Necessity of continuous health system development

Česká verzia

Authors: J. Holčík
Authors place of work: Ústav sociálního lékařství a veřejného zdravotnictví Lékařské fakulty MU Brno, přednosta prof. MUDr. Jan Holčík, DrSc.
Published in the journal: Vnitř Lék 2010; 56(7): 663-668
Category: 80th Birthday - Jaroslava Blahoše, MD, DrSc.

Summary

Increasing number of chronic diseases and accelerating costs of health care are important problems of health services system. Article presents four main methods of solving these difficulties: (a) more money to the system, (b) better effectiveness and efficiency of health services, (c) rationing, and (d) improvement of population health. The first three methods are limited, but increasing level of health is almost without any boundaries. The health education and professional training focused on better health literacy are important prerequisites of good health care system.

Key words:
health – health care system – financing of health care – rationing – health literacy

Zdroje

1. WHO. World Health Report 2000. Health Systems: Improving Performance. Geneva: WHO 2000. Available from: http://www.who.int/whr/2000/en/whr00_en.pdf. 15. 5. 2010.

2. Commission of the European Communities. White Paper: Together for Health: A Strategic Approach for the EU 2008–2013. Available from: http://ec.europa.eu/health-eu/doc/whitepaper_en.pdf. 15. 5. 2010.

3. Kolektiv autorů. Sociální lékařství. Praha: Avicenum 1970.

4. WHO. Health 21 – health for all in the 21st century. The health for all policy framework for the WHO European Region, European Health for All Series No 6. Copenhagen: WHO Regional Office for Europe 1999.

5. Světová zdravotnická organizace. Zdraví 21 – zdraví do 21. století. Praha: MZ ČR 2001.

6. Holčík J. Zdraví 21 – výklad základních pojmů. Praha: MZ ČR 2004.

7. MZ ČR. Zdraví 21 – Dlouhodobý program zlepšování zdravotního stavu obyvatelstva ČR. Praha: MZ ČR 2003.

8. Marmot M, Wilkinson RG. Social Determinants of Health – The Solid Facts. Copenhagen: WHO 2003.

9. Mossialos E, Le Grand J. Health Care and Cost Containment in the European Union. Aldershot: Ashgate Publishing Limited 2001.

10. Butler J. The Ethics of Health Care Rationing. Principles and Practices. London: Cassell 1999.

11. Holčík J. Zdravotní gramotnost a její role v péči o zdraví. Brno: MSD 2009.

12. Blahoš J. Metamorphoses Medicinae. Zdravotnictví v České republice 2000; 3: 2–5.