Follow-up and long-term care in the Czech Republic – an overview of the current state and changes in bed capacity from the National Health Information System

Česká verzia

Authors: A. Pokorná ^1,2; D. Dolanová ^1,2; M. Bartůňková ¹; L. Dušek ¹
Authors place of work: Ústav zdravotnických informací a statistiky České republiky, Praha Ředitel: doc. RNDr. Ladislav Dušek, Ph. D. ¹; Masarykova univerzita, Lékařská fakulta, Katedra ošetřovatelství, Brno Přednostka: doc. PhDr. Miroslava Kyasová, Ph. D. ²
Published in the journal: Prakt. Lék. 2017; 97(6): 250-258
Category: Of different specialties

Summary

Aim:
The aim of the paper is to introduce the possible resources for describing bed capacity for follow-up (after care) and long-term care, identifying possible funds and information for planning their effective usage.

Methods:
Retrospective, observational, descriptive analysis for the period 2014–2015. We analysed the structure of bed capacity for follow-up and long-term care and the data from medical registers within National Health Information System (NHIS) managed by the Institute of Health Information and Statistics of the Czech Republic (IHIS CR).

Results:
As per the NHIS data gathered from healthcare providers, in 2015 the number of beds for follow-up and long-term care increased by 216 beds (28,899 beds in total), that represents 1% increase comparing to the year 2014 (28,683 beds). The most significant changes in bed capacity were registered at hospitals (+556 beds), hospitals for follow-up care (minus 215 beds), sanatoriums for long-term sick people (minus 106 beds) and other professional healthcare institutions (minus 44 beds).

Conclusion:
The number of beds for follow-up and long-term care increased by 216 beds in total. No significant deviations among inpatient care providers were registered in 2015. However, change of bed capacity structure was registered in 2015. Bed capacity usage in 2015 reached the same level as in 2014. Partial decline (by 5%) was registered in follow-up and long-term care beds at university hospitals. Current demographical trend requires thorough evaluation of bed capacity structure and usage in order to guarantee healthcare continuity and quality.

Keywords:
follow-up (after care) – long-term care – bed capacity – inpatient care

Zdroje

1. Český statistický úřad. Místa v zařízeních sociální péče, jejich využití a pečovatelská služba 1989–2015 [on line]. Dostupný z: https://www.czso.cz/documents/10180/32955062/32018116_1302.pdf/fd3ab9d5-6c87-418e-9314-389328bdaede?version=1.2 [cit. 2017-02-25].

2. Český statistický úřad. Neuspokojení žadatelé o umístění ve vybraných zařízeních sociální péče 1989–2015 [on line]. Dostupný z: https://www.czso.cz/documents/10180/32955062/32018116_1303.pdf/80ebccf0-3a3a-43d2-b49e-0c6517f7e268?version=1.2 [cit. 2017-09-25].

3. Český statistický úřad. Obyvatelstvo [on line]. Dostupný z: https://www.czso.cz/csu/czso/ceska-republika-od-roku-1989-v-cislech-vy42dggohg#13 [cit. 2017-09-25].

4. Eckenwiler L. Long-term care, globalization, and justice. Baltimore: Johns Hopkins University Press 2012.

5. Eurobarometer. Health and long-term care in the European Union. Eurobarometer 2007 [on line]. Dostupné z: http://ec.europa.eu/commfrontoffice/publicopinion/archives/ebs/ebs_283_en.pdf [cit. 25-09-2017].

6. Eurostat. Hospital beds by type of care [on line]. Dostupné z: http://ec.europa.eu/eurostat/en/web/products-datasets/-/HLTH_RS_BDS [cit. 26-07-2017].

7. Goldsteen M, Abma T, Oesburg B, et al. What is it to be a daughter? Identities under pressure in dementia care. Bioethics 2007; 21(1): 1–12.

8. Harris-Kojetin L, Sengupta M, Park-Lee E, et al. Long-term care providers and services users in the United States: data from the national study of long-term care providers, 2013–2014. Vital Health Stat 3 2016; (38): x–xii, 1–105.

9. Levine C. Home sweet hospital: The nature and limits of private respon-sibilities for home health care. J Aging Health 1999; 11(3): 341–359.

10. Li Y, Zhang Y, Kong N, Lawley M. Capacity planning for long-term care networks. IIE Transactions 2016; 48(12).

11. Nelson JL. Just expectations: Family caregivers, practical identities, and social justice

in the provision of health care. In Rhodes R, et al. (eds.) Medicine and social justice: Essays on the distribution of health care. New York: Oxford University Press 2012.

12. OECD. Health at a Glance: Europe 2016: State of health in the EU cycle [on line]. Dostupné z: http://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance-europe-2016_9789264265592-en [cit. 2017-09-25].

13. Rowles GD, Teaster PB. Long-term care in an aging society: theory and practice. New York: Springer Publishing Company, 2016.

14. Ústav zdravotnických informací a statistiky České republiky. Registry a informační systémy NZIS [on line]. Dostupné z: http://www.uzis.cz/registry [cit. 2017-09-25].

15. Ústav zdravotnických informací a statistiky České republiky. Pololetní výkaz o lůžkovém fondu poskytovatele lůžkové péče a jeho využití [on line]. Dostupný z: http://www.uzis.cz/vykaznictvi/2015/l-mz-1-02-pololetni-vykaz-luzkovem-fondu-poskytovatele-luzkove-pece-jeho-vyuziti [cit. 2017-09-25].

16. Zhang Y, Puterman M. Developing an adaptive policy for long-term care capacity planning. Health Care Manag Sci 2013; 16(3): 271–279.

Štítky

General practitioner for children and adolescents General practitioner for adults

Článek Study of new anticoagulants – partial results

Článek Dilaceration of eye caused by a fire cracker explosion

Článek Metastases of the malignant melanoma to myocardium – a rare cause of the heart failure

Článek Inoperable form of alveolar echinococcosis of the liver

Článek Nanomedical approach in targeted therapy of breast cancer: use of carbon nanostructures

Článek Selected aspects of lifestyle and health literacy in south bohemian citizens living in poverty

Článok vyšiel v časopise

General Practitioner

2017 Číslo 6

Najčítanejšie tento týždeň

Najčítanejšie v tomto čísle