This master thesis deals with research of Subjective Quality of Life for population fifty years old or more, depending on the selected demographic, social and economic indicators. More and more people live to the older ages, and thus important question of living conditions and well being of this ageing population comes forward. General concept of Quality of Life of older people is described on wide theoretical scale with focus on the cause of the phenomenon, Demographic Ageing of populations. The Demographic Ageing is described not only on the theoretical level, but also in a quantitative way. There are specific fertility rates introduced according to an age of a mother while birth giving, or still increasing Life Expectancy at Birth for both males and females. To explore the dependencies of Subjective Quality of Life on selected indicators, there is a statistical model introduced. The input indicators come from the European panel data research Survey of Health, Ageing and Retirement in Europe. Techniques used for analyzing the data are Analysis of variance for one single wave (held around year 2013) and Panel data analysis for all available waves (from 2004 to 2013). The results from both analyses for the Czech Republic are compared with results for selected countries, Germany, Sweden, Spain, Italy and Greece. From the SHARE data set can be read the following results. The variable Age significantly influences all included models for all selected countries, the similar influence can be observed for the Education. For almost all countries and models is proving of the significant influence of Gender to Subjective Quality of Life indefinite (we are not able to observe significant influence). Also the influence of the variable Living alone/with other people is not perfectly convincing. On the other hand, significantly observable categories are Unemployed and Permanently sick or disabled. The question of Quality of Life is related to all parts of population. While the number of older people in population increases, this question of the quality of their lives becomes more and more important. The way how to secure those needed, powerless and often vulnerable people in a decent way and with dignity is not easy.

La question des coûts des soins de santé gagne en intérêt dans le contexte du vieillissement de la population. On sait que les personnes en moins bonne santé, bien que vivant moins longtemps, sont associées à des coûts plus élevés. On s'intéresse aux facteurs associés à des coûts publics des soins de santé plus élevés au niveau individuel, chez les Québécois vivant en ménage privé âgés de 65 ans et plus, présentant au moins un type d’incapacité. À l’aide de modèles de régression, la variation des coûts pour la consultation de professionnels de la santé et la prise de médicaments a été analysée en fonction du nombre d’incapacités ainsi que de la nature de celles-ci. Les informations sur l’état de santé et la situation socio-démographique proviennent de l’Enquête sur les limitations d’activités (EQLA) de 1998, celles sur les coûts du Fichier d’inscription des personnes assurées (FIPA) de la Régie de l’Assurance maladie du Québec (RAMQ), pour la même année. Les résultats montrent que les deux types de coûts considérés augmentent en fonction du nombre d’incapacités. D’autre part, des coûts plus élevés ont été trouvés chez les personnes présentant une incapacité liée à l’agilité concernant la consultation de professionnels de la santé, alors que, concernant la prise de médicaments, le même constat s’applique aux personnes avec une incapacité liée à la mobilité. Les deux types de coûts considérés présentent un niveau plus élevé chez les personnes présentant une incapacité liée au psychisme, en particulier lorsque l’on considère la prise de médicaments. Ces observations soulignent l’intérêt de considérer la nature du problème de santé lorsque l’on étudie les déterminants individuels du niveau des coûts des soins de santé. / The issue of healthcare costs becomes more pertinent in the current context of an ageing population. Despite the fact that elderly people in poor health do not live as long as those in good health, they are associated with higher healthcare costs. The purpose of this paper is to investigate the factors related to the variations of the public healthcare costs at an individual level, for non-institutionalized people of 65 years and older, living in the province of Quebec with at least one type of disability. Log-linear multiple regression models were performed, with physician consultations costs and medication costs as dependent variables. The number of disabilities an individual has, the type of disability, and the main socio-demographic confounders were chosen as independent variables. Information on these independent variables was taken from the 1998 survey Enquête Québécoise sur les Limitations d’Activités, and information on the dependent variables was taken from the dataset of Quebec’s public health insurance program from the same year. Both physician consultation and medication costs were found to be a function of the number of disabilities an individual has. Furthermore, those with an agility disability were linked to higher physician costs, while those with a mobility disability were found to have higher medication costs. Both costs were shown to be higher in the case of a psychiatric disability, which was shown to be particularly true for medication costs. These findings highlight the importance of taking into account the type of disability an individual has, when researching healthcare cost drivers.

