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The system of health insurance in Germany as a political issue after unification
Janura, Lukáš ; Mlsna, Petr (advisor) ; Rákosník, Jakub (referee) ; Havlík, Vratislav (referee)
The thesis analyses the healthcare system in Germeny after the 1990s. The aim is to analyse the changes in the positions of insured persons within the system, as well as both internal and external factors which resulted in these changes. The role of insured persons is different than in the 1990s. Reforms and their impacts with regard to key players, especially patients are described in each chapter. The analysis is devided into four chapters, which are dedicated to the systém of insurance as such, the health care providers and the role of informations for the insured persons, subsequently. At the end, the influence of reunification is analysed. The thesis formulates conditions on which more responsibility and more decision-making opportunities are given to insured persons or taken away from them. Moreover, the role of external factors is described (e. g. the pharmaceutical industry, the development of media or macroeconomic development). Information sources used for the analysis derive from sickness funds, sickness fund unions, expert recommendations, legislation or programmes of political parties. The thesis concludes that the role of sickness funds has been strengthened, but the utilization is not as rational as it seems and is inhibited by some other factors. In a broader context, the conclusions...
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Analysis of trends in the number and structure of the insured in the Czech Republic
Andrysíková, Hana ; Procházková, Radka (advisor) ; Marcela, Marcela (referee)
The topic of the thesis is analysis of number and structure development of insured people in Czech Republic. The first part of the thesis is defined by terms related to relevant topic. The second part of the thesis is focused on statistical analysis of selected indicators of development of structure and insured people from 2004 to 2014, done by methods of elementary characteristic of time series, trend functions and extrapolation of statistical analyzes. The last part of the thesis is based on values obtained by statistical analysis of single indicators and provides a complete overview of the number of people insured by selected insurance companies, on which basis an estimation of future trends of number of insured people is done.
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The Assessment of Specific Insurance of Foreigners in Public and Commercial Health Insurance Systems in the Czech Republic
Schořovská, Kristýna ; Kukalová, Gabriela (advisor) ; Jaroslav, Jaroslav (referee)
This thesis is focused on insurance for foreigners in the systems of public and commercial health insurance in the Czech Republic. Evaluate the effects that would result from the integration of foreigners into the public health insurance, based on the gross costs of the annual reports of commercial insurers and based on the income statement. Work gives a comprehensive overview of the current health care system in the Czech Republic, and design optimization.
The first part is devoted to health systems, which are used in the world. They are defined by their key characteristics as well as their advantages and disadvantages. The second part is devoted to public and commercial health insurance in the Czech Republic, where the two systems are compared. In the third part we are analyzed the conditions, limitations, exclusions and insurance products offered price between commercial insurers. There are also quantified the costs and revenues associated with the inclusion of commercially insured foreigners in public health insurance. In the final part evaluates the balance of income and expenditure, which would hold a public health insurance, including the formulation of their own opinion on optimizing the system.
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Analysis of selected health insurance companies and their comparison
Gdovinová, Jana ; Steininger, Michal (advisor) ; Lucie, Lucie (referee)
The aim of this theses is to create analysis of selected health insurance campenies and theirs comparison under the agreement of chosen criterions between 2010 and 2014. Partial aims - to find which offer (benefits) Czech health insurances provide for insured persons in comparison with Slovac ones.
In the theoretical part of this theses is used the specialist literature which includes the topic of the health insurance , the insurance companies and things related to them. The first part of the analytical work is focused on the analysis of the Czech health insurances. In this part are individual health insurances analysed from the point of view of the number of insured persons, the accessibility of health insurances, the yearly cost of one insured person, the number of the insured persons that falling on one employee, the average expended cost for pharmaceuticals for each insured person, the average income from insurance for one insured person and the offering enlarging health care. In the second part of the analytical work are analysed Slovac health insurances from the same point of view. The last part of the analytical work is focused on the comparative analyses of six Czech and Slovac insurance companies. There are two fictitious families which want to use the benefits from six comparative health insurances. The both fictitious families will find out, which financial amount oh the benefit they could achieve, according to facts that are mentioned about them. Despite discovered differences between explored categories it is possible to say that Czech and Slovac health servicies are almost comparable to each other even 20 years after the division the Czechoslovakia.
