis number 2, as there was no higher demand in prescribed medication after the regulation fee for medication was cancelled. The comparison of the data that was collected through both types of the research does not prove a direct connection in the increased demand of patients for medicinal drug prescription after the 30 CZK regulation fee cancellation. We can safely state in regards of the research question number number 2 that regulation of health care is a necessity.
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