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Analysis of inpatient care financing in the Czech Republic
Phan, Ngoc Ha ; Mikušová, Pavla (advisor) ; Slintáková, Barbora (referee)
Bachelor thesis "Analysis of financing of inpatient care in the Czech Republic" focuses on the inpatient treatment and its funding. It provides an overview of facilities for inpatient care, tries to acquaint the reader with the functioning of the hospital financing mechanism and introduce different principles of inpatient health care financing in hospitals in selected region Vysočina. The statistical indicators, costs and revenues of hospitals in Vysočina are analysed and compared with other regions in the country. Data for analysis are gathered mainly from annual reports of hospitals, their financial statements and from websites ČSÚ and ÚZIS.
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Analysis of nurses´ activities in nursing care for seniors (medical facilities, HCA, senior homes)
KUDLÁČEK, Petr
Theoretical Basis Demographic data show that the world's population has been aging and there are more and more elderly people who need health and social care. The same situation is in our country. Every person lives his/her life in a unique way. With aging changes occur in physical, mental and social aspects. To cope with them requires help, tolerance, respect and patience shown by other people. The current forms of care for seniors are carried out in health facilities, social facilities as well as families. The changes bring about the need to find a new way of life. The most frequent changes occur in self-care which results in increased demands on the care of other people. Some seniors do not need almost any services and some are dependent on permanent comprehensive care. Definitely, the best way for seniors is living at home with the support of their families and the cooperation with home care agencies when health care is necessary. Everyday nursing care for seniors depends on the degree of their self-sufficiency and is extremely challenging. Caring for seniors is often complicated by changes in the behavior of seniors in communication, aggressiveness, disorientation caused by today's relentlessness and memory disorders. Caring for immobile seniors also places an enormous physical strain on nurses. Aims of the Study In this thesis, one goal was set, that is to survey the activities of nurses in nursing care for seniors in selected health care facilities, home care agencies and nursing homes. Methods Used in the Study In the empirical part of this thesis the qualitative research method of observation was used to conduct the research survey. The research survey was conducted through observation, in which the frequency of nursing activities was observed, and the time consumption of selected nursing activities (recording nursing documentation, intramuscular injection administration, subcutaneous injection administration, insulin administration with an insulin pen, capillary blood collection, venous blood collection, a planet urinary catheter insertion in women, blood pressure taking, blood sugar levels testing using a glucometer and colostomy care) were recorded into pre-prepared observation sheets (Appendix 2) and (Appendix 3) in the Home care Agency in České Budějovice from May 1 to July 5, 2013, in the Home for Seniors in České Budějovice from July 8 to July 12, 2013 and in České Budějovice Hospital, plc, in the Aftercare department from July 22 to July 26, 2013. The data sheet with activities when time measurements were carried out was compiled based on a preliminary research, when all the mentioned facilities were visited beforehand to find out which activities were carried out in all the facilities where the research study was conducted. A digital stopwatch was used for measurements. The time measurements are stated in units of time rounded up to the nearest minute. Each nursing activity was measured from its preparation through implementation to completion. Observations were carried out eight hours a day, 5 days a week in each facility. Overall, 160 hours for 3 weeks. Observations were conducted during regular operating hours in the facilities; every day one nurse treating fifteen seniors in each facility was observed. The frequency of nursing activities and the measured values were statistically processed - summed, averaged, and standard deviations were calculated. Results of the Thesis The analysis of the data implies differences in nursing activities carried out by nurses in particular facilities and the time measurements show time differences between particular facilities in nursing activities performance. The goals of this thesis were achieved after the research investigation and the research questions were answered.
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Strategic Analysis of Jihlava Hospital
Kolman, Vojtěch ; Střítecký, Rudolf (advisor) ; Kandilaki, Daniela (referee)
The aim of this thesis is to formulate a strategic analysis of the Hospital Jihlava. The founder of the hospital is region Vysočina. This hospital provides comprehensive health services. The operating space is defined by region. The current competitors of this hospital are hospitals Trebic, Havlickuv Brod, Nove Mesto in Moravia, Pelhřimov and Hospital St. Zdislavy, Inc. The strengths of the hospital include its location, status of "regional" hospitals, complexity of services offered, rich history and uniqueness of certain resources. Among the weaknesses of the hospital include poor economic situation, bad strategy, ineffective management, administrative burden, lack of promotion, lack of motivation and poor awareness of employees. Based on the analysis will be proposed the recommendation at the end of this work.
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The Theory of Corporate Governance of Non-Profit Organizations” (on the example of the Czech hospitals)
Taranenko, Ol'ga ; Malý, Milan (advisor) ; Hučka, Miroslav (referee) ; Holcát, Martin (referee)
The dissertation thesis "The Theory of Corporate Governance of Non-Profit Organizations" (on the example of the Czech hospitals)" deals with the development of the theory of corporate governance within non-profit organizations. The main goal of the study was to contribute theories and methodologies of corporate governance within non-profit organizations with a focus on hospitals. The hospitals were chosen among medical facilities because they have different ownership structure, legal form and financing. Czech corporate governance practice within non-profit hospitals is analyzed in detail in this dissertation thesis. Based on the analyse of 192 hospitals existing in the Czech Republic, 78 non-for-profit hospitals were determined. The non-profit hospitals were further separated into eight groups, according to founder and legal form. The main characteristics of corporate governance such are ownership, board structure and the shareholders theory are examined within eight defined groups. A model of corporate governance valid for the Czech health care service sector was developed. The results of empirical research are stated in the conclusion of the thesis.
