scholarly journals Urban or Rural GP? In the Czech Republic It Is not just Distances That Matter

2021 ◽  
Vol 64 (1) ◽  
pp. 15-21
Author(s):  
Jan Bělobrádek ◽  
Luděk Šídlo ◽  
Kateřina Javorská ◽  
David Halata

This article proposes a combined mixed methods approach to categorising GP practices. It looks not only at location but also at differences in the nature of the work that rural GPs perform. A data analysis was conducted of the largest health insurance company in the Czech Republic (5.9 million patients, 60% of the population, 100% coverage within the Czech Republic). We performed two data analyses, one for 2014–2015 and one for 2016, and divided GP practices into urban, intermediate, and rural groups (taking into account the OECD methodology). We compared groups in terms of the total annual cost in CZK per adult registered insurance holders. The total volume of data indicated the financial costs of €1.52 billion and €2.57 billion respectively. Both analysis showed differences between all groups of practises which confirmed the assumption that the work of the GP is influenced by regionality. A multidisciplinary hospital is the main factor that fundamentally affects the way a GP’s work in that area. The proposed principle of categorising general practices combines geographical and cost characteristics. This requires knowledge of the cost data of healthcare payer and on the basic demographic knowledge of the area. We suggest this principe may be transferrable and particularly suitable for categorising general practice.

Author(s):  
Beata Gavurova ◽  
Miriama Tarhanicova

Background: Alcohol is a risk factor with serious consequences for society and individuals. This study aims to present methods and approaches that might be used to estimate the costs related to excessive alcohol consumption. It emphasizes the need for general methods and approaches that are easily applicable, because the level of digitalization and data availability vary across regions. The lack of data makes many methods inapplicable and useless. The ease of applicability will help to make cost-of-illness studies and their results comparable globally. Methods: This study is based on data from the Czech Republic in 2017. Drinking alcohol results in costs of healthcare, social care, law enforcement, and administrative costs of public authorities. To quantify the cost of drinking in the Czech Republic, the top-down approach, bottom-up approach, human capital approach and attributable fractions were used. Results: In 2017, the cost related to alcohol was estimated at 0.66% of the national GDP. Lost productivity represented 54.45% of total cost related to alcohol. All cost related to alcohol is considered to be avoidable. Conclusions: The methods and approaches applied to estimate the cost of disease or any other health issue should be generalized regarding the availability of data and specifics of provided services to people who are addicted or have any kind of disability.


2014 ◽  
Vol 60 (No. 7) ◽  
pp. 314-322
Author(s):  
A. Foltínová ◽  
J. Špička

The article aims at the evaluation and comparison of the structure of costs linked to the milk production in the Czech Republic and the Slovak Republic. The paper focuses on the potential of the cost controlling in agricultural production. The analysis is based on data from the comparable sample surveys of costs and yields of agricultural commodities carried out by the Institute of Agricultural Economics and Information, Prague, and the Research Institute of Agricultural and Food Economics, Bratislava, in the period 2007–2012. The authors apply the contribution margin calculation and the gross margin calculation. Using target costing, the upper limits of variable and fixed costs are set to reach the break-even point. One of the main finding is that the average costs per litre of milk are by 15.3% higher in Slovakia than in the Czech Republic. It is caused by a significantly lower milk yield in Slovakia. Cost controlling based on the knowledge about the structure of the average costs of milk production can help farmers to better manage their business.  


