scholarly journals The Use of Diagnosis-Related Group-Based Reimbursement in the Czech Hospital Care System

2021 ◽  
Vol 18 (10) ◽  
pp. 5463
Author(s):  
Zuzana Kotherová ◽  
Martina Caithamlová ◽  
Juraj Nemec ◽  
Kateřina Dolejšová
Keyword(s):  
Czech Republic ◽  
Diagnosis Related Groups ◽  
Care Quality ◽  
The Czech Republic ◽  
Drg System ◽  
Positive Effects ◽  
Current Implementation ◽  
Related Group ◽  
Hospital Payment ◽  
Set Up

(1) Background: Diagnosis-Related Groups (DRG), one possibility of a hospital payment system, are currently used in most European countries. Introduced to the Czech system in the 1990s, the DRGs are currently used mainly for care reporting and partly for reimbursement. According to most experts, the use of DRG remain controversial. The goal of this paper was to study the effects of the current Czech DRG system on hospitals financing and, on this basis, to propose possible changes to the reimbursement mechanism in the Czech Republic. (2) Methods: Qualitative research methods were used for evaluating DRG mechanisms of application in three selected healthcare establishments in the CR in the period of 2012–2018. (3) Results: Our study shows that the current implementation of the DRG system is set up in a way that is very similar to traditional flat rates and is unlikely to yield major positive effects of the DRG mechanism, such as predictability of payments for hospitalisation cases, care quality and efficiency and transparent financing. (4) Conclusions: Based on our results, deep systemic change of the reimbursement mechanism in the Czech Republic is necessary. We propose five partial measures leading to the cultivation of the Czech DRG.

scholarly journals Current Implementation of the Circular Economy in Enterprises in the Czech Republic

2021 ◽  
Vol 21 (2) ◽  
pp. 189-210
Author(s):  
Otakar Ungerman ◽  
Jaroslava Dědková
Keyword(s):  
Czech Republic ◽  
Circular Economy ◽  
Iso 14001 ◽  
Primary Research ◽  
The Czech Republic ◽  
Scientific Databases ◽  
Active Approach ◽  
Current Implementation ◽  
Depth Interview ◽  
The Subject

Abstract The subject of this paper is the contemporary use of the circular economy in business practice. The topicality of this theme was the reason for resolving the main objectives, which were to determine how enterprises in the Czech Republic are currently involved in the circular economy. The authors focused on empirical research, the methodological framework of which contains three interrelated parts. The basis was secondary research from scientific databases, which was followed up by the primary research. The objects of the primary research were based on three research questions, which were focused on the use of standardised environmental activities, the identification of tools of the circular economy and determining their importance. The research was evaluated using the methods of content analysis, descriptive and inductive statistics. The research showed that 71 % of enterprises present themselves as taking an active approach to the environment beyond the scope of the statutory obligations. Enterprises then make most use of regulatory tools such as the ISO 14001 standard or Ecodesign. An in-depth interview was used to identify sixteen tools of the circular economy as they are perceived by enterprises. When assessing importance, the highest rated tool was reducing energy consumption in production, waste from production, the consumption of materials, emissions and minimization of waste. Statistically significant differences were also identified with these tools. The research showed that the circular economy is most used in automotive industry enterprise.

Mongolská menšina v České republice a její integrace

2021 ◽  
Author(s):  
Monika Nová
Keyword(s):  
Czech Republic ◽  
Focus Groups ◽  
Regional Policy ◽  
Way Of Life ◽  
The Czech Republic ◽  
Migration History ◽  
History Of ◽  
Set Up ◽  
Special Circumstances

The article describes a range of features typical of the manner in which Mongolians integrate themselves into an alien culture, particularly their way of life in the Czech Republic. Since the migration history of Mongolian minority living in our country is relatively short, the inquiry into their special circumstances required that we set up several focus groups at those places of Czechia where their populations are largest, namely in the regions of Highland, Pardubice, Zlín and Karlovy Vary. Special attention was paid to their involvement in regional policy in dependence on their numbers. As also follows from what was said above, the number of available interpreters and translators offering a command of both Czech and Mongolian languages is insufficient and does not meet the needs of integration.

