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Czech Public Opinion on Health Care System
Tabery, Paulína
In December 2010, Public Opinion Research Centre enquired about health care and health care system. We were interested in satisfaction of citizens with health care system in the Czech Republic and public opinion on issues in specific areas of the health care system.
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Progress of the system of public health insurance and health insurance companies in the Czech Republic for the period 2000 - 2015
Pecková, Tereza ; Lukášová, Tereza (advisor) ; Bartůsková, Lucia (referee)
This bachelor´s thesis analyzes the basic funds of health insurance companies for the period 2000 - 2015 in the Czech Republic, especially the creation of resources and their use and the entire system of public health insurance in the Czech Republic. Basic funds are one of the components of the overall economy of health insurance companies. First it is necessary to describe the market of the insured. The insured create and use the finances within public health insurance. Also important are contributions from the state budget for those insured by the state. We can conclude that the cost of health insurance companies are rising and that population is aging in the Czech Republic. However, this is not a balanced linear growth. The number of pensioners grew at a slower rate of growth, but according to population development forecast, there should be faster growth in the number of pensioners in the following years. Significant growth in cost is particularly noticeable in the age category of 80 and above, and increasingly more people should live up to this blessed age, also thanks to modern public health.
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Nursing perioperative care on the gynekological section.
WOLFOVÁ, Petra
The bachelor thesis focuses on nursing care before, during and after a gynaecological surgery. Gynaecological surgeries are divided into small and big. Small gynaecological surgeries require only one surgeon and the hospitalization of the patient is shorter than 24 hours. Big surgeries require more surgeons, the patient is under anaesthesia for a longer time and the hospitalization is longer than 24 hours. In this bachelor thesis, we focused on perioperative care in women after a big gynaecological surgery. Care during the preoperative period is an integral part of the work of a birth assistant, as gynaecology is largely a surgical specialisation. With advancing technical progress and development of new surgical methods, various types of surgeries appear with specific requirements for nursing care. Effective perioperative care is important for trouble-free convalescence of women after surgeries. Perioperative care includes both nursing procedures and informing the patient about the hospitalization and care course. Perioperative care is very demanding for the woman herself and for the whole team participating in the care. Interaction of all the medical staff is necessary in perioperative care to provide specialised care according to the standards. The aim of this bachelor thesis was to determine the needs of patients that are affected in the highest extent during perioperative period. The research focused on the way women perceive perioperative period and the approach of health care professionals and the extent these items meet their expectation. The research was performed at a gynaecology-obstetrics department of a hospital, using qualitative assessment in deep interviews. The interviews included 13 open questions. The research group consisted of 8 women after a big gynaecological surgery. The participation in the interview was voluntary. The results of this research were carefully transcribed and analysed using the "pen-paper" method. These results were divided into four categories and further subcategories.
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Injuries caused by an animal in the pre-hospital emergency care and subsequent outpatient care
VOTRUBOVÁ, Kateřina
The topic of this bachelor thesis is the various types of injuries from animals in prehosptial emergency care and their subsequent treatment in outpatient clinics. The theoretical section includes the summary of possible predicaments, which various animals cause. It discusses anaphylactic reaction to insect stings and furthermore the poisoning by snake venom, which in the Czech Republic primarily concerns the common viper (otherwise known as the common adder). The next chapter deals with the illnesses caused by cats, specifically cat scratch disease (lymphadenopathy) and toxoplasmosis with acute childbirth. The acute condition caused by dog bites and rabies belong to the next section of the thesis. In the conclusion a brief summary of injuries is mentioned, which are a threat during the handling of domestic animals, where the thesis focuses on the polytraumatized patient, fractures and cranio-cerebral injuries. The practical section was carried out on two qualitative levels in the Central Bohemian Region in connection with the Region of the Capital City, Prague and the Southern Bohemian Region. The first of these was the verification of knowledge of paramedics about injuries caused by animals through a knowledge test, comprising of ten questions. These questionnaires were always filled in my presence. In total 40 knowledge tests were distributed, of which 38 were returned completed. The return rate was thus 95%. The second section determined the differences in outpatient care in the individual regions. It was carried out through managed interviews with outpatient medical doctors from the surgical and internal medicine departments, a traumatologist, general practitioner and paediatrician. In total, eight medical doctors were approached. Furthermore an identical questionnaire was given to all these medical doctors. The research was carried out from November 2013 to April 2014. The aim of this thesis is to ascertain the knowledge about these injuries of paramedics in the Central Bohemian Region in connection with Region of the Capital City, Prague and the Southern Bohemian Region and compare them. Furthermore, it intends to find the difference in outpatient care of patients in the same territorial units injured in this way. Three research questions were asked, specifically to the mid-level health services personnel, whether paramedics have the correct knowledge about this issue and whether their knowledge varied in the regions. Regarding the second aim, the question asked was whether outpatient care of injured patients varied in the relevant regions.
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A historical view of the army nurse profession.
