chronic diseases in the czech republic data and management
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Chronic Diseases in the Czech Republic Data and Management. 9/2010 Stanislava Panova, MD Director of the Healthcare Dept. Ministry of Health of the Czech Republic. The Czech Republic. Population size: 10.3 mil. inhabitants Total number of older people ( ≥ 65 years): 1 556 152 (14.9%)

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chronic diseases in the czech republic data and management

Chronic Diseasesin the Czech RepublicData and Management

9/2010

Stanislava Panova, MD

Director of the Healthcare Dept.

Ministry of Health of the Czech Republic

the czech republic
The CzechRepublic
  • Population size: 10.3 mil. inhabitants
  • Total number of older people (≥ 65 years): 1 556 152 (14.9%)
  • Home care: 106 980 persons ≥ 65 yrs
  • Hospital care:24 387 persons ≥ 65 yrs
  • Number of persons receiving financial support for their care from the state:

286 595 persons

200 118 persons ≥ 65 years

management of chronic diseases
Management of Chronic Diseases
  • Concepts of Individual Fields of Medicine
  • Professional Recommendations
  • National Action Plans and Strategies
  • Technical Capacity of Outpatient Care, Acute Care and Aftercare
  • Legislative Standards Conditioning the Health Care Sector
concepts of individual fields of medicine
Concepts of Individual Fields of Medicine
  • Professional societies create their recomendations in relation to global and European concepts
  • There is no single approach to these concepts and no rules have been established for creating these concepts

This work needs:

    • Interdisciplinary approach
    • Conformance with national strategies
    • Consultation with health care payers
    • Complexity of elaboration from the aspect of the field
professional recommendations
Professional Recommendations

Over the past two years, a significant shift has been noted in the following areas:

  • Creation of national sets of standards for health care – the ones that are frequent, costly, complicated …
  • Creation of unified methodology, opponency, updates
  • Financing from EU sources
  • From the area of chronic diseases, e.g. hip and knee joint replacements, hypertension, myocardial infarction and others
n ational action plans and s trategies
National Action Plans and Strategies
  • National Action Plan for Healthcare Quality and Safety and Standardised Healthcare
  • National Action Plan for Child Injury Prevention
  • National Action Plan for Rare Diseases
  • National Action Plan for Transplants
  • Programme for Equalization of Opportunities for Persons with Disabilities
  • Recommendation of the Government Council for seniors and the aging population to process a concept for solving the issue of Alzheimer’s Disease and similar diseases in the Czech Republic
  • National Action Plan for Patient Nutrition
t echnic al capacity of outpatient care acute care and aftercare
Technical Capacity of Outpatient Care, Acute Care and Aftercare
  • 56.000 acute care beds
  • 28.000 aftercare beds
  • 106.000 people in home care
  • 398 hospices beds
  • paliative care ????
legislativ e standards
Legislative Standards
  • Backbone laws are out of date, we have new ones prepared
  • Subordinate standards
    • Decree on medical documents
    • Decree on dispensary
    • Preventive decree
    • List of medical procedures with point values always to 1.1 of the respective year.
what do we need for successful management of chronic diseases
What Do We Need for Successful Management of Chronic Diseases?
  • Quality data

(in order to be able to evaluate the population load)

2. Information on clinical development of diseases

(for comparing costs, benchmarking processes and results)

  • A plan for financing the entire care segment

(build by insuarance companies)

health care rationalisation
Health Care Rationalisation
  • Concentration of costly and specialised care into a limited number of centres – oncology, traumatology, cardiovascular, cerebrovascular system, ….rare diseases, hemolytical, cystic fibr.
  • Elimination of duplicates in care – diagnostics, therapy – BSA agreement with WHO.
  • Correct assessment of disabilities – newly implemented ICF classification
  • Close cooperation with the Department of Labour and Social Affairs – multi-source financing of health care
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Thank you for your attention!

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