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Pensions insurance, part of the I. pile of the social security system in CZE
POSPÍŠILOVÁ, Nicole
The target of this thesis is to introduce the part of the I. pile (social insurance) of the social security system in Czech Republic pensions insurance. The thesis is conceived as a theoretical one because of the deeper view. In the beginning there is the description of basis of social policy and social security system. The main part of thesis describes historical progress of pensions insurance since 1996 till today. The last chapter is devoted to personal considerations about possible changes in pensions insurance that might happen in the future. The thesis is composed from available expert literature, legislative sources and websites of authorized institutions.
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Rights of insured persons and patients by legislation
VLČKOVÁ, Simona
Even though the health care services in the Czech Republic are of high international standards and accessible to majority of the population, some drawbacks may be noticed in terms of the approach of health care providers to patients and patient rights. Until 2011, the Act No. 20/1966 Coll., on Public Health Care, had regulated the health care provision and patient rights in a complex way. Gradually, it became clear that the main part of regulations did not consider the patient-specific needs adequately. Legislators' efforts to bring the patient rights in conformity with the principles of the Constitution, Charter of Fundamental Rights and Freedoms, and the Convention of Human Rights and Biomedicine have led to the Act No. 372/2011 Coll., on Healthcare Services, which has replaced the Act on Public Health. The new foundation of patient rights guarantees that the failure to fulfil may be rectified as only the rights defined by law can be effectively enforced. The prerequisite for a patient to exercise and demand his/her rights to be fulfilled is their knowledge. This dissertation aims to provide a concise overview of the progression of patient rights and their origins within the international and national context, to outline some rights of an insured person and a health care user more in-depth, to introduce the protection of patient rights, and to verify the knowledge of selected rights among the patients in the South Bohemian region. Based on my own research which took place in outpatient and inpatient facilities in the South Bohemian region by the questionnaire form I wanted to find how are patiens informed about theirs rights and whether they are actively interested in them. I chose two hypothesis. The first hypothesis was verified claims than the patiens over the age of 50 have more knowlidges about their rights than the patiens to the age of 50. From the results of statistical data exploration it shows implies that the patiens over the age of 50 have really more knowlidges than the patiens of the second age category, therefore the hypothesis was confirmed. The second hypothesis should confirm whether the patiens are passive at getting informations about the patiens rights. The survey shows that the patiens are active and they are interested in finding out informations. The second hypothesis didn´t confirmed. My purpose wasn´t describe in detail all patient rights. I wanted compile basic patient rights and rights of an insured person and a health care user which can be used to more patient know-how, for use of health professionals utilization or to teaching students of the Social and health faculty of South Bohemian University.
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Porovnání výdajů na zdravotní péči u VZP a VoZP
Fialová, Margita
Fialová, M. Comparison expenses of health care of VZP and VoZP. Bachelor work. Brno: Mendel University in Brno, 2014 This bachelor's thesis is focused to analysis of expenses of health care and preventive health care per insured for General Health Insurance Company of Czech Republic and the Military Health Insurance Company of Czech Republic between years 2005 and 2012. The theoretical part provides information about both the health insurance companies and individual expenditures. In the practical part is an analysis of the data obtained from the annual report of health insurance companies. The work also includes three time series for each insurance company containing the number of insurance holders, the expenditures for health care and for preventive health care. In the conclusion of this work are predications for the number of health insurance holders and total expenditures for health care of above mentioned health insurance companies.
