Papers by Zuzana Kotherová
Central European Journal of Public Policy
The aims of this article were to discuss the position of Czech nurses in the country's health... more The aims of this article were to discuss the position of Czech nurses in the country's health care system, to assess their role in the preventive care and health literacy (HL) promotion and to define main factors, which may negatively impact their involvement in preventive care. We checked by the questionnaire, what is the position of nurses working in the primary care in the Czech health system, how nurses perceive their role in the preventive care and which factors influence their involvement. The expert opinion method was used to discover main barriers limiting the role of primary care nurses in prevention and HL promotion. A total of 204 nurses participated between May and June 2022 in an online survey. The survey was completed by interviews with five experts. Our main finding is that nurses are willing to be proactive in prevention and HL; however, their autonomy and responsibilities in these areas remain rather low. The main factors influencing the involvement of nurses in...
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L’Europe centrale face à la pandémie de Covid-19. De la transformation anthropologique vers la recomposition géopolitique
This paper maps the Covid-19 pandemic evolution in the Czech Republic: from the “best in Covid” i... more This paper maps the Covid-19 pandemic evolution in the Czech Republic: from the “best in Covid” in spring 2020 through three heavy epidemic waves during autumn and winter 2020 to one of the most hit countries in the world in the spring season 2021 in terms of deads. The aim of this contribution is to let the reader understand better this Czech anomaly by studying two possible factors of this negative balance: the state of the art of the Czech healthcare system before the pandemic and political management of the crisis. The results of our article show that the Czech healthcare system seems to be financially stable and relatively well prepared for the potential crisis in terms of personal, technical, and medical capacities – even if situation in the public health is far from ideal. On the contrary, the competence of the Czech government in managing the Covid-19 pandemics remains controversial – for this reason, the pros and cons of the political management of the crises are discussed.
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Health policy, 2021
Many countries aim to strengthen patient and public involvement (PPI) in healthcare decision-maki... more Many countries aim to strengthen patient and public involvement (PPI) in healthcare decision-making. This article discusses the institutionalisation of PPI in the Czech Republic from 2014 to the present based on a review of available documents as well as interviews with policymakers and representatives of patients' organisations. Important steps that contributed to the institutionalisation of PPI were the establishment of the Ministry of Health's (MoH) Patients' Council and the MoH's Patients' Rights Support Department. The institutionalisation of PPI was facilitated through the bottom-up engagement of patients, top-down policy developments, transnational pressures, the support of statutory insurance funds and the pharmaceutical industry, and macro-societal developments. Compared to other post-socialist countries, the institutionalisation of patient involvement in policymaking is amongst the most developed. Although the pharmaceutical industry enhanced PPI, its i...
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Transylvanian Review of Administrative Sciences, 2021
Health systems in most (if not all) countries perpetually struggle with financial problems and se... more Health systems in most (if not all) countries perpetually struggle with financial problems and search for resources to cover health care needs. Increased efficiency of health procurement has the potential to save a lot of money and to reallocate them to treatments. The aim of our study is to analyze technical efficiency (efficiency/economy dimension) and allocation efficiency (effectiveness) of public procurement in health care facilities in the Czech Republic and Slovakia, countries whose health systems are governed by the principle of universal access to high quality health services. Concerning the technical efficiency, the results show a low rate of competitiveness whereby the potential of competition is not exploited. In terms of allocation efficiency, our research also sufficiently illustrates the criticality of the situation; however, compared to the element of technical efficiency the situation in the evaluated countries is different. In Slovakia, purchases are usually decide...
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International Journal of Environmental Research and Public Health
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La Republique tcheque comme de nombreux pays en Europe est a la recherche d un systeme de sante p... more La Republique tcheque comme de nombreux pays en Europe est a la recherche d un systeme de sante publique perenne. L objectif de cette contribution est double : presenter les differentes tentatives de reforme en Republique tcheque et les comparer a celles mises en place dans autres pays europeens ; et analyser le fonctionnement des hopitaux dans differents pays et d en extraire les defis a relever pour la Republique tcheque.
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Cilem clanku je urcit nejvlivnějsi aktery v ceskem zdravotnim systemu a identifikovat jejich post... more Cilem clanku je urcit nejvlivnějsi aktery v ceskem zdravotnim systemu a identifikovat jejich postoj vůci vybraným reformnim opatřenim . Autoři se domnivaji, že podpora hlavnich akterů ve zdravotnim systemu může být jednou z podminek uspěsne implementace reformy.
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v připadě CR The paper presents milestones of previous developments in the Czech Health Care syst... more v připadě CR The paper presents milestones of previous developments in the Czech Health Care system and focuses on the most recent attempt of the current government to promote fundamental change in order to cope with old and new challenges. Though the current reform policy itself is not unique and one can find many similarities with other countries (copayments, selective contracting, managed competition, etc), interesting lessons can be derived by looking at the way this policy is implemented and how it is affected not only during legislative procedures within Parliament but also by systematic goal-seeking activities of special interest groups. By analyzing positions and the conduct of the main actors one can see (not surprisingly) that the Government seems to be the weakest part of the system. Radical and strong intentions appear to turn into marginal changes on the eve of autumn elections to regional governments in the Czech Republic.
