The Public health insurance system in the Czech Republic was established more than 20 years ago. During this period, the public health insurance system has gone through many transformations. A lot of reform proposals have been submitted with the aim of keeping the increase of healthcare expenses under control but simultaneously not limiting the quality and the accessibility of healthcare. The introduction of the regulatory fees was a part of the healthcare reformation and its purpose was to reduce the demand for healthcare and thus regulate the consumption of health services. Secondarily, the regulatory fees should bring private funds into healthcare system. In the theoretical part of the research, the author describes healthcare systems of several European countries mainly from the point of view of cost sharing by patients. The funding of healthcare in the Czech Republic is then evaluated in more detail. The research characterises all the types of regulatory fees including all the legal changes they have undergone prior to their implementation. The author summarizes the amounts of funds received from the different types of fees which patients have paid since the introduction of regulatory fees in 2012 on the basis of data received from health insurance companies. In the practical part of the research, the author analyses and statistically processes data which were taken from one specific bureau of employee health insurance company. On the basis of this data, the author maps the development of average visits of healthcare institutions per patient in the chosen fields of ambulant care specializations. The author compares the number of average visits in 2007, which is the year before the introduction of regulatory fees, with the number of average visits after the regulations implementation that means during the 2008-2013 period. The aim was to discover whether the fees had any effect on the amount of healthcare services and whether they led to decrease in the number of patients´ visits (at the doctor). The development of the number of patients´ visits was studied in 22 different fields of ambulatory specialization in total. The collected results have been statistically processed using one sample, one-tailed T test. Furthermore, the influence of fees on the healthcare expenses was surveyed in the respective ambulatory fields. In the similar manner as with the patients´ visits, the author compares the average expenses per one patient before the introduction of regulatory fees in 2007 with the average value after the implementation of regulatory fees to the healthcare system. The research offers a comprehensive overview of these issues and can be used as a basic material for further research about regulatory fees and patient cost sharing in healthcare.

The aim of the dissertation is to analyze the system of providing and financing social services and to assess to what extent the introduction of a voucher system through social systems cards contribute to the effectiveness of the financing of social services. To achieve this objective we chose a combination of three sociological methods - qualitative research method based on secondary data analysis, questionnaire survey among persons with dependent children who have been granted an allowance for care and in-depth interviews with experts from amongst the selected branches of labor offices, regional and municipal authorities and from the field of social services providers. The theoretical part is devoted to the characterization of the financing of social services in our country. Based on the analysis of available statistical data, it is demonstrated that the current system of providing and financing social services is inefficient and it is therefore necessary to find new elements that would contribute to the stabilization especially in the area of financing in order to create the necessary to create conditions for ensuring the optimal form of security needs of the person relies on the provision of social services. It indicates (based on the characteristics of foreign experience) that one of the ways to increase the effectiveness of the financing of social services is the introduction of a voucher system. In relation with the implementation of social reforms after 2008, our country decided to introduce a social systems card, which can be understood as an electronic payment voucher, i.e. as a tool, which leads to expansion of yet provided services in social benefits and to increase user comfort. A similar system has been introduced in the past and is still used in many European countries such as Italy, the UK or Finland. Currently, the Czech Republic is the only country in Europe where care allowance is paid only in cash and care allowance is not often used to provide the necessary social services. One way to prevent this is a transition into non-cash benefits payment. One of these options is to use the voucher system, which ensures that the funds earmarked for the provision of social services, will also be in this area actually inserted. The form of benefit payment for care has changed within the implementation of social reforms. Since its payment by postal order was, in early 2012, accede to payment under the cashless payment cards through social systems. This form of distribution, however, wasn't met with a positive response, and it was subsequently decided to cancel the card and return to the original form of payment of the allowance for care and all non-insurance social benefits. This has led to the fact that the original goal of my work - to assess to what extent the introduction of a voucher system through cards social systems contribute to the effectiveness of the financing of social services - failed to fully implement. In summary, it is clear that the current system of financing social services is inefficient, and therefore it will be necessary - particularly in relation to expected demographic trends - to fundamentally change it. Re-introduction of non-cash forms of benefit payment for care can be regarded as one of the tools that could enhance the efficiency of provision and funding of social services. However, it is necessary to learn from the mistakes that have been implemented in the past period of time, emphasis on timely, quality and positive information campaign with an emphasis on explaining the benefits of the new system of social benefits, correct timing of the various steps of the solution and in advance of this solution to acquaint the general population.

