Impact of modern non-pharmacological treatment methods of cardiovascular diseases of cardiovascular diseases on sick leave

Česká verzia

Authors: A. Bulava ^1,2; V. Kahoun ¹; M. Šnorek ²; D. Gajdoštík ³
Authors place of work: Jihočeská univerzita v Českých Budějovicích, Zdravotně sociální fakulta, České Budějovice ¹; Kardiocentrum, Nemocnice České Budějovice ²; Ministerstvo práce a sociálních věcí, Praha ³
Published in the journal: Reviz. posud. Lék., 19, 2016, č. 4, s. 131-142
Category: Original Articles, Review Articles, Case Reports

Summary

The current study aimed at real-world behavior of treating physicians (general practitioners) at České Budějovice Hospital’s complex cardiovascular center as defined by § 54 of Act No. 187/2006 Coll. on health insurance, as amended in relation to the approval and length of sick leave for insured patients treated for predefined diagnoses with the most modern non-pharmacological methods. The catchment areas included the regional districts of South Bohemia, Pilsen and Vysocina, which comprise a population of approximately 800–900 thousand inhabitants.

In total, 14,245 patients were treated in the České Budějovice complex cardiovascular center between 2011 and 2014. Following the acquisition of relevant data from both the hospital database and the Ministry of Labor and Social Affairs databases, the final study sample consisted of 6,665 economically-active clients younger than 65 years of age. Only 956 (14.4%) clients utilized the institute for sick leave: 279 (4.2%) client registration cases were found, as were 677 (10.1%) allowance cases, for which sick leave benefits were paid to clients. The overall extent of paid sick leave benefits reached almost 24,5 million CZK, which amounts to approximately 36,150 CZK per client during the mean length of sick leave (93 ± 110 days).

Descriptive statistics for the actual period of temporary work incapacity according to selected cardiac DRGs, as well as the clinical cardiology diagnosis according to the International Classification of Diseases, version 10 (ICD-10), were elaborated upon. A separate analysis of clients with sick leave durations greater than 1 year was conducted and the reasons for extensive sick leave were clarified.

Finally, recommendations (standards) were proposed for an optimal period of temporary sick leave for individual groups based on ICD-10 clinical diagnoses of cardiology patients undergoing advanced non-pharmacological treatment. Maximum acceptable lengths of sick leave were calculated. In cases where the actual length of sick leave exceeds such limits, control mechanisms should be initiated to prevent any misuse of institutional sick leave.

Keywords:
cardiovascular diseases – invasive cardiology – sick leave – Czech Social Security Administration

Zdroje

1. Aschermann, M. et al. Kardiologie. 1. díl. Galén: Praha 2004, ISBN 80-7262-290-0.

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5. Eisenberger, M., Bulava, A., Fiala, M. Základy srdeční elektrofyziologie a katétrových ablací. Grada Publishing: Praha 2012, ISBN 978-80-247-3677-8.

6. O’Rourke, R. A., Richard, A. W., Fuster, V. et al. Kardiologie. Hurstův manuál pro praxi. Překlad 12. vydání, Grada Publishing: Praha 2010, ISBN 978-80-247-3175-9.

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Článok vyšiel v časopise

Medical Revision

2016 Číslo 4

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