2012 ◽  
Vol 58 (No. 12) ◽  
pp. 557-565 ◽  
Author(s):  
H. Chládková ◽  
P. Tomšík ◽  
J. Sedlo

The paper describes changes in the structure of varieties grown in the Czech Republic. The authors examine the development taking place in this domain within the last 14 years (i.e. from 1997 to 2010). The paper analyses the reasons of these changes and tries to describe the future development expected after 2010. The article also examines the cost and profitability of growing grapes and wine prices. The current production potential of the Czech Republic is 19 633.45 hectares of vineyards. As compared with 1960, the total acreage of vineyards increased nearly three times and the number of the most frequent varieties has also increased. As far as the percentages of Müller Thurgau, Green Veltliner, Italian Riesling and Sankt Laurent varieties is concerned, it is anticipated that their acreages will further decrease, whereas those of Rhein Riesling, Sauvignon, Lemberger and Zweigeltrebe are expected to grow. The results from the survey of consumer behaviour in the wine market in the CR point to the connection between the structure of the vineyards and consumer demand. Lemberger, Cabernet Sauvignon, Müller Thurgau, Grüner Veltliner, Pinot Blanc, Saint Laurent, Blue Portugal, Chardonnay, Riesling and Bohemia Sekt have been the most popular varieties of the market research.  


Author(s):  
Vojtěch Tamáš ◽  
Jana Peterková

Modern hog breeding has a long tradition in the Czech Republic it is the stable branch of livestock production. Its main task is to produce high quality pork meat, which must meet all requirements of the processors and the final consumer. Pork meat occupies for decades in Czech Republic first place in consumption per one inhabitant (per year) and it forms more than 50% of the total annual meat consumption. This branch also plays an important role for producers of cereals, which largely contributes to the overall size and stability of the agricultural sector. The increasing imports were the main reason why many Czech hog breeding farms has been reduced or completely eliminated. Reducing numbers of pigs in the last decade is a reflection of supply and demand for pigs. The objecvive of this paper is to evaluate the changes in the cost structure for fattening of hogs and indicate how these changes are reflected in the competitiveness of Czech agriculture enterprises. Choice of optimal strategy of breeding and hog feeding already affects not only the requirements of food security, requirements of quality and affordability. Currently are also very important requirements for animal welfare and environmental protection with an emphasis on the sustainability of production and high hygiene standards. These measures require high investmens and operational costs are reflected in the worsening economy of pork meat production.


2011 ◽  
Vol 18 (5) ◽  
pp. 662-668 ◽  
Author(s):  
J Blahova Dusankova ◽  
T Kalincik ◽  
T Dolezal ◽  
G Kobelt ◽  
E Havrdova

Background: Information about cost of multiple sclerosis (MS) is available from a number of European countries, but no data from the Czech Republic have been published so far. Objective: The objective of this study was to establish the cost of MS in the Czech Republic, overall and by level of disease severity. Methods: Data on demographics, disease history, resource consumption and production losses were collected from 909 patients recruited in 7 MS centres in the Czech Republic. Annual costs were estimated in the societal perspective, using 2007 unit costs. To evaluate the relationship between disability and costs, patients were stratified into those with mild (67%), moderate (27%) and severe (10%) disability using the Expanded Disability Status Scale. Results: Mean total annual costs per patient were €12,272, of which 51% were direct medical costs, 4% direct non-medical costs and 45% indirect costs. The average annual costs in patients with mild, moderate and severe disability amounted to €9905, €14,064 and €22,880, respectively. Conclusion: The total costs of MS in the Czech Republic are estimated at €208.6 million per year. Consistent with other studies, the costs increase significantly with the severity of MS.


2021 ◽  
Vol 22 (5) ◽  
pp. 1124-1141
Author(s):  
Adam Faifr ◽  
Martin Januška

In this paper, the key factors that affect the extent of GDPR implementation in enterprises are analysed. Since 2018, all organizations operating in the European Union or processing personal data of EU citizens have had to incorporate a new regulation in their work. After three years of experience, possible key factors that significantly affect the cost of the entire project have been theoretically identified. However, a research gap remains whether the factors thus defined actually have a real impact on the implementation within organizations. Therefore, this study focuses on an empirical investigation of those characteristics using quantitative approach combining Chi-squared tests and the Classification and Regression Tree method. Based on a survey of organizations in the Czech Republic, this paper outlines that the size of the organization, the typology of personal data processed and the way GDPR is implemented determine the scope of the implementation project within organizations. On the other hand, there is no clear evidence that there is significant role in whether it is a public or private organization.


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