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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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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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Disablement in consequence of physical handicap od supporting and motor system in České Budějovice county in 2007
KOHOUTOVÁ, Danuše
Disability is considered in our environment to be not only work ability limitation resulting in the loss of income and reducing the opportunities of economic activities, but also to include a social aspect. One of the most frequent causes of disabilities is the loss or reduction of capability to perform systematic gainful activities due to the musculoskeletal system impairment. Issues of health evaluation are very important especially with regard to providing certain connection between the assessment of health state and work ability in relation to the capability of job assignments and evaluation of preserved work ability. The aim of the bachelor thesis was to investigate a group of citizens applying for disability pension due to the musculoskeletal system impairment in České Budějovice District in 2007 and consequently to evaluate the impact of age, physical work and education on the number of such applicants. Three hypotheses have been established: 1. People applying for disability pension approval due to the musculoskeletal system impairment are mostly elderly people more than 55 year old, 2. People applying for disability pension approval due to the musculoskeletal system impairment are mostly people having manual labour, and 3. People applying for disability pension approval due to the musculoskeletal system impairment are usually of lower education level. To obtain necessary information, I have chosen a quantitative research, the method of secondary and content analysis of data. Selected sample from the basic group of population has been chosen using a method of random selection. All information has been sourced from written documents without the necessity of personal interviewing with observed people. Analysis and evaluation of data obtained have shown that the first hypothesis was not confirmed since the applicants for disability pension due to the musculoskeletal system impairment were not over the age of 55. The second and third hypotheses have been confirmed unambiguously. 84.8% of observed applicants work manually and 79.73% of observed applicants have lower level of education. Regarding the results of the research survey, it would be interesting and beneficial to focus on investigating the disability of these groups of applicants in relation of their social situation and job market engagement.
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