Czech Healthcare: Its Past, Present and Future Challenges

Pavlík, Marek; Kotherová, Zuzana

doi:10.1142/9789811208928_0008

Cited by 2 publications

(2 citation statements)

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“…The Czech healthcare services, as well as doctors' skills, generally rank well in international tables [23]. The Czech Republic has a system of statutory health insurance based on compulsory membership in one of the health insurance funds.…”

Section: Background: Financing Health Service Providers In the Czech ...mentioning

confidence: 99%

“…Health indicators, such as infant and maternal mortality and life expectancy, have continuously improved in the past two decades. Like any country, the healthcare system faces the challenges of rapidly expanding possibilities of medical treatment and research with restricted public resources (see e.g., [23,24] to obtain more information about the Czech Health system). Balancing between maintaining open access to healthcare and the need to improve efficiency has kept the country in constant debate about the future of its healthcare [23].…”

Section: Background: Financing Health Service Providers In the Czech ...mentioning

confidence: 99%

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

Kotherová

Caithamlová

Nemec

et al. 2021

IJERPH

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(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.

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Section: Background: Financing Health Service Providers In the Czech ...mentioning

confidence: 99%

Section: Background: Financing Health Service Providers In the Czech ...mentioning

confidence: 99%

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

Kotherová

Caithamlová

Nemec

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

Health reforms across the world: are they heading in the same direction, and how much change can we expect?

Tenbensel

2023

Res Health Serv Reg

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Czech Healthcare: Its Past, Present and Future Challenges

Cited by 2 publications

References 0 publications

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

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

Health reforms across the world: are they heading in the same direction, and how much change can we expect?

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