PAVLÍKOVÁ, Andrea
The thesis deals with the profession of a military nurse. We can assert that the official study of military, non-medical health-care related qualifications and its use in practice not only for military purposes dates back to the fifties of the last century. However, women as health care professionals, consequently in uniforms, have always been an actual issue. The development of health care activities always existed, however, we must not neglect influence of scientific and medical findings. The historical timeline of development of medical care in the battle field was recorded and ranges from pre-historical healing. The way of Christian medicine was negatively influenced by the Catholic Church. The dark period of the Middle Ages had actually wrested medical performance from the hands of specialists and the suffering were left to the "tender" mercies of the priests. The following part of the thesis concerns modern medicine where enlightenment reforms were exercised. Some of the original six-month courses for military surgeons were organised in this period of time; they weretransformed into Military Surgical Academy, out of which the famous Josefinum originated. A expression of humanity which supported a form of health care of war veterans was demonstrated by constructing buildings for invalid people. The second half of the nineteenth century is characterized by the phenomenon of the presence of nuns in military hospitals. This study goes further in depth of professionally organized healthcare right in the battle field, which dates back from the era of wars in the Crimea.This stage describes the transformation of caring into nursing which requires the necessity of specialized preparation of persons providing nursing practice. In addition, Henry Dunant engraved himself into the history of the profession of a nurse, as the founder of the Red Cross, who first trained health care professionals for working within armed intentions of the state. The continuation of this action sketches out the process of providing first aid in principal armed conflicts of the twentieth century. It describes the functioning of commander operated military health service of that time. WWI drove Czech medical staff to both sides of the front where they provided medical help to the injured. Nurses of the WWII already performed their duties in uniforms as the rightful members of the army. The thesis also mentions post-war usage of military health care professionals in secret foreign missions and their specialized erudition.Last but not least, it marginally discusses contemporary possibilities of modern health care service of the Army of the Czech Republic. The goal of the endeavours of writing this thesis was to chart out clearly the development of the profession of a military nurse within the historical context, focusing mainly on women coming from Czech regions. In order to make the history background concerning specific female participants of the world war conflicts understandable to the reader, this paper reports, in broader extension, peculiar medical and nursing findings, already from the era of prehistoric civilisations. The history study method were applied for the purpose of the theoretical thesis. The methodology is based on searching, studying, sorting and the consecutive systematic objective describing of the events from the past times with the intention to propose comprehensive report on the subject given. It was necessary to study inexhaustible amount of sources to obtain awareness of historical connections. Factual information was derived by analysing of primary and mainly secondary documents. The thesis sketches out histories of military health care and the profession of a military health care professional stemmed from the exploration of appropriate written sources and conclusion of the basic findings. The intentions of the work are not only to clarify the past but also to contribute to solutions of every-day issues.
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Comparison of health care in the Czech Republic and Germany
Dutá, Sára ; Kocmánková Menšíková, Lucie (advisor) ; David, David (referee)
This thesis deals with comparing the two health systems, the differences between the quality of medical care in the Czech Republic and the Federal Republic of Germany, and more specifically with the individual physician access to the patient. The thesis explains in the theoretical part the basic concepts relating to the topic of health (the value of health and its determinants, lifestyle, prevention, illness, disease, health care, health care system and health policy) further discusses the Czech and German health care system and compares them basic structure, where the most fundamental difference is the difference of the German health system, which is divided into two levels, national and federal. The thesis also studies the role of the doctor and patient and the relationship between them. Secondary and comparative data analysis of the differences in health care in the Czech Republic and Germany showed that respondents are with care and physician access to the patient rather satisfied in Germany, although there are also drawbacks. Data obtained through semi-structured interviews show that views on health care varies according to the number of years spent in Germany (respondents who lived in Germany for example for 15 years, had with the local health care more experiences). Almost all interviewees seem to agree that the difference in health care in these countries is due to the differences in funds that are spent on health care. Annually put Germany on Health care about 11, 6% of GDP, of which 76.8% are public funds. On health care in the Czech Republic it is 7.5% of GDP. Participation in the payment of health care in the Czech Republic was 15.8%, Germany 23.5%. From the data obtained suggests that the quality of care affects the confidence in it and the need to treat the patient.
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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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Accessibility to healthcare in Karlovarský kraj
Kubalíková, Alžběta ; Novotný, Vojtěch (advisor) ; Peltan, Tomáš (referee)
This thesis is focused on the assessment of health care in the Karlovy Vary region in terms of availability of hospital equipment. Healthcare in the Czech Republic is undergoing fundamental changes, which primarily related to the aging population, the increasing prevalence of chronic diseases and the related changes in the status of patients with pressure on public budgets. This leads to increased costs, which burdens the economy of hospitals, but also the entire health system. Health care providers and insurance companies must prepare for the increasing number of elderly and chronically ill population and the associated increasing health spending. Health expenditures are growing everywhere in the world and the main problem is mainly a lack of health care finance and skilled health workers. Investments in health and education and research among the most efficient yet. Indeed, only healthy people can work, create value and pay taxes. These problems have a long-term trend of continuous decline in the capacity of acute care. Healthcare fulfill a social function and stabilizing the company, but may also be the engine of the economy that is a major employer and purchaser of goods and services. Investigations in health care is possible, but only with negative effects on patients. Deficient management system can hardly continue. Professionals who deal with this issue, for several years calling for a detailed analysis of the availability of health services, and after a hierarchical structure of the state-controlled network of inpatient health care facilities. Without the political will and will not elaborate procedures to reform or to improve the effectiveness and efficiency in health care at any level.
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Visioning Studies: A socio-technical approach to designing the future
Sonnenwald, Diane H.
To discover the potential impact of future technology we have been developing a research approach called “visioning studies.” The goal of a visioning study is to understand the perspectives of potential stakeholders, and from this understanding develop socio-technical design recommendations in collaboration with computer science researchers. Two complementary approaches to visioning studies have emerged. One investigates task performance using an experimental design involving task simulation, observation, questionnaires and interviews. The other explores domain implications using a qualitative design including a video depicting the technology vision and semi-structured interviews. To date visioning studies have focused on 3D telepresence technology in collaborative emergency health care and future mobile technology in collaborative police work.
Slides: idr-514_1 -  PDF
Video: idr-514_2 -  MP4
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