|
|
Improvement of risk adjustment for health insurance companies in the Czech Republic - compensation of costs of patients with renal failure
Škodová, Magdalena ; Votápková, Jana (advisor) ; Bryndová, Lucie (referee)
Risk adjustment models are used to predict health care costs of insurees and represent an important part of mechanisms for redistribution of funds among insurance companies. In the Czech Republic, pharmacy-based cost groups (PCGs) were introduced into the risk adjustment model in 2018, reflecting the costs of chronic diseases in addition to age and gender. The thesis reviews the model for the most expensive chronic disease - renal failure. Using the sample of General Health Insurance fund (GHI) insurees reported with typical health care consumption for kidney disease in years 2015-2018, we tested the current model and subsequently modified the classification criteria for PCG "renal failure". The classification based on the number of dialysis procedures proved to be much better indicator of costs than the currently used consumption of typical drugs. The incorporation of dialysis-based approach into the PCG model improved the explained variation from 26 % to 49 %, and the predictive power increased substantially. The study suggests improvements of the Czech risk adjustment model and proposes a fairer fund redistribution among insurance companies, while no additional data collection is needed.
|
|
| |
|
|
Living donor kidney transplantation
Stöcklová, Lucie ; Heczková, Jana (advisor) ; Nejdlová, Tereza (referee)
Kidney transplantation is still the most succesful method of kidney failure treatment. Transplantations from living donors get ahead of transplantations from cadaveric donors due to better results. Transplantations from living donor can be planned and have less complications. Indisputable advantage is the possibility to perform transplantation before the onset of dialysis-premptively, which provides up to twice better patient survival compared to survival on dialysis. The empirical part is elaborated using the case study describing hospital stay of living kidney donors which describes the postoperative and specific nursing care of kidney transplant recipient. The aim of this thesis is to get to know nursing algorithms in the care of patients after kidney transplantation in intensive care unit and to give comprehensive review of kidney transplantation. keywords: Kidney transplantation - predialysis - living donor - nursing procedures - intensive care - care of kidney transplant recipient
|
|
|
The quality of life of dialysed children
LASTOVECKÁ, Mária
The B.A. thesis on "The Quality of Life of Dialyzed Children" deals with issue of children being involved in the chronic dialysis programme. The aim of the thesis was to analyse the impact and the load of the disease not only on the overall physical condition, but also on the psychical and social sphere with respect to the holistic concept of the unity of the human being.
|
guest ::