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Regulatory Fees Five Years after Establishing
ŠILLEROVÁ, Veronika
Regulatory fees were launched by the Act No. 261/2007 Coll. on stabilization of public budget. Many acts were amended through this Act including the Act No. 48/1997 Coll. on public health insurance. This amendment set the obligation for the person insured or their legal representative to pay regulatory fees to the medical facility providing health care ? a practitioner, a medical facility or a pharmacy. The aim of this thesis was to summarize legal adjustment considering regulatory fees and to map citizens´ opinions of both this issue and regulatory character of fees. The author´s goal was to ascertain whether citizen´s opinions have changed in past five years since their implementation. Whether citizens became accustomed to the fees and if they understood their purpose or they would rather abolish them. Theoretical part explains the terms relating to health care and insurance industry where the particular regulatory fees are explained in detail, such as their amount and the range of people involved. The attention is paid even to cases of the regulatory fee exemption. Theoretical part also deals with the safety limit which is directly concerned with regulatory fees as well as it is explained which fees belong to this limit. The next subsection is concerned with the basic rules of providing health care in member states of the European Union. The theoretical part concludes with the description of the individual changes and amendments which regulatory fees underwent during 2008-2013. The practical part was created by the means of quantity research which was conducted through the questioning method. The questioning survey of 331 respondents among the public of South Bohemia was implemented through online questionnaire and the tangible forms. Three following hypotheses are defined on the basis of the secondary sources: Hypothesis 1: Respondents do not agree with the fee increases for a hospital stay from 60,- CZK to 100,- CZK. Hypothesis 2: From all the launched regulatory fees only the emergency service fee affects the use of health care. Hypothesis 3: Patients agree with the prescription charges. The hypotheses H1 and H3 were confirmed whereas H2 were proved false on the basis of the questionnaires. It was proved that 90,- CZK treatment fee in emergency service is not for the majority of people so high so that it would prevent them from using emergency service and therefore negatively affected the use of health care. On the contrary, it follows from the confirmed hypothesis that the cancellation of 30,-CZK fee for prescription item and the replacement for fee prescription as a whole was correct. As patients are more willing to pay a fee for prescription rather than pay for every item. The outcome of hypothesis 1 was virtually unequivocal for most of respondents do not agree with the fee increase for a one day of hospital stay. Research outcomes show the fact that in comparison with previous years not only does the acceptance of citizens about regulatory fee system gets better but also does their acceptance of citizens and citizens? willingness to pay them. There is always a group of people who are not satisfied with the current adjustment of regulatory fees. It also seems improbable to eliminate fees to affect personal and family budget. The important goals of Czech public health and responsible bodies are to set regulatory fees in the way to accomplish their regulatory objective as well as make sure fees do not limit the ability of people who end up in socially or otherwise difficult situation to use health care. The thesis may work well as an information booklet for the wide public, as a study material for the students of Health and Social Studies or as a source for comparison with future researches.
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Experience with exercising the new Health Insurance Act.
KŘÍŽOVÁ, Eva
The Bachelor's work is called "Experience of the application of the Act on Health Insurance". The work describes targets and principles, concept and structure of the new Act on Health Insurance. A separate part deals with health insurance benefits, obligations of employers, insured persons and social security authorities. For comparison the work presents the health insurance system before the new enforceable health insurance legal regulations came into force, i.e. before 31st December 2008. The aim of the work is to describe experience of the application of the new Act on Health Insurance, its pros and cons from the perspective of insured persons, employers and employees of social security authorities; to find out if the reduction of expenses for health insurance benefits was achieved and the insured persons are better motivated to reduce their sickness leave. To find out given problems I choose a qualitative research, inquiry method, semi-standardized discussion technique and document analysis method, secondary data analysis technique. Discussions were held with 12 respondents from insured persons, employers and employees of social security authorities. The research shows that after the new Act on Health Insurance took effect the expenses for health insurance benefits have decreased and the insured persons have been motivated to decrease their temporary sickness leave. A majority of the respondents is convinced of the increased administrative burden of the new system. Within the performed research were acquired opinions of insured persons, employers and employees of social security authorities which can serve as a topic of a potential discussion about an amendment of the Act on Health Insurance.
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