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The aim of the contribution is to evaluate general conditions for the HSR in the Czech Republic a... more The aim of the contribution is to evaluate general conditions for the HSR in the Czech Republic and its impact on health policy. The contribution starts with the presentation of Czech institutional provision of the research in the health policy domain. Authors consider the tradition of national-level HSR interrupted in the Czech Republic and not re-established. The HSR is still conducted by certain universities, but authors suppose that the human capacities are not sufficient given the small number of universities curriculums focused on the health policy topic. Besides the national – level institutions and universities, there exist some independent voluntary bodies in the Czech Republic that are active in the HSR. There is a real and doubtless need for a HSR of good quality in the Czech Republic; the authors do not believe that the conditions for such research are created neither in terms of human capacities neither in terms of national support. These factors mean that there is a ve...
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Although the health sector reform is one of the most relevant issues in the Czech Republic at pre... more Although the health sector reform is one of the most relevant issues in the Czech Republic at present, the further development of health policy is not obvious. Because of many interest groups involved in this part of public sector, it is difficult to reach the consensus on the basic values, principles and goals of the reform policy. The aim of the paper is to analyze the process of health care reform in the Czech Republic, respectively the process of the health policy creation from the perspective of the health insurance funds. The paper uses the different theoretical concepts of public policy, public choice and healthcare economics. First part of the paper is focused on the position of health insurance funds in the Czech healthcare system. The legal framework analysis is done in this part and the main problems of the healthcare financing in the Czech Republic are recognized. The second part describes health insurance funds as one of the most important interest group in this field. ...
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V dannoj statě predstavleny kljucevyje vjechi vsego predsestvujuscego razvitija sistemy zdravooch... more V dannoj statě predstavleny kljucevyje vjechi vsego predsestvujuscego razvitija sistemy zdravoochranenija Cechii. I v to že vremja v fokuse vnimanija avtorov - poslednije popytki pravitelstva vnesti v chod reformy nekotoryje fundamentalnyje uzmenija s tem, ctoby resiť staryje i novyje problemy. Politika tekuscich reform sama po sebe ne javljajetsja cem-to unikalnym. B nej možno najti množestvo schožich cert, kotoryje my nabljudajem u v druguch stranach.
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Jakkoliv je reforma zdravotnictvi v Ceske republice aktualnim tematem po mnoho let a jakkoliv ve ... more Jakkoliv je reforma zdravotnictvi v Ceske republice aktualnim tematem po mnoho let a jakkoliv ve spolecnosti panuje shoda o nutnosti reformovat tento resort, pokusy o uskutecněni jakekoliv reformy opakovaně selhavaji. V ramci analyzovani těchto opakovaných selhavani ceských zdravotnich reformnich navrhů vsak zůstava problematika zajmových skupin opomijena, přiciny selhavani jsou spise hledany v urcite nestabilitě politickeho prostředi (caste střidani ministrů, neexistence konzistentni reformni politiky, apod.). Cilem clanku bylo identifikovat zajmove skupiny působici v ceskem zdravotnictvi a urcit jejich vliv.
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Powerful institutions and weak position of patients became a typical feature of (not only) Europe... more Powerful institutions and weak position of patients became a typical feature of (not only) European health care markets. Since Arrow (1963), these characteristics are commonly explained by the tenet that health care markets differ significantly from the hypothetical perfect markets. Indeed, this difference is essentially arising from the information asymmetries between buyers (patients) and sellers (health care providers). This asymmetry in information seems to predestine the buyer (patient) to have a fragile position in the health care market. The empowerment of the patient seems to lead to higher health care markets efficiency, many questions arise: how to achieve any shift in power between patient and institutions; where to put the focus in health care policy reforms or what managerial tools to use to attain this goal. In this context, some authors [1 - 3] propose to examine the heath care market as so called “two-sided market”. [1] comes to the conclusion that if meaningful effi...
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Overview Given dramatic changes in Central and Eastern Europe since the fall of the Berlin Wall 1... more Overview Given dramatic changes in Central and Eastern Europe since the fall of the Berlin Wall 1989 and the dissolution of the Soviet Union in 1991, local area experts were challenged to examine their national systems of health care, as well as proposals to reform them. Each chapter of this book provides contextual data and information on the empirical realities of a specific country at five-year intervals since 1990, as well as the organizational framework of its health care system. The book explores the historical thread of the reforms attempted and their current state of implementation by addressing criteria for reforming national health systems such as costs, effectiveness, efficiency, equity, and feasibility. Chapter 4 Health reforms in the Czech Republic presents information about finance, system and health reform proposals during past 20 years (1990-2010).
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Clanek se zaměřuje na možnosti využiti experimentalni ekonomie pro demonstraci problematiky veřej... more Clanek se zaměřuje na možnosti využiti experimentalni ekonomie pro demonstraci problematiky veřejných statků. Cilem experimentu je potvrzeni platnosti modelu cerneho pasažerstvi při dobrovolnem přispivani na veřejný statek. Experiment byl proveden v 11 seminarnich skupinach předmětu Veřejna ekonomie, přicemž průměrný pocet studentů ve skupině byl 28. Při konstrukci experimentu autoři vychazeli z jednoduche varianty experimentu, který uvaději Holt a Laury. Výsledky experimentu do znacne miry potvrzuji teoreticke předpoklady o chovani lidi v situacich popisovaných jako vězňovo dilema, kdy lide v souladu se svou dominantni strategii maji tendenci k nizke miře kooperace.
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Papers by Zuzana Kotherová