Institutional reforms to strengthen patient and public involvement in the Czech Republic since 2014

Dobiášová, Karolína; Kotherová, Zuzana; Numerato, Dino

doi:10.1016/j.healthpol.2021.03.011

Cited by 3 publications

(4 citation statements)

References 18 publications

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“…The greater experience with telemedicine in the Czech Republic, reinforced by the COVID-19 pandemic, has contributed to the fact that a wider introduction of telemedicine elements in different healthcare fields is already generally supported by patients ( 12 , 30 ). Our research also confirmed the high level of patient acceptance of telemedicine interventions, similar to the level of acceptance in foreign studies ( 31 , 32 ).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…This is the reason why in the last decade there has been a growing effort to involve patients and the public (PPI) in health policy decision making processes ( 11 ). Different countries use a variety of tools, policies and interventions to systematically improve the position of the patient in the health system ( 11 , 12 ).…”

Section: Introductionmentioning

confidence: 99%

“…In the same year, the Patients’ Council was established ( 16 ), which is a permanent advisory body to the MoH, with as its main mission to promote patients’ rights, including participation in the legislative process. The Patients’ Council currently has seven permanent working groups, one of which is explicitly dedicated to eHealth ( Figure 1 ) ( 12 ).…”

Section: Introductionmentioning

confidence: 99%

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Development of telemedicine in the Czech Republic from patients’ and other key stakeholders’ perspective

Těšinová,

Dobiášová,

Dušek

et al. 2023

Front. Public Health

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Telemedicine is a way to improve healthcare outcomes with greater efficiency for both patients and care providers. The great potential of digital technologies also lies in strengthening the patient-centered approach. The early successes and benefits of telemedicine in the Czech Republic, amplified by the COVID-19, have contributed to the fact that wider implementation of telemedicine is already generally supported at the expert and public levels. Our research focuses on the identification of key issues in the implementation of telemedicine and the challenges of telemedicine in the future, from the perspective of patients and other stakeholders. The study is based on a qualitative research approach, combining focus groups with key stakeholders, patient panels and expert panels (2021–2022). The lack of rules and uncoordinated development of various activities proved to be the main barriers to the integration of telemedicine in the health system. This regulatory uncertainty can generate a number of problems in the patient–doctor relationship in practice, including ethical ones, and can also lead to inequalities in access to healthcare and affect the overall quality of care provided. Furthermore, it has been shown that patients’ interests in the implementation of telemedicine are: 1. a predictable and reliable framework that guarantees them certainty and security in the provision of telemedicine services, 2. telemedicine solutions that increase the availability and efficiency of the care provided while bringing comfort, and 3. user-friendly and simple solutions. At the same time, patients want to understand the new environment and be active participants in the process of digital innovation, including the practical implementation of telemedicine. The research team has developed recommendations for further developments in the implementation of telemedicine that reflect the patient’s interest and can be implemented at three levels – the health system, institutional, and community level. In countries with a well-developed and institutionalized patient movement, the community level can be represented by patient organizations, thus becoming the link between telemedicine policy making and implementation at the individual level of healthcare provision. For the further development of telemedicine, the development of a national strategy involving all key stakeholders, including patients, in the implementation has proven essential.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Development of telemedicine in the Czech Republic from patients’ and other key stakeholders’ perspective

Těšinová,

Dobiášová,

Dušek

et al. 2023

Front. Public Health

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The Czech healthcare system's resilience in response to the arrival of Ukrainian war refugees

Dobiášová,

Angelovská,

Těšinová

et al. 2024

Czech Sociological Review

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"Engaging With the Beneficiaries in Reforming Health Care. A Case Study of Patient Involvement in the Reform of Psychiatric Care in the Czech Republic"

Dobiášová

Kotrusová

Wolfová

2021

TRAS

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"The involvement of patients and their families in healthcare policymaking has been a general trend in recent years. This tendency can be observed also in the process of the current reform of psychiatric care in the Czech Republic, which should gradually shift the focus of psychiatric care from large facilities to community care. Organizations representing patients and their families are among the key stakeholders in this reform. The present study analyses semi-structured in-depth interviews and documents with the objective to map and evaluate the process of patient involvement in the reform from its launch to its implementation in 2012-2019. The study identifies the major barriers to patient involvement – on the part of the patients and their organizations, professionals (healthcare professionals, care providers, administration, policymakers), as well as the whole society. It becomes clear that the reform encourages patient involvement, with a palpable shift from consultation to involvement. Still, there are many obstacles to patient involvement in the Czech Republic: the mental state, social and economic situation of the patients, paternalism on the part of care providers, tokenism or stigmatization of mentally ill people."

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Institutional reforms to strengthen patient and public involvement in the Czech Republic since 2014

Cited by 3 publications

References 18 publications

Development of telemedicine in the Czech Republic from patients’ and other key stakeholders’ perspective

Development of telemedicine in the Czech Republic from patients’ and other key stakeholders’ perspective

The Czech healthcare system's resilience in response to the arrival of Ukrainian war refugees

"Engaging With the Beneficiaries in Reforming Health Care. A Case Study of Patient Involvement in the Reform of Psychiatric Care in the Czech Republic"

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