The Unmet Needs of Patients With Progressive Neurological Diseases in the Czech Republic: A Qualitative Study

2018 ◽  
Vol 34 (1) ◽  
pp. 38-46 ◽  
Author(s):  
Radka Bužgová ◽  
Radka Kozáková ◽  
Lubica Juríčková
Keyword(s):  
Czech Republic ◽  
Unmet Needs ◽  
Neurological Diseases ◽  
Current System ◽  
Substantial Reduction ◽  
Advanced Stage ◽  
Care Needs ◽  
The Czech Republic ◽  
Rehabilitation Care ◽  
Health And Social Care

Aim: The aim of our research was to explore the unfulfilled needs of patients with a progressive neurological disease in advanced stage of the illness within the current system of health and social care in the Czech Republic. Design and Setting: Qualitative research (grounded theory) was used to conceptualize the patterns of unmet palliative care needs in Czech Republic. Methods: The data collection method comprised individual, in-depth interviews (n = 19) and focus groups (n = 4) where a total of 52 respondents participated (patients with progressive neurological diseases [PNDs], family members, and professionals). Results: Two main categories of unfulfilled needs were determined (life with the disease, professional help), and they were described in the context of the 3 crucial themes identified in the study—the symptoms of the advanced stage of the disease resulted in substantial reduction of physical self-sufficiency, loss of autonomy, and social isolation; the level of dependence on the support and help of others increased; the patients also highlighted several problems related to health-care services. Conclusion: The unmet needs should be taken into consideration when creating the concept of the neuropalliative and rehabilitation care, including the mental health support plan, because of the emotional, behavioral, and cognitive disorders that frequently occur in the lives of a substantial amount of patients with PND.

scholarly journals The unmet needs of family members of patients with progressive neurological disease in the Czech Republic

PLoS ONE ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. e0214395 ◽  
Author(s):  
Radka Bužgová ◽  
Radka Kozáková ◽  
Lubica Juríčková
Keyword(s):  
Czech Republic ◽  
Neurological Disease ◽  
Unmet Needs ◽  
Family Members ◽  
The Czech Republic

scholarly journals Needs of patients with dementia and their caregivers in primary care: lessons learned from the Alzheimer plan of Quebec

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Vladimir Khanassov ◽  
Laura Rojas-Rozo ◽  
Rosa Sourial ◽  
Xin Qiang Yang ◽  
Isabelle Vedel
Keyword(s):  
Primary Care ◽  
Unmet Needs ◽  
Social Care ◽  
Phase 1 ◽  
Lessons Learned ◽  
Community Dwelling ◽  
Care Plan ◽  
Phase 2 ◽  
Care Needs ◽  
Health And Social Care

Abstract Background Persons living with dementia have various health and social care needs and expectations, some which are not fully met by health providers, including primary care clinicians. The Quebec Alzheimer plan, implemented in 2014, aimed to cover these needs, but there is no research on the effect this plan had on the needs and expectations of persons living with dementia. The objective of this study is to identify persons living with dementia and caregivers’ met and unmet needs and to describe their experience. Methods This is a sequential mixed methods explanatory design: Phase 1: cross-sectional study to describe the met and unmet health and social care needs of community-dwelling persons living with dementia using Camberwell Assessment of Need of the Elderly and Carers’ Assessment for Dementia tools. Phase 2: qualitative descriptive study to explore and understand the experiences of persons living with dementia and caregivers with the use of social and healthcare services, using semi-structured interviews. Data from phase 1 was analyzed with descriptive statistics, and from phase 2, with inductive thematic analysis. Results from phases 1 and 2 were compared, contrasted and interpreted together. Results The mean total number of needs reported by the patients was 5.03 (4.48 and 0.55 met and unmet needs, respectively). Caregivers had 0.52 met needs (3.16 unmet needs). The main needs for both were memory, physical health, eyesight/hearing/communication, medication, looking after home, money/budgeting. Three categories were mentioned by the participants: Persons living with dementia and caregiver’s attitude towards memory decline, their perception of community health services and of the family medicine practice. Conclusions Our study confirms the findings of other studies on the most common unmet needs of the patients and caregivers that are met partially or not at all. In addition, the participants were satisfied with access to care, and medical services in primary practices, being confident in their family. Our results indicate persons living with dementia and their caregivers need a contact person, a clear explanation of their dementia diagnosis, a care plan, written information on available services, and support for the caregivers.

scholarly journals The impact of LFA payments on FADN farms in the Czech Republic

2008 ◽  
Vol 54 (No. 10) ◽  
pp. 489-497 ◽  
Author(s):  
M. Štolbová ◽  
T. Hlavsa
Keyword(s):  
Czech Republic ◽  
Current System ◽  
Value Added ◽  
Farm Income ◽  
Family Farm ◽  
The Czech Republic ◽  
Data Network ◽  
Farm Accountancy Data Network ◽  
The Impact ◽  
Net Value Added