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Measurement of the Efficiency of Bed Facilities in the Czech Republic
Hanzo, Ján ; Maaytová, Alena (advisor)
This thesis concentrates on effective providing of hospital health services. It tries to capture basic processes of hospital performance, describe persons who are associated with its activities and reveal reasons which can stand behind different efficiency and effectiveness of hospitals. The first part involves information on bed facilities, specifies efficiency and related terms. It includes an analysis of the utility functions of individual participants on the hospital services market and discusses an influence of different payment systems on the efficiency. The second part is focused on a practical demonstration of the measurement of the efficiency in the Czech hospitals.
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The Reform of Proprietary Relations in the Health Service System Focus on financing
Dlabačová, Helena ; Durdisová, Jaroslava (advisor) ; Munzi, Tomáš (referee)
My diploma thesis deals with the public administration reform consisting in the change of the former district hospitals into regional hospitals, with the organisational and legal status of the hospitals, and with their transformation from contributory organisations into joint-stock companies. The aim of my diploma thesis is to analyze the administration, efficiency and capacities of the hospitals in the Central Bohemia region with the special focus on the Oblastní nemocnice Kladno, a.s. hospital, to carry out the financial analysis, and compare it with other hospitals in the Central Bohemia region. The analysis of the hospitals in the Central Bohemia region is based on the data provided by the Institute of Health Information and Statistics of CR, and the analysis of the Oblastní nemocnice Kladno, a.s. hospital is based on the 2003 -- 2007 balance sheets and gain-and-loss accounts, restricted documents of the hospital and on the interviews with the general and commercial managers of the hospital. From the financial analysis of the Oblastní nemocnice Kladno, a.s. hospital and the comparison with the situation of other hospitals in the Central Bohemia region it is obvious that the hospital experiences a similar development as the trend in the Central Bohemia region and the whole EU suggests.The hospital is not trying to reduce costs at the expense of the health care offered to its patients. On the contrary, it is trying to improve the quality and scope of the health care provided, which should bring additional revenues. The hospital management is becoming more responsible, which results in a more transparent accounting and an obligatory audit.
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Hospital Transformation in the Central Bohemia
Zemanová, Martina ; Durdisová, Jaroslava (advisor) ; Nováček, Jan (referee)
Tématem mé diplomové práce je transformace nemocnic ve Středočeském kraji a analýza hospodaření a úrovně zdravotní péče v Oblastní nemocnici Mladá Boleslav, a.s. v letech 2000-2006. Reforma zdravotnictví v České republice, probíhající privatizace nemocnic, platby klientů u lékařů a v nemocnicích, kvalita a dostupnost zdravotní péče jsou v současnosti nejvíce diskutovanými otázkami mezi občany, odborníky i politiky. Středočeský kraj (dále SČK) převzal k 1.1.2003 všechna zdravotnická zařízení kraje z vlastnictví státu do své péče a jako první ze všech krajů přikročil k jejich privatizaci na akciové společnosti. S tím vznikly problémy a otázky týkající se hlavně jejich právní formy, provádění výběrových řízení na prodávaná zdravotnická zařízení, smluv s novými vlastníky (délka povinného zachování zdravotní péče), kvality a dostupnosti zdravotní péče, technického a personálního vybavení a dalších otázek, které dosud nejsou veřejnosti dostatečně vysvětleny. Oblastní nemocnici Mladá Boleslav,a.s. zřídil SČK jako 1 z 5, která tvoří páteř základní a specializované péče v kraji. Její spádovou oblast tvoří téměř 130 tis. obyvatel.V této hlavní časti mé práce se chci zabývat analýzou hospodaření nemocnice v letech 2000-2006 (pro objektivní hodnocení 3 let ve vlastnictví státu a 4 let ve vlastnictví kraje), kvalitou a úrovní poskytované zdravotní péče. Chci se zaměřit především na celkové hospodářské výsledky, ekonomickou nákladovost a jejich vývoj v hodnoceném období, výkonnové ukazatele, investice a výběrová řízení. Výstupem práce by mělo být zodpovězení výše uvedených problémů, zhodnocení hospodářských výsledků a úrovně zdravotní péče před a po transformaci nemocnic SČK. Hospodářská, ekonomická, organizační a jiná doporučení k dalšímu zlepšení činnosti Oblastní nemocnice Mladá Boleslav, a.s..
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DRG systém v ČR
Hodyc, Daniel MUDr. ; Lešetický, Ondřej (advisor) ; Kožený, Pavel (referee)
Diplomová práce hodnotí historický proces implementace klasifikačního systému DRG v České republice a srovnává jej s vývojem analogických systémů v ostatních zemích světa. Na podkladě platné metodiky IR DRG užívané v ČR v roce 2006 analyzuje hospitalizační část lékařské péče poskytované ve Fakultní nemocnici v Motole. Zkoumá rozdíly v nákladovosti při srovnání rozdílných pacientských skupin (děti – dospělí, operovaní – léčení konzervativně) a ukazuje výhody užití DRG systému pro hodnocení kvality péče a nákladů z pohledu managementu nemocnice. V závěrečné části jsou popsány perspektivy využití klasifikačního systému DRG v prostředí českého zdravotního trhu.
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Transformačný proces nemocničných zariadení
Hochmanová, Monika ; Petrášek, František (advisor) ; Ryvolová, Ivana (referee)
Táto štúdia sa zaoberá súčasným procesom transformácie nemocníc na obchodné spoločnosti v Českej republike a na Slovensku. Podáva teoretický pohľad na sektor zdravotníctva a prakticky porovnáva jednotlivé právne formy nemocničných zariadení.Na príklade nemocníc Plzeňského kraja a Nemocnice s Poliklinikou v Levoči skúma prvé dopady na hospodárenie, riadenie a kontrolu zdravotníckych zariadení.
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