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Decision-making in lack of resources in the health care system during mass casualties and disasters
Šeblová, Jana ; Fošum, Jan (advisor) ; Štica, Petr (referee)
Decision-making in lack of resources in the health care system during mass casualties and disasters The thesis discusses the ethics of decicion-making in the situation of the lack of material and personnel resources during managing mass casualties and disasters. The overview of basics of disaster medicine, prinicples of crisis preparedness and management of mass casualties are presented in the introduction. Basic terms are explained here: types of mass casualties, phases of reaction, immediate response services, and special attention is dedicated to explanation of medical triage during normal and extreme circumstances. The second part of the thesis deals with ethical theories related to disaster medicine. Deontology, consequentialism, utilitarism, ethics of biomedical principles, virtue ethics, justice and the concept of human rights, communitarism and care ethics are analysed. COVID-19 pandemic was chosen as a reference event. It is presented as a case report focusing on decision-making concerning allocation of scarce resources in the health care system. Guidelines for ethical decision-making during the critical phases of pandemic that were created in the years 2020-2021 are analysed. Some possible activities for improvement of crisis preparedness for future challenges of disaster medicine are...
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Ethical reflection of access of undocumented immigrants to healthcare in the Czech Republic
Surová, Zuzana ; Štica, Petr (advisor) ; Bouma, David (referee)
The diploma thesis "Ethical reflection of access of undocumented immigrants to healthcare in the Czech Republic" deals with ethically relevant aspects of access of undocumented immigrants to healthcare and healthcare system in the Czech Republic. The thesis focuses on healthcare in relation to human rights and on the role of states as a guarantor of human rights. The diploma thesis will reflect this topic from perspective of human rights and from ethical perspective. The thesis aims to propose measures of legislation scope in area of healthcare as well as immigration politics in the Czech Republic, which should contribute to find ethically responsible and human rights-oriented solution concerning the access of undocumented immigrants to healthcare and healthcare system. Keywords migration; undocumented immigrants; human rights; health care; health care system; Czech Republic
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Public Opinion on Health Care System - June 2021
Spurný, Martin
In June 2021 Public Opinion Research Centre included a block of questions related to health care system in its regular survey. Citizens were asked about their overall satisfaction with health care system in the Czech Republic as well as their views on the various problematic areas of healthcare, such as the financing of public health, management of drugs and functioning of insurance companies.
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Czech Healthcare Policy after 2010 in the Context of Heger's Reform
Řezníčková, Lucie ; Háva, Petr (advisor) ; Tušková, Eva (referee)
The diploma thesis "Czech Healthcare Policy after 2010 in the Context of Heger's Reform", deals with the significant institutional change that was implemented in Czech healthcare law during the right-wing government, which claimed its reforms were necessary in order to balance the budget. The aim of this work is to analyze the development of Czech healthcare policy in the period 2010-2013 with respect to the case of Heger's reform. This thesis uses different methods of analyzing the political process, for example methods of institutional analysis, critical discourse analysis, and other methods. The main theoretical basis of this work consists of a social critique of the neoliberal approach to Czech health care policy, and of a study of healthcare systems, their functions and goals, and a study of health policy and its changes. Attention is paid especially to the context of human rights related to health and the international discourse. This thesis identifies the arguments of neoliberal ideology in the policy-making of Czech healthcare policy makers in the process of justifying reforms. It evaluates the legitimacy of reform changes that don't accept the opinion of the public and don't respond to the international discourse, and investigates how the reform introduces new legal terminology which...
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Breastfeeding support in the Czech health care system
Pavlová, Veronika ; Hrešanová, Ema (advisor) ; Kubečková, Olga (referee)
Abstact The diploma thesis is focused on forms and dimensions of breast-feeding support regarding different levels of women and child care in the health care system of the Czech Republic from the perspective of a woman, a mother, who is the health care recipient in the context of the legal framework of Czech legislation and relevant international documents. The findings are based on empirical research results gained from ten semi-structured in-depth interviews. Ten individual research participants gave birth in the same medical institution with the title Baby Friendly Hospital during the last three years, which is the unifying element of the participants. The perspective of a woman, based on a thematic analysis of interviews , shows a lot of perceived dimensions of the provided health care. This work identifies the most obvious women themes: their perception of breastfeeding in pregnancy, importance of breastfeeding for woman, the mother's contact with the baby after the childbirth, medical staff attitude and quality of provided care, aspects of pediatric care and support of breast-feeding out of the health care system. These themes are part of an extensive, historically based conception of health care provided in the Czech Republic, which includes a model of the relationship between a physician (medical...