This paper analyses the impact of the LFA payments on farms economic results on the basis of the Farm Accountancy Data Network in the Czech Republic. Firstly, the approaches are compared to the structure of farms based on the LFA type. Secondly, the share of the LFA payments on economic results of farms is evaluated. The evaluation considers the LFA type, share of grassland, size of the eligible area of farms. Basic economic indicators are being monitored, such as Gross Farm Income, Farm Net Value Added, Family Farm Income, current subsidies, of which in particular the LFA payments. The share of the LFA payments in economic results of agricultural holdings is compared. As a result of the analysis, the winners and losers of the current system were defined.

scholarly journals The Development of the Health and Social Care Sector in the Regions of the Czech Republic in Comparison with other EU Countries

2019 ◽  
Vol 8 (6) ◽  
pp. 170 ◽  
Author(s):  
Erika Urbánková
Keyword(s):  
Czech Republic ◽  
Healthcare Workers ◽  
Social Care ◽  
Secondary Data ◽  
The European Union ◽  
The Czech Republic ◽  
Health And Social Care ◽  
The Given ◽  
Nurses And Midwives ◽  
The Eu

In this paper, the quantitative status of employees in the Health and Social Care sector in the Czech Republic is assessed, and the future development of the sector is predicted both for the Czech Republic as a whole, and for individual regions according to the NUTS3 classification. At present, labor market prognoses are created using the ROA-CERGE model, which includes the main professions in the Health and Social Care sector. This article expands the predictions by adding the regional level and using extrapolation of time series, and it identifies the regions important for the given sector and the labor force. The position of the Czech Republic with regard to selected professions in comparison with other countries of the European Union, i.e., its qualitative status, is also assessed in the paper. The following professions are assessed: general nurses and midwives (both with and without a specialization), physicians, and professional assistants. Healthcare workers do not manifest geographical mobility between regions and work primarily in the region where they live. Since the Czech Republic’s accession to the EU, staff working in key professions have been able to work under comparable conditions in any of the member states. The workforce flow depends, among other things, on its qualitative representation in the given country. To find groups of European countries with similar characteristics of quantitative coverage in selected professions in the Health and Social Care sector, cluster analysis is used to identify homogeneous clusters of countries, as of 2016. Secondary data was obtained from the Czech Statistical Office (CZSO) and the Information System (ISA+) of the National Institute of Education (NIE).

scholarly journals The EU Bank Resolution Framework: Institutional Changes of the Financial Safety Net in Poland and the Czech Republic

2019 ◽  
pp. 201-214
Author(s):  
Michal Janovec ◽  
Anna Jurkowska-Zeidler
Keyword(s):  
Czech Republic ◽  
Financial Market ◽  
Financial Stability ◽  
Global Financial Crisis ◽  
Current System ◽  
Safety Net ◽  
Legal Framework ◽  
The Czech Republic ◽  
Financial Safety Net ◽  
The Eu

In response to the global financial crisis, fundamental changes have been made at the European level to the legal framework of single financial market reg ulation and super vision. One of the significant legal steps was the establishment of a common system of recovery and resolution of failing banks. Within the framework of a systemic approach to the EU financial market, the article illustrates the steps taken towards the implementation of the resolution framework into domestic financial markets of Poland and the Czech Republic. The core content of the article is comparison of the role and location of the Polish and Czech resolution authorities in the architecture of the national safety net. The main aim of the contribution is to confirm or disprove a hypothesis that the legal framework of the resolution is a complementary element of financial safety net at the financial market, making it necessary to redefine the role of individual institutions that form the current system of ensuring financial stability in Poland and the Czech Republic. The scientific methods of analysis, synthesis, and comparison have been employed.

Czech Republic

2019 ◽  
pp. 139-148
Author(s):  
Iva Holmerová
Keyword(s):  
Czech Republic ◽  
Social Care ◽  
Action Plan ◽  
The Czech Republic ◽  
People With Dementia ◽  
Health And Social Care ◽  
Dementia Research ◽  
Care Systems ◽  
The Government ◽  
The Many

The Czech Republic has a very long history of dementia research, and the findings of Professor Pick and Dr Fischer at the end of the nineteenth and the beginning of the twentieth century, respectively, are worth mentioning. At present, dementia is a topic of increasing importance for health and social care systems in the Czech Republic, and the National Action Plan on Alzheimer´s Disease (NAPAD) was approved by the Government in 2016. It outlines the main challenges in dementia care and also formulates the necessary steps towards improvement in this area, as well as the general principles that are necessary for improving the quality of life of people with dementia and their families. Health and social care systems have undergone substantial changes in the last decades. Despite the many achievements and improvements in both the health and social care systems, there are persistent shortcomings, particularly with regard to their coordination.

scholarly journals A Model of Vignette for Motor Vehicles in the Czech Republic

2020 ◽  
Vol 11 (1) ◽  
pp. 5-20
Author(s):  
Břetislav Andrlík ◽  
Lucie Zborovská
Keyword(s):  
Czech Republic ◽  
Current System ◽  
Motor Vehicles ◽  
Commercial Vehicles ◽  
Passenger Cars ◽  
Current Application ◽  
The Czech Republic ◽  
Legal Standards ◽  
Proposed Model ◽  
The Eu

