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Changing role of GP in the Czech healthcare system
Jiras, Jan ; Kotherová, Zuzana (advisor) ; Veselý, Arnošt (referee)
This thesis focuses on a comprehensive analysis of the position of general practitioners within the Czech healthcare system. Emphasis is placed on comparing the perspectives of three generations of general practitioners, encompassing medical students in the process of specialization selection, mid-career general practitioners, and those approaching retirement age. The objective of this study is to explore the historical development of the position of general practitioners and gain a detailed insight into its strengths and weaknesses. Furthermore, the research delves into the identification of key factors that may influence this position over time. Lastly, the study evaluates whether the current healthcare reform addresses the present challenges and issues faced by both current and future general practitioners.
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Nurse from a minority society in the Czech healthcare
KARTÁKOVÁ, Nikola
This bachelor thesis will deal with the issue of nurses from minority groups. The theoretical part deals with transcultural nursing in general, but also with other important topics that are directly related to nurses from minorty groups. The empirical part has stated two aims. The first aim was to find out what issues nures from minority society face in Czech healthcare. The second aim was to find out what attitude the patients have towards a nurse from the minority society. Based on the set aims, four research questions have been posed. The first research question is trying to find out what issues does a nurse from the minority society notice within their workplace? The second question was what issues does a nurse from the minority society notice in relation to patients? The third research question asks how does the patient perceive the fact that they are being cared for by a minority society nurse? The last question was researching what communication issues does the patient perceive in communicating with a nurse from the minority society? To process the empirical part, a qualitative research method was chosen, specifically using semi-structured interviews that were carried out together with nurses coming from minority groups. They are individuals of different nationality or a different religion, working in Czech healthcare system. Further, interviews were being carried out with patients who experienced the care by nurses from minority groups. There were six informants in case of nurses, and five patients. In case of nurses, the main choice criterium was a different nationality or religion. In the category of patients, these had to be people who have at least once in their lives encountered the care by a nurse from a minority society. Based on acquired interviews, a data analysis was done and the results were further worked out into individual categories. The acquired results have proven that the main issue in the cooperation of nurses of a different nationality and Czech patients is difficult communication. Further, we have found out that foreign nurses are very happy in Czech healthcare and they do not notice any significant issues, except a language barrier. They only have pointed out documentation and machines as problematic, because they are not used to them. Further, it was discovered that patients perceive minority nurses rather positively and, again, besides difficult communication, they do not perceive any significant issues. Communication, however, is totally a basic feature of healthcare, and our research has discovered that if a nurse is unable to communicate efficiently, the patient is unhappy, they do not trust the nurse sufficiently and they may even refuse their care.
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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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Increased living costs of tetraplegic with disability caused by an accident and their compensation by state contributions
Tučková, Vendula ; Kostřiba, Jan (advisor) ; Kotlářová, Jana (referee)
The theme of thesis is to define the living costs of person with the spinal cord injury in the cervical spine - tetraplegics. Tetraplegics are specific group of people with injury. Partial goal is to find out, whether state contributes and compensates health handicap of citizens enough. Thesis describes spends needed on one side and possibilities of state contributions on the other side. First part of theoretical part clarifies handicap of spinal cord injury and associated complications. It describes necessary compensational and medical equipment including process of its aquirement. Second part of theoretical part is based on Czech legislation and analyzes savings, advantages and contributions provided by social system of Czech Republic for disabled people. Practical part evaluates survey as a background for final conclusion of economic situation of tetraplegics. Key words tetraplegia, healthcare system, Czech Republic
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Analysis of the effectiveness of selected health policy measures of individual governments of the Czech Republic in the period 2005-2016
Šírková, Klára ; Lukášová, Tereza (advisor) ; Zubíková, Adéla (referee)
The aim of this thesis is to analyse effectivity of the selected measures of health policy of the individual governments of the Czech Republic in the period 2005-2016. Special attention is paid to Policy Statements of the Government of the Czech Republic in the field of healthcare, and to comparison of these statements with subsequent government measures. The theoretical part deals with the general theory of the health policy and its influence on the economy. Furthermore, there is outlined the historical development of the health policy since its inception to implementation of the health policy in the Czech Republic. The practical part first analyses the individual program statements of the Governments and examines the subsequent measures. Then it is focused on the selected national economic indicators, such as healthcare spending and their structure or founding, and their development, which compares with the governmental measures in the given years. Finally, the work summarizes the findings and evaluate the benefits or pitfalls of various measures of health policy. This topic is very timely given the current development of the health policy in the Czech Republic.
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The revenues of the healthcare systems of Russia and the Czech Republic (comparison)
Egorova, Anna ; Gajdošová, Eva (advisor) ; Maaytová, Alena (referee)
This bachelor thesis deals with the financing of the Czech and Russian healthcare systems. The Czech Republic and the Russian Federation are both using a mandatory health insurance financing model, but with a variety of differences. The main aim is to identify, quantify and then compare the revenues of the healthcare systems of Russia and the Czech Republic. The preamble presents various methods of financing health care. The second and third part focus on the financing of the healthcare systems in Russia and the Czech Republic with a deep dive into the analysis of the revenues of the mandatory health insurance in the years 2010-2016. The last part is a comparison of the two systems.
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Program of continual health care quality improvement in a private clinic in Ukraine
Shvets, Anna ; Lešetický, Ondřej (advisor) ; Pažitný, Peter (referee)
The aim of this master s thesis is to establish continual program of health care quality improvement in a private multi-specialty medical facility Nebolejka based in Ukrainian city Kharkov. Thesis is divided into several parts. Theoretical part is focused on quality examination from the healthcare system point of view, deals with the analyses of Ukrainian healthcare system actual state. Practical part is focused on health care quali-ty evaluation in a private clinic Nebolejka. With a use of patient satisfaction survey a program of health care quality improvement was established. Its effectiveness was also verified via repeated patient satisfaction survey in short- term time period. This thesis is primarily useful for medical facility Nebolejka, because improvement of health care quality not surprisingly constitute to better competitive market position.
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The professional opinion of nurses regarding the Czech healthcare system
Drábová, Michaela ; Jirkovský, Daniel (advisor) ; Dorková, Zlatica (referee)
Bachelor thesis of "Opinion about health system nurses in the Czech Republic" addresses the current issues related to the changes in the Organization and management of health care in the Czech Republic. The aim of the work was to bring the view of nurses on the existing health care system. The sisters belong to the largest group of health care workers and their views on the health care system are important for the provision of quality health care. In the theoretical part of the thesis is devoted to the attention of the health care system and its constituents (the patient, provider, and the payer) and a description of their roles, the role of the sisters, the role of the patient, health care provider roles and role of payer of health care. The empirical part contains its own investigation and presentation of the results. One of the objectives was to also compare the results with the results of own investigations previously realized researches of Sociological Institute AV.
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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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