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Targets of legislation health insurance effective from 1.1.2009 in the discrit Jindřichův Hradec.
TUČKOVÁ, Iva
The area of a sickness insurance, I have chosen for my diploma thesis, is not only important for me in terms of my working life, but as well as for my private life, because a temporary working incapacity and a title for sickness insurance benefits accompanies a life of each of us, either directly in our family circle or among friends or colleagues. The working incapacity, as a social event, is familiar to all of us. Someone meets it more often, someone less often, however it always influences our private as well as working life from a financial perspective, it has an impact on our working duties and it strikes our family groove. At the same time it has a very human dimension, since it concerns the most valuable we have ? it is our health. It deepens solidarity among people, mutual support and empathy. I have chosen the above topic also for the reason that I had already been working in the area of the sickness insurance for five years. I am interested whether there have been met the main objectives from the new legislation especially in terms of savings in financial means, a decrease of a number of temporary incapacities and a prevention of a misusage of the temporary working incapacities. The main aim of this thesis is to analyze individual areas of an implementation of the sickness insurance and on the basis of obtained results and statistical data to evaluate whether the main objectives of the sickness insurance legislation from January 1st, 2009 in the region of Jindřichův Hradec were met. Three hypotheses were presented in the thesis. The first premise said that with the effectiveness of this law financial means had spent on the sickness insurance benefits had been saved. The second premise was a decrease of the temporary incapacities and the third proven one was the meeting of the main objectives of the legislation in the whole implementation range of the sickness insurance in the region of Jindřichův Hradec. Two research methods were chosen; an analysis of documents, a technique of a secondary analysis and a content analysis. The second method was a semi-structured interview with professionals in the area of the sickness insurance. Defined hypotheses were confirmed by the carried out research. Financial means spent on the sickness insurance benefits were saved very dramatically already in the first half of the effectiveness of this law and the number of temporary incapacities decreased by one third of cases in that period. The third hypothesis was also confirmed by both chosen research methods and defined objectives of the new legislation were met in the region of Jindřichův Hradec. The defined aims of the diploma thesis were achieved, hypotheses were verified, there were mentioned important remarks and changes and provisions, which would lead to another streamlining of the sickness insurance system, were proposed. The obtained results are beneficial for my work in this area and they are a motivation as well as a challenge to other research activities.
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The effect of the new legal regulations of the temporary job disability and its trend in the South Bohemia
SALVOVÁ, Jana
The Public Sickness Insurance Act (Act no. 187/2006 Coll.) which replaced the existing fragmented law regulations governing the subsystem of the public sickness insurance regime in the Czech Republic became effective as of 1 January 2009. The new law regulations in the field of public sickness insurance was expected to bring, among other aspects, a higher motivation of employees and employers for reduction of the events of unjustified temporary work incapacity. The main aim of the Bachelor{\crq}s Dissertation was to find out whether the new law regulation fulfilled the intents and whether the rate of temporary work incapacity of employees decreased and whether the average duration of temporary work incapacity in the Region of South Bohemia dropped in comparison with the situation before 1 January 2009. While drawing up the Bachelor{\crq}s Dissertation, the author used a quantitative research and statistical data analysis. It implied from the results found that the hypothesis ``The number of temporary work incapacities in the Region of South Bohemia dropped in comparison with the situation before 1 January 2009{\crqq} was confirmed. The fulfilment of the hypothesis is correlated with the legislator{\crq}s intent in this area because its fulfilment was intended in the objectives of the new law regulations. The implementation of the new Public Sickness Insurance Act led to a significant reduction of the number of cases of temporary work incapacity. On the basis of the analysis of the data acquired it was proven that the time of duration of one temporary work incapacity was extended in all districts of the Region of South Bohemia. The hypothesis ``The average time of temporary work incapacity in the Region of South Bohemia dropped in comparison with the situation before 1 January 2009{\crqq} was not confirmed. The results of the Dissertation indicate that the adoption of the new law regulation system of public sickness insurance led to the system stabilisation, elimination of undesired trends in the sickness insurance system, limitation of misuse of benefits, involvement of treating physicians and employers in the reduction of the number of cases of temporary work incapacity. The implementation of the new law regulations managed to achieve this objective. Therefore the results found can be used by the Ministry of Labour and Social Affairs as a certain form of feedback relating to implementation of the new law regulation of the public sickness benefit insurance system and the professional public.
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The impact of legislative changes of law No. 261/2007 statutes, about the stabilization of the public budget for short-term sick leave in Jindřichův Hradec county.
TUČKOVÁ, Iva
I have selected this topic of disability/incapacity for work mainly due to the fact that I have been working in this area already for two years (I am responsible for its registration, processing statistic indicators and other activities related to the disability at work). Selected issue is therefore well known to me as to the contents and I believe that the results of this bachelor thesis will bring benefits for my next project in this area. I describe two main observed aspects in my project during studied period (1st half of 2007 and 1st half of 2008): disability (quantity and duration) and sickness expenses. The main objective of this project was to find out to what extent the implementation of unpaid first three days of sickness has affected the development of incapacity, i.e. quantity of incapacities, their duration, and amount of sickness benefits paid. Two hypotheses have been established: 1)through the effect of the Act on public budget stabilisation, i.e. implementation of busy guard period, the number of sickness leave shall fall, but their duration will be longer, and 2) Act on public budget stabilisation is not going to bring extreme reduction of expenses for sickness benefit payments. For data acquisition, I used a quantitative research which was performed through secondary analysis of data and the study of selected group of employees in small companies. This group has been created by quota selection from the basic population group. Analysis and evaluation of data obtained have shown that the first hypothesis was confirmed, since the number of disabilities has dropped not only in the district, but also within the country, although the mean length of one sickness leave has increased. The second hypothesis was not confirmed. Though the mean length of one disability has extended, 17% of the expenses for sickness benefit payments has been saved. Besides the motivation of physicians, tight and high quality cooperation among practitioners and medical assessment service physicians at district administration bodies, especially in assessing the duration and grounds of sickness leave approval. At present even the employers are engaged in the issues of incapacity for work which should contribute to the decrease of incapacity for work and related used expenses.
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