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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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Postgraduate medical education in Czech Republic: Young doctors captured between formal and informal institutions
Šíchová, Tereza ; Tušková, Eva (advisor) ; Háva, Petr (referee)
This master thesis deals with the field of postgraduate medical education. The main goal of this thesis is deeper understanding of problems in the educational system. By means of a qualitative research the thesis explores the problems and causes of current postgraduate educational system from the perspective of young physicians. The research is based on a series of semi-structured interviews with physicians who are currently passing through a phase of postgraduate medical education. Results of the survey show the most questionable fact, according to participants, is the lack of the educational leadership which is supposed to be secured by the assigned supervisor. Despite the formal rules, this role is often ensured merely formally or is missing at all. Participants also mentioned difficulties related to accomplishing of specialized practical training and required procedures. Both of them are frequently subordinated to informal rules. The main findings are based on revealing the causes of problems mentioned above. The reasons of ascertained discrepancy are introduced with the theoretical help of the theory of informal institutions by G. Helmke and S. Levitsky. Through the lense of chosen theory the issue is that there is insufficient efficiency of formal institutions. Therefore, prospective solution should...
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Lifestyle as a determinant of overweight and obesity
Wlochová, Markéta ; Háva, Petr (advisor) ; Tušková, Eva (referee)
Diploma thesis "Lifestyle as a determinant of overweight and obesity" focuses on risk factors determination which influences overweight and obesity in population in regards to failure of programmes dealing with this topic. Main goal of this thesis is to understand current lifestyle of chosen group of people because traditional understanding for reasons of overweight and obesity - higher energy income than outcome - seems to be insufficient. Further target is current Czech policy analysis, especially part of policy dealing with overweight and obesity prevention and its connection with European Union. In the first part of the thesis reader takes up with overweight and obesity as itself. This is followed by targets and research questions definition. Primary method is qualitative research. There is no generally accepted definition for this kind of research and therefore this method is briefly described here. Method used for policy analysis is content analysis. For this part i used domestic public policy documents as well as abroad ones. The next chapter is devoted to the theoretical recurrences and conceptualization of basic terms which are basement for this work. The chapter focused on development of obesity prevention policy briefly introduces into policy creation from its origins as a protection of...
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Effectiveness of coeliac disease management in the Czech Republic
Přibylová, Kristýna ; Háva, Petr (advisor) ; Mašková, Pavla (referee)
This work deals with effectiveness of coeliac disease management. It is a model case of chronic disease management. The analytical framework of this work is the multilevel Innovative Care for Chronic Conditions Framework. Crucial is the interaction between health care team that represents health care system, community partners and patients with their families. In the case of coeliac disease it is necessary to include also the role of representatives of market with gluten free products. The interaction of these participants takes place in wider political context, whose state influences this interaction fundamentaly and reflects so in final results - state of patients and quality of their live. Using the evaluation of the quality of life tool SF-36, it has been ascertained, that the quality of life of coealiac patients is lower in comparison with European standard of healthy population and that the causes of the problem have to be searched and systematically removed at all levels of the system of chronic health care. The findings validate the theoretic presumption, that the chronic health care is still considerably underestimated and that it does not reply to the needs of chronic ill patients, which reflects just on general quality of life.
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Continuity of Hospices and Hospitals
Šottová, Barbora ; Dobiášová, Karolína (advisor) ; Háva, Petr (referee)
This work deals with continuity of inpatient hospices and hospitals in the Czech Republic. In this issue i examine the status of inpatient hospices in the health system and in the social system, reflecting the taboo of death in continuity of care and alternatives of education in palliative care. The work consists of three main parts. The first part involves determining the aims of the work, a description of research methods, theoretical and value foundations and definition of basic terms associated with hospice care. In the second part i focus on the reflection of current situation of hospices in the Czech Republic. Based on the analysis of documents i describe the funding and legislative basis for hospices. The third part is based on qualitative research. Using expert survey, i examined the views of professionals working in hospices. i also analyze the gained knowledge and divide it into individual topics. The key findings include that the interviewed experts evaluate the continuity of hospices and hospitals as affirmative. Capacity of hospices and funding are ceasing to be the main problems. However in the Czech Republic is absence of system of palliative care and the integration of palliative care into general medical disciplines.
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The (un) success of the change in the organizational and legal form of Czech hospitals
Angelovská, Olga ; Potůček, Martin (advisor) ; Dlouhý, Martin (referee) ; Hnilicová, Helena (referee)
In the last thirty years, since the transformation period, several attempts have been made to change Czech hospitals' organizational, legal form. The thesis targets two such efforts after 2000. Only one was successful both in the agenda-setting and decision-making process and led to the enactment of a new organizational form. The main aim of the thesis is to identify contextual factors of success or failure of efforts to change the organizational and legal form of hospitals. The thesis is based on the Multiple Stream Framework to explain how different streams (policy, politics and problem stream) couple and open a policy window that allows a policy change. It works with the modified framework, which broadens the concept by including agenda-setting and decision-making and offers two coupling processes. Comparing two cases of the policy process led to the identification of the factors causing closing the window before the agenda was set.
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Satisfaction of health care workers with their wages in a selected hospital in Slovakia
Hanušniak, Miroslav ; Vaceková, Gabriela (advisor) ; Kotherová, Zuzana (referee)
This bachelor thesis focuses on the satisfaction of healthcare workers of a selected department in a hospital in Slovakia with their salary. The main goal of this work is to determine the degree of satisfaction of health professionals with their salary and to find the most important factors of their job satisfaction. In the theoretical part of the thesis, the author presents health policy, its goals and actors and Slovak health policy in the context of public policy. Subsequently, this work presents the legal forms of hospitals in Slovakia according to valid legislation. Furthermore, the author presents the methods of health care financing and health care financing directly in Slovakia. In the practical part of the work, the author focuses on the salary evaluation of health workers and measures of the governments of the Slovak Republic in the period 2010 - 2020 in the context of salary evaluation of health professionals. In the next part of the work, the author briefly presents the object of research and the research itself, carried out using a questionnaire survey. The author then presents the main findings of the research and answers the research questions. At the end of the bachelor's thesis, the author discusses the issue of salary evaluation of health professionals in Slovakia and the...
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