scholarly journals Drivers and Frequency of Forest Visits: Results of a National Survey in the Czech Republic

Forests ◽  
2020 ◽  
Vol 11 (4) ◽  
pp. 414 ◽  
Author(s):  
Miroslava Šodková ◽  
Ratna Chrismiari Purwestri ◽  
Marcel Riedl ◽  
Vilém Jarský ◽  
Miroslav Hájek
Keyword(s):  
Czech Republic ◽  
Sociological Research ◽  
The Czech Republic ◽  
Participatory Forest Management ◽  
The Public ◽  
Forest Ecosystem Services ◽  
Main Driver ◽  
Large Scope ◽  
Set Up ◽  
Game Hunting

The general objective of the study was to assess the main drivers for visiting the forest and the frequency of the visits in the Czech Republic. A nationwide collection of data of the sociological research as part of The Market & Media & Lifestyle Research Project was carried out every year in the Czech Republic under the licensed cooperation with Kantar Media. The project is unique by the large scope of the questions in the questionnaires and by the high number of respondents. A total of 8794 Czech inhabitants aged 12 years and above from all the regions were involved in the survey in 2018. Information about the socioeconomic and demographic characteristics of all the respondents were obtained. In the closed questions, the respondents reported the frequency of the forest visits and its drivers. The main driver for visiting the forest was just to go for a walk or just to enjoy the outdoors, especially during their holidays or weekends, amounting to 79% of the inhabitants. Meditation and relaxation as well as sport in the forest, were also considered as important motives for forest recreation. On the contrary, 95% of the visitors did not practice game hunting, although game has a long tradition in the Czech Republic. Improvement on managing the forest for recreation should focus on participatory forest management to find a consensus between the public and forest stakeholders. Common decisions may help set up forest recreational goals with positive impacts on forest ecosystem services.

scholarly journals A Curse of Coal? Exploring Unintended Regional Consequences of Coal Energy in The Czech Republic

2014 ◽  
Vol 22 (2) ◽  
pp. 55-65 ◽  
Author(s):  
Bohumil Frantál ◽  
Eva Nováková
Keyword(s):  
Czech Republic ◽  
Power Plants ◽  
Resource Curse ◽  
District Heating ◽  
The Czech Republic ◽  
Socioeconomic Characteristics ◽  
Positive Effects ◽  
Coal Power Plants ◽  
Coal Power

Abstract Focusing on coal energy from a geographical perspective, the unintended regional consequences of coal mining and combustion in the Czech Republic are discussed and analysed in terms of the environmental injustice and resource curse theories. The explorative case study attempts to identify significant associations between the spatially uneven distribution of coal power plants and the environmental and socioeconomic characteristics and development trends of affected areas. The findings indicate that the coal industries have contributed to slightly above average incomes and pensions, and have provided households with some technical services such as district heating. However, these positive effects have come at high environmental and health costs paid by the local populations. Above average rates of unemployment, homelessness and crime indicate that the benefits have been unevenly distributed economically. A higher proportion of uneducated people and ethnic minorities in affected districts suggest that coal energy is environmentally unjust.

scholarly journals Economic Differences of Border Regions in the Czech Republic

2018 ◽  
Vol 66 (2) ◽  
pp. 571-582
Author(s):  
Jitka Svobodová ◽  
Ludmila Dömeová ◽  
Andrea Jindrová
Keyword(s):  
Czech Republic ◽  
Labour Market ◽  
Research Question ◽  
Principal Component ◽  
Border Region ◽  
The Czech Republic ◽  
Border Regions ◽  
Neighbouring Country ◽  
Set Up ◽  
Three Components