This article examines the fees applied to vehicles of the maximum weight of 3.5 t based on time. It focuses on the analysis of the current application of time-based fees in individual countries of the EU. This analysis is carried out as a supporting tool serving the design models available in the Czech Republic. The goal of the contribution is designing a new model of time-based pricing of road motor vehicles in the territory of the Czech Republic. The contribution also includes the analysis of legal standards regulating the issue in the Czech Republic and in the EU countries; the analysis only deals with EU legal standards that directly address the area. The outcome of the contribution is a constructed model of a time-based fee, based on pre-defined assumptions, which were determined by needs ensuing from the current conditions that affect the operation of chargeable passenger cars and light commercial vehicles. In conclusion, a comparison of receipts from the current system of time-based fees with receipts resulting from the proposed model of time-based fees for the Czech Republic is made. The results shown in Table 6 show that the application of the newly defined time-based fee model in the Czech Republic leads to increased public budget revenues by 3.14%, ie by CZK 149.262 million in absolute terms.

scholarly journals Factors affecting students’ attitude towards introduction of tuition fees for higher education in the Czech Republic

2013 ◽  
Vol 61 (7) ◽  
pp. 2939-2949
Author(s):  
Martina Zámková ◽  
Veronika Blašková
Keyword(s):  
Higher Education ◽  
Czech Republic ◽  
Student Loans ◽  
Current System ◽  
Real Life ◽  
Higher Education Funding ◽  
Tuition Fees ◽  
The Czech Republic ◽  
Factors Affecting

Introduction of tuition fees has been much discussed in the Czech Republic over the recent years. Unfortunately, the current system of non-discriminate higher-education funding is no longer supportable, that is, provided that we do not want all universities to be evenly “mediocre”. A well configured tuition-fee system with low payments, suitably complemented by student loans covering not only the tuition fees but also the subsistence costs could be an acceptable vision of the future higher education. The obligation to pay for the study should also prevent from enrolment those applicants that only enter a university to avoid having to cater for themselves in real life. A survey was conducted to find out the views of Czech university students on the introduction of tuition fees and the possible methods of their payment. A subsequent analysis was made to see whether the introduction of tuition fees would aggravate students’ financial situation, whether they would be more motivated to complete the studies in due time, and whether they would be more concerned with the quality of teaching. The survey also analysed the relationship between a respondent’s view on the introduction of tuition fees and the current methods of financing the studies (accommodation, transport, meals, textbooks, …), the household income, and the gender. It also takes into account the attitude of respondents on the system of student loans proposed. In order to interpret the results correspondence and dependence analysis were used.

scholarly journals The older prisoner health and social care assessment and plan (OHSCAP) versus treatment as usual: a randomised controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Katrina Forsyth ◽  
Roger T. Webb ◽  
Laura Archer Power ◽  
Richard Emsley ◽  
Jane Senior ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Unmet Needs ◽  
Social Care ◽  
Controlled Trial ◽  
Care Needs ◽  
Treatment As Usual ◽  
Prisoner Health ◽  
Care Assessment ◽  
Health And Social Care ◽  
Randomised Controlled

Abstract Background Older people are the fastest-growing demographic group among prisoners in England and Wales and they have complex health and social care needs. Their care is frequently ad hoc and uncoordinated. No previous research has explored how to identify and appropriately address the needs of older adults in prison. We hypothesised that the Older prisoner Health and Social Care Assessment and Plan (OHSCAP) would significantly increase the proportion of met health and social care needs 3 months after prison entry, compared to treatment as usual (TAU). Methods The study was a parallel randomised controlled trial (RCT) recruiting male prisoners aged 50 and over from 10 prisons in northern England. Participants received the OHSCAP or TAU. A clinical trials unit used minimisation with a random element as the allocation procedure. Data analysis was conducted blind to allocation status. The intervention group had their needs assessed using the OHSCAP tool and care plans were devised; processes that lasted approximately 30 min in total per prisoner. TAU included the standard prison health assessment and care. The intention to treat principle was followed. The trial was registered with the UK Clinical Research Network Portfolio (ISRCTN ID: 11841493) and was closed on 30 November 2016. Results Data were collected between 28 January 2014 and 06 April 2016. Two hundred and forty nine older prisoners were assigned TAU of which 32 transferred prison; 12 were released; 2 withdrew and 1 was deemed unsafe to interview. Two hundred and fifty three 3 prisoners were assigned the OHSCAP of which 33 transferred prison; 11 were released; 6 withdrew and 1 was deemed unsafe to interview. Consequently, data from 202 participants were analysed in each of the two groups. There were no significant differences in the number of unmet needs as measured by the Camberwell Assessment of Needs – Forensic Short Version (CANFOR-S). The mean number of unmet needs for the OHSCAP group at follow-up was 2.03 (SD = 2.07) and 2.06 (SD = 2.11) for the TAU group (mean difference = 0.088; 95% CI − 0.276 to 0.449, p = 0.621). No adverse events were reported. Conclusion The OHSCAP was fundamentally not implemented as planned, partly due to the national prison staffing crisis that ensued during the study period. Therefore, those receiving the OHSCAP did not experience improved outcomes compared to those who received TAU. Trial registration Current Controlled Trials: ISRCTN11841493, 25/10/2012.

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