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What would you do if you found out that your relative has a problem with alcohol? Mapping the subjective availability of addiction services and other resources to help
Krtková, Petra ; Vacek, Jaroslav (advisor) ; Matoušek, Petr (referee)
This work is concerned with how people solve the situation if they found out that their close person dependent on alcohol. The main research objective of this work is to analyze the subjective availability of addiction services The theoretical part contains a description of alcohol dependence, information about the medical care for alcoholics and information on the current situation in the Czech Republic, the self-help groups. The practical part describes the process of the research itself. First, attention is paid to the methods used, which were semi-structured interviews and then analyzed them using coding, segmentation and categorization of data. Further research file and then presents the results of research, ie 6 categories that emerged from the interviews. Among the most important results is that almost a third of the respondents would not sought any professional help for their loved ones and public awareness of treatment options is low. Furthermore, the results show that more nearly a third of respondents have no confidence in the health care system, much of the distrust was caused by their own residence in the hospital, where they received a negative experience. KEY WORDS - alcohol dependence, the system of medical care, self-help groups, family and alcohol
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The Problem of Access to Gynaecological Care for the Underage Following the Coming Into Force of Act 372/2011
PROKOPOVÁ, Jana
Medical care attainability is defined as Medical services system´s efficiency in satisfying public´s health care need in via implemented policies and as well as via already existing medical services. One of the implemented policies is a new law nr.372/2011, digest of Medical services and conditions of its rendition, which establishes the rules of health care rendition to underage. Since 1st April 2012, to provide medical services to underage, an approval and a guidance of at least one parent has been essential. A 15 year old and older have been allowed to attend medical services with a parent signed permission letter from then on. In the mentioned law, there was a condition of both parents approval to any medical services, that could have a serious and or an adverse effect on health condition or life quality of underage. However, the law hasn´t specified these services. In the area of gynaecological services provided to underage females, there is a matter in controversy concerning for example birth-control pill prescription or optional HPV vaccination. During working on my thesis, this named law was novelized and has been valid since 14th March 2013. The novel is a regress to the law statement before the medical services law adoption. It was my intention to elicit, whether the gynaecological medical services to underage accessibility has changed after the new law adoption took effect. Two questions were asked: How was the gyanecological care to underage proceeded before the new law adoption and were the adolescents accompanied by parents? What were the affects of condition needing a parent´s permission to be provided with gynaeacological medical services and did the patients have any difficulties obtaining the permission?The exploratory investigation was led in a way of qualitative research. An individual, semi-structured interview was used as a technique to collect the data. 6 female adolescents in the age of 15 and older, registered in private gynaecological-obstetric ambulance of Med.Dr. Mejchar, Pilsen, were engaged in the research. The research took place in this ambulance, too. The interviews were noted first and then overwritten to become synoptical. It is clear that before the law adoption, the patients registered for gynaecological medical services with no problems. The choice of doctor was based on recommendation of already registered patients. The permission was orally given by patients themselves. They undertook the preventive check-up, decided to get a vaccination against HPV or to start using birth-control pills. They usually attended the ambulance alone.The patients got knowledge of needing the parent permission at the moment of entering the ambulance for their check-up. They all had to attend the ambulance twice at least. At the first visit, they got the permission form to be filled by parents and to be instructed, they were not provided by any suspense medical care. According to the research, half of the patients had difficulties in gaining the permission. Those patients came of incomplete families, where one of the parents wouldn´t agree to giving the permission or wasn´t reached. On one occasion, a patient lived with both parents, however she did not receive permission from either of them. The research results confirm the necessity of changing the litigious law. The patients had difficulties obtaining the permission which led to delay in providing medical services to them. Doctors often balanced on the edge of law, with confusion in whether to insist on the permission. Paperwork increased. The thesis can be used as a source of information to laic and to professional public community. Health care providers can use the findings based on the research to improve their services.
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