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Changing role of GP in the Czech healthcare system
Jiras, Jan ; Kotherová, Zuzana (advisor) ; Veselý, Arnošt (referee)
This thesis focuses on a comprehensive analysis of the position of general practitioners within the Czech healthcare system. Emphasis is placed on comparing the perspectives of three generations of general practitioners, encompassing medical students in the process of specialization selection, mid-career general practitioners, and those approaching retirement age. The objective of this study is to explore the historical development of the position of general practitioners and gain a detailed insight into its strengths and weaknesses. Furthermore, the research delves into the identification of key factors that may influence this position over time. Lastly, the study evaluates whether the current healthcare reform addresses the present challenges and issues faced by both current and future general practitioners.
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Prevention in Primary care with a focus on colorectal cancer screening
Král, Norbert ; Seifert, Bohumil (advisor) ; Lukáš, Milan (referee) ; Matějovská Kubešová, Hana (referee)
Prevention in Primary care with a focus on colorectal cancer screening Introduction: Preventive examinations and screening methods are an integral part of the work of a general practitioner. Primarily are focused on cardiometabolic and oncological diseases that share risk factors. The aim of this study was to evaluate the system of preventive examinations and screening programs for CRCa, and to propose modifications to preventive examinations-with regard to cardiometabolic diseases-that would be in line with current scientific knowledge. Furthermore, to determine the attitude of the Czech population towards preventive examinations and screenings for CRCa, and to analyse the current situation of CRCa screening and identify its major shortcomings. Materials and Methods: The thesis consists of a set of studies. The studies were aimed at the general population, general practitioners, and other primary care professionals. The research took the form of questionnaire surveys distributed among physicians and patients. The Rand/UCLA consensus method, which combines the best available scientific evidence with the collective judgement of a group of experts, was chosen in the search for an appropriate model of preventive examinations. Results: Selective prevention is an effective tool in the prevention of...
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Current forms of care focused on dying people in a home environment
Hoblová, Petra ; Krejčí, Jiří (advisor) ; Marková, Monika (referee)
After 1989, we have seen a great development of hospice and palliative care in the Czech Republic. At that period, the first hospice institutions came into being which later broadened their concepts on providing also the at-home care. The main aim of this thesis is to characterize the available concepts of the care of the dying patients in their home environment in the Czech Republic. The initial theoretical section introduces the definitions of the basic concepts of palliative and hospice care; the characteristics of the key institutions providing the at-home care; and deals with the hospice and palliative care legislative. The practical part, based on the use of the qaulitative research design and semi-structured interviews, helps to show the experience of various providers of palliative services. The analytic part depicts two concepts of the care of the dying people, which were identified on the base of the linterviews and which are currently available to patients. Keywords: hospic care, palliative care, mobile hospic, specialized mobile palliative care general practitioner, home care, social services, care of the dying patients, dying, death
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Eating habits of primary school children from the perspective of the practical nurse at the general practitioner for children and teenagers.
KUCHAŘOVÁ, Aneta
This bachelor's thesis deals with eating habits of children at primary-school age from practical nurse's point of view in general practitioner's office for children and youth. We set ourself three essential targets. The first target is: to chart the current situation of primary-school-aged children's eating habits. This target is focused on questionnaires containing basic information about their eating habits, water intake and physical activity. The second target is: to chart the current situation of primary-school-aged children's eating habits from practical nurse's point of view. We did a questionnaire survey with practical nurses in offices of general practitioners for children and youth. The last target highlights the practical nurse's function in children education of healthy diet. The theoretical part is focused on essential nutrients such as saccharides, fats, proteins, vitamins, trace elements, minerals, and water. You can find some childhood illnesses connected with eating in this part, where we concern ourselves with the problematics of overweight and obesity, eating disorder, food allergies, intolerances and absence of appetite. Furthermore, we concentrate on the practical nurse's role for general practitioner for children and youth, and we also deal with health support and healthy diet for primary-school-aged children. We are also interested in water intake and physical activity of these children, last but not least in practical nurse's education of nutrition. We evaluate the nutrition state of a child, percentile graphs, and principles for good nutrition in this part. The methods of quantitative and qualitative exploratory research were chosen in the practical part of the bachelor's thesis. The quantitative exploratory research was focused on primary-school-aged children. The questionnaires was filled in by children at a primary school. The exploratory company was created by 158 respondents. The questionnaires gave us detailed information about eating habits of the children and their regular eating. The eating habits of these children are miscellaneous and they are influenced in some measure by parents and others. Girls are more likely to eat regularly as emerged from the outcome. It also emerged that children consume more sweetened drinks with artificial colorings and they also like fast food. We focused the qualitative exploratory research on 8 practical nurses in general practitioner's offices for children and youth. The semi-structured interview was created by 19 questions. The interviews gave us detailed information about that, if children keep the principles for good nutrition and physical activity or not. It emerged that girls are more like to go to a doctor with the problem of overweight and obesity.