Die Ursache der Nachwuchsschwäche ist der Geburtenrückgang. Quantitative demografische Determinanten sind auf ideelle Merkmalsausprägungen der Bevölkerung und strukturelle Eigenschaften der Gesellschaft zurückzuführen. Die niedrige Fertilität führt als einflussreiche Kenngröße zu einem Bevölkerungsrückgang und zu altersstrukturellen Veränderungen in der Zusammensetzung der Bevölkerung, die mit weitreichenden und umfassenden gesellschaftlichen Konsequenzen einhergehen. Indem die Konsequenzen künftig insbesondere auf junge Generationen zurückwirken werden und somit zugleich die Ursachen der niedrigen Geburtenrate verstärken, entfaltet die demografische Entwicklung eine Eigendynamik. Maßnahmen zur Nachwuchssicherung treffen jedoch auf ungünstige Handlungsvoraussetzungen. Monetäre und materielle Fertilitätsanreize sind von unterschiedlicher demografischer Wirksamkeit und haben an Bedeutung verloren. Gesellschaft und Staat haben den Fokus von einer reaktionären Symptomkurierung, die eine passive Gestaltung der Konsequenzen verfolgt, auf eine aktive Ursachenbekämpfung zu richten. Es zeigt sich, dass auf der nationalen Ebene die größten Handlungspotentiale erschlossen werden können. / The reason for insufficient offspring is a decline in the birth rate. Quantitative demographic determinants can be explained by ideal characteristic values of population as well as structural properties of society. The low fertility as an influential parameter causes not only a decline in population but also age-structural changes in the composition of population, which come along with extensive social consequences. As consequences will retroact especially on young generations and therefore increasing the reasons for a low birth rate, the demographic trend unfolds its own momentum. However, measures to secure sufficient offspring encounter unfavourable conditions for action. Monetary and material incentives of fertility are of different demographic effectiveness and have lost importance. Instead of pursuing a passive arrangement of the consequences of demographic change by unprogressively treating the symptoms, society and state have to focus on fighting the causes of the decline in the birth rate actively. It turns out that the largest potential for actions can be developed at the national level.

La question des coûts des soins de santé gagne en intérêt dans le contexte du vieillissement de la population. On sait que les personnes en moins bonne santé, bien que vivant moins longtemps, sont associées à des coûts plus élevés. On s'intéresse aux facteurs associés à des coûts publics des soins de santé plus élevés au niveau individuel, chez les Québécois vivant en ménage privé âgés de 65 ans et plus, présentant au moins un type d’incapacité. À l’aide de modèles de régression, la variation des coûts pour la consultation de professionnels de la santé et la prise de médicaments a été analysée en fonction du nombre d’incapacités ainsi que de la nature de celles-ci. Les informations sur l’état de santé et la situation socio-démographique proviennent de l’Enquête sur les limitations d’activités (EQLA) de 1998, celles sur les coûts du Fichier d’inscription des personnes assurées (FIPA) de la Régie de l’Assurance maladie du Québec (RAMQ), pour la même année. Les résultats montrent que les deux types de coûts considérés augmentent en fonction du nombre d’incapacités. D’autre part, des coûts plus élevés ont été trouvés chez les personnes présentant une incapacité liée à l’agilité concernant la consultation de professionnels de la santé, alors que, concernant la prise de médicaments, le même constat s’applique aux personnes avec une incapacité liée à la mobilité. Les deux types de coûts considérés présentent un niveau plus élevé chez les personnes présentant une incapacité liée au psychisme, en particulier lorsque l’on considère la prise de médicaments. Ces observations soulignent l’intérêt de considérer la nature du problème de santé lorsque l’on étudie les déterminants individuels du niveau des coûts des soins de santé. / The issue of healthcare costs becomes more pertinent in the current context of an ageing population. Despite the fact that elderly people in poor health do not live as long as those in good health, they are associated with higher healthcare costs. The purpose of this paper is to investigate the factors related to the variations of the public healthcare costs at an individual level, for non-institutionalized people of 65 years and older, living in the province of Quebec with at least one type of disability. Log-linear multiple regression models were performed, with physician consultations costs and medication costs as dependent variables. The number of disabilities an individual has, the type of disability, and the main socio-demographic confounders were chosen as independent variables. Information on these independent variables was taken from the 1998 survey Enquête Québécoise sur les Limitations d’Activités, and information on the dependent variables was taken from the dataset of Quebec’s public health insurance program from the same year. Both physician consultation and medication costs were found to be a function of the number of disabilities an individual has. Furthermore, those with an agility disability were linked to higher physician costs, while those with a mobility disability were found to have higher medication costs. Both costs were shown to be higher in the case of a psychiatric disability, which was shown to be particularly true for medication costs. These findings highlight the importance of taking into account the type of disability an individual has, when researching healthcare cost drivers.

The thesis deals with the Cuban system of social security. The work focuses on general operation of social systems in Latin America and compares them with the Cuban social system. Thus, the thesis aims to explore the system of social security in Cuba, to describe its advantages and disadvantages and to show why the system is sometimes considered as more effective then other systems in this region. Attention has also been paid to the ageing of the population and how Cuba deals with this problem.

This dissertation thesis deals with an economic evaluation of population ageing in the Czech Republic. The emphasis is put on statistical and economic factors. The issue of population ageing is very wide and it affects many areas of human life. Therefore, it should be perceived in its range. The substance lies in continuity among economic area, health, education, housing, retirement policy and migration policy. Both macroeconomic and social effects of changes in the demographic structure of population should be regularly evaluated. Impacts of demographic ageing are both qualitative and quantitative. Qualitative relate to personal life, good health in old age, ensuring an adequate living standard and security of older persons. Similarly, quantitative impacts cover sustainability of funding of the pension system and social and health care systems. The thesis focuses on important factors that are often neglected and that can represent the threat to the proper function of society. On the contrary, there can be found factors acting positively e.g. the issue of labour immigration or integration of older people into the labour market. This dissertation thesis also provides complex statistical and economic view on the issue of population ageing including all key factors and effects on pensions, health, social and demographic area. The aim of the thesis lies is in the synthesis of important factors connected with population ageing and provides statistical assessment of the issue. The thesis provides procedures and methods that are innovative in the Czech Republic.