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The need for hospice care in Jindřichův Hradec, the municipality with extended competence
KUČEROVÁ, Michaela
An essential part of high-level medicine of every state is hospice-based and palliative care. Throughout the world and throughout western Europe there is a fully established network of mobile and residential hospices. Meanwhile, the Czech Republic is in the early stages, making efforts to improve the situation and to firmly embed hospice care into its social and health service provision. The year 2016 is one of great expectations. Firstly there is an ongoing pilot programme of grants supporting mobile palliative care, which will compare the "cost of dying" at home with the cost spent by institutions. Secondly, a decision by the Ministry of Work and Social Services is expected with respect to proposed changed in law no. 108/2006 of the Collection of Laws on social services. If passed, this would mean a hospice would turn into an official social and health institution, thereby markedly improving the problem of financing the care provided within one, as it is a combination of social and health services. The aim of this thesis is to provide a more integrated briefing of current information related to the given issues. Therefore the theoretical part covers not only hospice and palliative care itself, but space is given to other issues such as cancer, population ageing with its impal on the economy and to new forms of care for senior citizens, dying and death. Furthermore the thesis deals with the question of financing hospice care, with particular emphasis on community planning. Lastly the theoretical part of the thesis covers the characteristics of Jindřichův Hradec, the municipality with extended competence and a description of the need for hospice care from the perspectives of both the Town Jindřichův Hradec and the Southern Bohemian region. The Hospital Jindřichův Hradec, plc and the Town itself are aware of the need for palliative care in the given region. Both organizations have therefore already undertaken important steps, based on which the Southern Bohemian region has included support for hospice and palliative care into planning and health development for the coming years. The aim of the thesis is to map out the situation concerning the provision of hospice care in the area of Jindřichův Hradec, the municipality with extended competence and to establish the requirements for this care by considering the interest of the citizens from the given area. The experimental part of the thesis uses two approaches to establish the need for hospice care. Firstly, this was content analysis of data materials provided by social and health service providers, and secondlya qualitative investigation using interviews with eight respondents of a panel on community planning of social services in the area of Jindřichův Hradec, the municipality with extended competence. Included are also statistical data from the Hospital Jindřichův Hradec plc, with emphasis on oncology patients, because these form the major group receiving palliative care. The result of the research is not surprising. The population is ageing demographically, cancer-related illnesses are the nightmare of our time and the social and health care in Czech Republic must adapt to this fact. The research confirmed that hospice care in Jindřichův Hradec, the municipality with extended competence is needed, that the families of patients are requesting it and that services currently offered are deficient. It became evident that the overwhelming support is for the development of a residential hospice or for establishment of palliative beds in the hospital. In Southern Bohemia there is only one residential hospice in Prachatice, which is little used due to the long distance and thus the families have no opportunity for respite care, which the carers are also interested in. The research confirmed, that the creation of a residential form of hospice type in the area of Jindřichův Hradec, the municipality with extended competence is supported by general practitioners, specialist doctors
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