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Early Detection of Pathological Gambling - Survey among GPs
Pavlíková, Zuzana ; Roznerová, Tereza (advisor) ; Vacek, Jaroslav (referee)
Background: The Bachelor thesis "Early Detection of Pathological Gambling - Survey among GPs" deals with the issue of pathological gambling and the key role of GPs in this diagnosis. Pathological gambling also affects the health of an individual - causing stress, back pain and others. Therefore, it is important for GPs to realise this connection and then attempt to detect the issue early on with the help of screening tools. This thesis is divided into a theoretical part, dealing with the problems of pathological gambling, definition of concepts, interventions, impacts, prevention as well as professional treatments, and a practical part, which deals with the research itself. Aim: The aim of the research is to evaluate the interest of GPs in the field of pathological gambling in their patients. At the same time, it provides the basis for more detailed research in this area. Methods: A quantitative research method in the form of an online questionnaire created on Google forms, which was distributed by e-mail contact to GPs was used to obtain the data. Results: Overall, results show that although GPs are aware of the risks associated with pathological gambling, only a small part of them use any screening tools. The low interest of GPs may be in direct relation with an inadequate amount of information...
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Emergency care and its importance in the care of seniors
DVOŘÁKOVÁ, Aneta
Bachelor's work engages in emergency care and its importance in the care of seniors. In particular it targets those seniors which are also patients of general practitioners. General practitioners are a great source of informations for their patients. Seniors trust them and follow their advice. General practitioners should know social service, consequently emergency care, to be able to inform their patients. Thus the aim of this bachelor's work is to chart emergency care for seniors from the view of general practitioners. The questions of my research were aimed on the range of knowledge of general practitioner about emergency care. Onwards, how general practitioners evaluate the meaning of emergeny care in care of seniors. The questions of research were also targeted on how the general practitioners inform about this care those patients, who could be potential users of this particular service. In this bachelor's work was used qualitative research, the method of questioning and the technique of halfstructured interview. Research ensemble was constituted by 9 general practitioner from České Budějovice and Trhové Sviny. The data were sorted into particular categories for better lucidity. Research shows that hardly any of general practitioners know the service of emergency care, which means they provide this information on rare occasions and to hardly anyone. On the other hand they admit that there are just few sources of informations for seniors. As the most important contribution of emergency care is, according to the general practitioners, the encrease of security, feeling of safety and the independence of seniors. The results of my work can be used by students and also by occasional applicants for this service, but mostly by providers of emergency care and by general practitioners to enhance interest and improve knowledge in services, particularly in emergency care.
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Design of IS/ICT solution to support administrative activities in general practitioner's office
Štorek, Filip ; Potančok, Martin (advisor) ; Bruckner, Tomáš (referee)
This bachelor thesis is focused on the use of information systems in offices of general practitioners. The goal of the thesis is to design an IS/ICT solution based on primary analysis to support administrative activities execution in GPs offices. An introductory section contains a legislation analysis, shows results raised from consultations with a general practitioner, describes the current state of IS/ICT solutions in this field, including general assumptions related to usage of information systems. A main part of the thesis is dedicated to the design of the IS/ICT solution in form of functionality covering the most important administrative activities and its subsequent verification. The thesis primarily focuses on activities which, according to legislation, include archiving or notification requirements. The benefit of the thesis lies in the author's design of custom IS/ICT solution, as well as a summarization of available resources and personal experience of general practitioners.
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Psychosomatic approach in general practicioners office
Janoušková, Brigita ; Skorunka, David (advisor) ; Býma, Svatopluk (referee)
Author: Brigita Janoušková Institution: Charles University in Prague, Faculty of Medicine in Hradec Králové, Department of Social Medicine, Department of Nursing Title: Psychosomatic approach in general practicioner's office Supervisor: MUDr. Skorunka David, Ph. D. Number of pages: 110 Number of appendixes: 6 Year of defense: 2014 Keywords: practising, psychosomatic disorders, stress, psychosocial factors, patient Practicioner's surgery is a part of primary care and as such, it plays an important role in diagonstics of psychosomatic disorders. In the theoretical part I dealt with historical developement and psychosomatic conceptions, explenation of causes and symptoms of the psychosomatic disorders. The next part is dedicated to themes, which comprise the basis of psychosomatic approach - the relationship between a medic and a pacient, diagnostics and types of healing of these disorders. In the end I focused on specifics of the job of general nurse in the surgery and her contribution during application of psychosomatic approach. The focus of this bachelor thesis is quantitativ research performed by means of questionnare investigation of two groups of patients - patiens of practicioner without psychosomatic education and patients of psychosomaticaly educated practicioner. Data are processed...
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Patients Satisfaction with the Services of General Practitioners for Adults.
BUREŠOVÁ, Adriana
Patient satisfaction with the services provided is extensive and actual topic. The goal of this thesis is to find out patient satisfaction with the services of general practitioners for adults in České Budějovice, Trhové Sviny a Borovany. The patient satisfaction is evaluated primarily in connection with the satisfaction of their needs during illness. The thesis is divided into theoretical and practical parts. The theoretical part consists of seven chapters. The first chapter is an introduction to the medical practice and deals with the concept of quality of health care. The sixth chapter examines satisfaction and its impact on the assessment of the quality of services by patients. The last, seventh chapter focous on the relationship of health workers and patients. The practical part deals with the research, which was conducted using quantitative research strategies, methods and questioning survey techniques. Questionnaire that we created for assessing patient satisfaction includes fourteen questions. This part sets out the objective, hypotheses, methodology, results of research, discussion and conclusion. This thesis has two hypotheses. H1: Doctors who have office hours in the afternoon are better at assessment than those who have office hours only in the morning. H2: Patients from smaller towns will be satisfied with the services of general practitioners more than patients from large cities. The research sample consisted of 453 respondents. The data were processed using Microsoft Office Excel 2010 and then were processed into graphs or tables. Hypotheses were tested using the homogeneity test, the Pivot Table. The results of this thesis can serve as an extension of the information for general practitioners for adults on the current topic.
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