The article deals with the economically weak regions in the border areas of the Czech Republic (CR). The main goal is the selection and application of the most important variables, as the methodology of selection and evaluation of economically weak regions is not united. The following research question was formulated as whether the border regions are economically weaker when compared with the Czech Republic average of selected indicators. Two working hypotheses were set: whether the situation of the border regions is different from each other among the border regions and whether the economy of the neighbouring country impacts these disparities in border regions. The secondary goal of this article is to find homogenous clusters and describe these clusters of border regions. The result of the principal component analysis was determination of three components Labour market, Transnational commuters and Population migration. The variables that set up the component Labour Market was found to be the most important for economically weak border regions. The three components were used for cluster analysis and the territories were broken up into four clusters, none of which is above average of the CR with the result that the situation in the border region is dependent on the neighbouring country.

scholarly journals Possibilities and reality of on-farm conservation

2010 ◽  
Vol 46 (Special Issue) ◽  
pp. S60-S64 ◽  
Author(s):  
V. Holubec ◽  
T. Vymyslický ◽  
F. Paprštein
Keyword(s):  
Czech Republic ◽  
National Parks ◽  
Ex Situ ◽  
Nature Protection ◽  
Negative Experiences ◽  
The Czech Republic ◽  
On Farm Conservation ◽  
Set Up ◽  
On Farm

Conservation of crops is based on <I>ex situ </I>collection into gene banks. Additionally, crop’s wild relatives can be conserved <I>in situ</I>, and landraces and obsolete cultivars also can be conserved using the on-farm method. The definition and methodology of on-farm conservation is discussed. On-farm conservation has been set up in the Czech Republic as model examples in several institutions dealing with nature protection, education, cultural conservation, as well as by some private farmers. Problems, plus positive and negative experiences are presented. On-farm conservation in open-air-museums in the natur (skansens) as well as in the national parks, seem to be suitable ways forward for the Czech Republic.

scholarly journals The Effects of Liberalisation of the Passenger Railway Market on the Situation of Regional Rail Connections in Poland, Czech Republic, Slovakia and Austria

2015 ◽  
Vol 15 (3) ◽  
pp. 249-268 ◽  
Author(s):  
Jakub Taczanowski
Keyword(s):  
Czech Republic ◽  
Local Governments ◽  
Large Scale ◽  
Regional Government ◽  
The Czech Republic ◽  
Railway Line ◽  
Railway Company ◽  
Positive Effects ◽  
Effective Transport ◽  
Eastern European Countries

AbstractLiberalisation of railway market can be an important instrument for increasing the attractiveness of local rail services and consequently for making the railways more competitive with other means of transport, which could result in changing the modal share in the favour of railways. The differences in the railway liberalisation level as well as in the policies towards rail transport between Central and Eastern European countries are vast, hence the present situation and the future prospects of regional services are diverse. Whereas there is only one railway line in Slovakia which is not operated by the state railway company ZSSK, a few private local connections which complement a very dense network of ČD state railways are in service in the Czech Republic. Poland, by contrast, is a country where liberalisation of railway market is most advanced as several different companies are responsible for transport in the regions. However, the results of this large scale liberalisation are ambiguous as the positive effects (reopening of some lines) are balanced by isolation of the new regional government-owned systems from each other. In Austria, by contrast, the existence of several private and regional government-owned local railways which are an indispensable part of the regional transport networks has contributed to maintain an effective transport system. Although the effects of liberalisation on the local railway networks can often be ambiguous, several cases from the Czech Republic, Austria and Poland show that privatisation and municipalisation may have a positive effect on the railway service as it has enabled to maintain the service on many sections which were at risk of closure. However, the most important condition of the effective transport development seems to be an active cooperation between the railway operators and the local governments as an expression of appropriate transport policy.

scholarly journals Participative and Deliberative Democracy on the Local Level: How the Political Characteristics of Municipalities in the Czech Republic Relate to the Use of Selected Democratic Innovation within their Territory?