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VIEWS OF THE GENERAL PUBLIC ON THE ISSUE OF TAKING CARE OF THEIR HEALTH
Rákosová, Andrea ; Kulhavá, Miluše (advisor) ; Kučera, Zdeněk (referee)
Subject of my thesis titled : ,,Views of the general public on the issue of taking care of their health" is assessment of opinions, attitudes, and value preferences of the general public for their own health. It is mainly focused on their relation to healthy lifestyle and access to preventive care, which is an integral part of health care. The theoretical part of presented work is oriented towards basic terms related to health as a central topic. After the initial definition of the basic concept of work and its brief historical development, the work focuses on the fundamental determinants of health. Furthermore, this part of the work deals with health care system in Czech Republic, and it focuses on public health insurance system as well. The final chapter describes the importance of preventive care, it acquaints readers with the schedule of preventive check-ups and both preventive and screening programs in health promotion. The empirical part of the presented work evaluates the level of care of general public for their health. It monitors the opinions of the general public on health issues through my own research that was conducted through a questionnaire survey and it evaluates whether the general public accepted responsibility for their health. This research brings out attitude of general public...
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Care for the quadriplegics in the Czech Republic and United Kingdom, positive and negative aspects from users' point of view
Zíbarová, Tereza ; Povolná, Pavla (advisor) ; Drábek, Tomáš (referee)
The diploma thesis deals with the field of the care after quadriplegics in the Czech Republic and the United Kingdom. The aim of the diploma thesis is to describe positive and negative aspects of the care provided to quadriplegics both in Great Britain and the Czech Republic from the point of view of the care users, and subsequently to propose possibilities of improvement of the care in the Czech Republic. The theoretical part explains quadriplegia and outline social and health systems for quadriplegics in the Czech Republic as well as in the United Kingdom. This part includes the description of compensatory aids available for clients, conditions of health and social insurance, rehabilitation care options and financial support in both countries. In the research part, based on data interpretation of the data collected by qualitative research technique (interviews that were implemented with quadriplegics living the Czech Republic and United Kingdom), I analyze the situation of the clients of both social and health systems. These interviews revealed several areas of positive and negative evaluation of the existing situation and highlight possibilities of potential future improvement of the care in the Czech Republic.
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Civic engagement and health care system
Černá, Anna ; Numerato, Dino (advisor) ; Hasmanová Marhánková, Jaroslava (referee)
The diploma thesis focuses on impact of civic engagement on health care system. It studies to what level this participation helps health care system transformation and change of a relationship between patients and political and professional authorities. It's aim is to provide a critical sociological analysis and explain social processes accompanying patients' engagement by using examples. Patient organisations - an institutionalised form of civic society with a potential to evoke social change - get into scope here. The ambition of this thesis is to show the applicability of the reflexivity concept to the area of health care, to enrich this analytical framework by multilevel approach to the health care system and therefore add to the discourse around civic engagement phenomenon by a systemic and structured view of dynamic relationships between patient organisations and health care system. The findings of the author are based on an analysis of semi-structured interviews with patient organisations representatives and available documents. The author emphasises the ambivalent impact of civic engagement which on one side reinforces individual transformations of micro, meso, macro and meta levels of health care system and also acts as a catalyst of wider sociocultural changes. On the other hand, it is accompanied...
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Public Opinion on Health Care System - December 2018
Tuček, Milan
In December 2018 Public Opinion Research Centre included a block of questions related to health care system in its regular survey. Citizens were asked about their overall satisfaction with health care system in the Czech Republic as well as their views on the various problematic areas of healthcare, such as the financing of public health, management of drugs and functioning of insurance companies.
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