2019 ◽  
Vol 17 (2) ◽  
pp. 369-393 ◽  
Author(s):  
Hana Hurtikova ◽  
Michal Soukop
Keyword(s):  
Czech Republic ◽  
Local Level ◽  
The Political ◽  
Decision Making Process ◽  
The Czech Republic ◽  
Positive Effects ◽  
Unique Data ◽  
Utilisation Rate ◽  
Unexplored Area

Little current studies of democratic innovations have considered whether there is any connection between the political characteristics of a municipality and the higher degree of use of participative and deliberative tools within their territory. This article aims at contributing to the discussion by testing selected political indicators in the municipalities in relation to the utilisation rate of innovative tools. By using the case study of local territory within the Czech Republic during the election period of 2014–2018, the article uses unique data from the municipalities with extended powers to track common features of participative municipalities, e-municipalities, and transparent municipalities, and reveals the substantial positive effects of intergenerational renewal in the representative bodies and strong financial capital. Paper contributes to the discourse on democratic innovations by focusing on unexplored area, thanks to which participative and deliberative tools could become a normal part of the decision-making process on a local level.

scholarly journals Mass media image of selected instruments of economic develepment

2016 ◽  
Vol 16 (3) ◽  
pp. 282-303 ◽  
Author(s):  
Ladislav Kruliš
Keyword(s):  
Economic Development ◽  
Czech Republic ◽  
Mass Media ◽  
Investment Incentives ◽  
The Czech Republic ◽  
Media Image ◽  
Positive Effects ◽  
The Media ◽  
The Mass Media ◽  
Media Message

Abstract The goal of this paper is twofold. Firstly, two instruments of economic development – investment incentives and cluster initiatives – were compared according to the frequency of their occurrence in selected mass media sources in the Czech Republic in the periods 2004-2005 and 2011-2012. Secondly, the mass media image of these two instruments of economic development was evaluated with respect to the frames deductively constructed from literature review. The findings pointed out a higher occurrence of the mass media articles/news dealing with investment incentives. These articles/news were, additionally, more controversial and covered a wider spectrum of frames. Politicians were a relatively more frequent type of actors who created the media message from the articles/news. On the contrary, the mass media articles/news concerning cluster initiatives typically created the frame of positive effects of clusters. The messages were told either by economic experts or by public authority representatives who were closely connected with cluster initiatives. Spatial origin of these messages was rather limited. The definitional vagueness, intangible and uncontroversial nature of cluster initiatives restrained their media appeal.

scholarly journals Molecular markers of genetic variability in triticale varieties registered in the Czech Republic

2006 ◽  
Vol 54 (5) ◽  
pp. 149-154
Author(s):  
Tomáš Vyhnánek ◽  
Jan Bednář
Keyword(s):  
Czech Republic ◽  
Genetic Variability ◽  
Ssr Markers ◽  
Dna Polymorphism ◽  
Rapd Markers ◽  
Statistical Evaluation ◽  
The Other ◽  
The Czech Republic ◽  
Set Up ◽  
Rapd Method

Genetic variability was detected in 15 varieties of triticale (XTriticosecale Wittmack., 2n = 6x = 42, BBAARR) registered in the Czech Republic by means of polymorphism of DNA using the RAPD method and the SSR method. For detection we used 80 RAPD primers. The lower reproducibility of the RAPD markers was resolved by means of repeated analyses (3–4 times). On the basis of statistical evaluation a dendrogram was set up, which allows highly significantly to differentiate the varieties Kolor, Modus and Tornado. The remaining 12 analysed varieties formed 4 clusters. In addition to the RAPD markers a protocol of detection of DNA polymorphism was elaborated and optimised with microsatellite (SSR) markers. For the analyses we used 2 SSR markers (1A chromosome [Xpsp2999] and 1B chromosome [Xpsp3000]), which have been discovered in wheat (T. aestivum L.). Basing on these two SSR markers the only variety Triamant was distinguished from the clusters of the other analysed varieties.

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