The main aim of this work is, to explore how basal stimulation affects the process of coma vigil in patients, when carried out only by trained practitioners. And also, to explore how basal stimulation affects the process of coma vigil in patients, when carried out by family members with the assistance of practitioners. To achieve the aim, a qualitative research will be used in the form of case studies and interviews. The research team involves patients in coma vigil, family members and practitioners performing basal stimulation to affected patients. The purpose of this assignment is to prove that the involvement of family members in the process of basal stimulation significantly improves the effectiveness of the treatment. In our profession, we can often see patients with impairments of perception, movement or other disorders. While a human body is in a coma, it can still perceive emotions and other surrounding influences that affect the body. To improve the quality of care that these patients receive, the concept of basal stimulation serves as one of the alternatives of treatment. The implementation of this concept shows positive effects on the overall health of the client when in cooperation with family members. The results of this assignment may be used as a foundation when producing seminars and procedures that serve to educate the healthcare staff and families, in order to achieve the best results in a given issue.

This paper was prepared with the goal of mapping the changes brought by the Law on Social Services, no. 108/2006 Coll., in a specific facility. It was developed from the prospective of the personnel of a senior home. In the theory part, this work focuses first on the definition of the social services themselves, which factors affect them and their importance for the public. The next chapter, named Development of the Legislation of the Public Social Protection System, clarifies the transfer from social security to public social protection. Another chapter is devoted to the legislation attempting to create a comprehensive legal form, which would replace the at that time unsatisfactory social care system. The following chapters characterize, in detail, the individual parts of the new social services law, what will be influence by this law, for example the standards of quality of the social services, its check in form of an inspection from the Ministry of Labour and Social Affairs or a Municipal Authority. This paper also gradually focuses on the new social benefit, its purpose, amount, for whom it is designed and when the right for its payment arises. The Social Services Law is, towards the end of the theory part of this paper, the subject of a critical evaluation in the form of a SWAT analysis. Two hypotheses have been determined to meet the goal of this paper. A questionnaire survey and non-standardized interview were used during the research. The research sample was the nursing and social personnel of the Senior Home in Sněženková ulice in Prague. The questionnaire investigation and the non-standardized interviews confirmed hypothesis no. 1, which holds the opinion that, due to the influence of the social services law, the work demands on the management of the individual social services facilities will grow. The research also corfirmed hypothesis no. 2, which presumes the growth of the nursing care due to the change of the system of financing the social services and the consequent changes of client structure. Furthermore, it was proven that the law can meet its main mission {--} the preventive influence against social exclusion.

This study occupies itself with legal aspects of invalidity from youth. It represents an issue that is very significant from the social point of view although not regulated as single problem by law. However the whole theme infiltrates to another specific fields: social insurance, assessment medicine, psychology, juristic section, medicinal issue, ethics, upbringing and special pedagogy in a broad meaning. Current Czech law regulation of theme concerning benefits for persons with long-term unfavorable health state is based on concept of full and partial invalidity pension as benefits within pension insurance scheme and pension increase for incapacity (helplessness). Generally full and partial invalidity pension benefits originate from reduction of gainful activity and reaching of relevant time period of pension insurance. According to a survey it is evident that number of awarded full and partial invalidity pensions has increased in {\clqq}Jihočeský`` region. Respecting diagnostic flags structure the greatest occurrence of full invalidity pensions from youth has been recorded in group of intermediate cephalonia. Solving of social insurance of the elderly is planned under the pension reform at the present. The main goal of invalidity pension is permission to live as close as possible to normal state thus to face up to a handicap and to secure appropriate family, social and work life. In fine we could deduce that there should be confirmation of obligatory conversion of full invalidity pension to old-age pension when reaching retirement age within Czech pension reform. In my study I have focused on some factors decisive for occurrence of full or partial invalidity. It represents socially significant problems in broad range of relations that establish or could establish. Long-term loss or reduction of ability to work have negative impact not only on individuals but also affect social status of their families and thus negatively influence the whole society. Exclusion from work process traumatizes young people. Pension benefits provided to the disabled from youth are not deduced from tolled premiums. That is the reason I think this should be solved out of the pension insurance system as well as pension increase for incapacity (helplessness). Costs on these benefits would be compensated by state budget within pension insurance system in the near future with perspective of transmission of these benefits to other social scheme. In this connection it is necessary to emphasize that mankind should be made sure that there is basic perception and crucial aim of social welfare in focusing on level and quality of life of individuals and their families not affected by unfavorable social or economic influences as well as their health state and well-being that will not be compounded by diseases and injuries. This fact will substantially affect the strategy of modern social policy.

The Diploma Thesis deals with the reform of the social services system in the Czech Republic. The theoretical part includes the definition of the basic terms and describes the reasons leading to the reform of the social services system. The aim of the Diploma Thesis was to ascertain which problems relate to the application of the legal regulation concerning the home care allowance from the point of view of the subjects involved: the home care allowance recipients, the social services providers representatives and the municipal authorities workers of the municipalities with extended powers. When analyzing this problem it was necessary to ascertain the views of the particular subjects on this allowance, next the purposes the home care allowance is used for by its recipients in particular dependence levels, which form of social services they utilize most often, and which effect the form of the home care allowance payment can exert on the way of its utilization. The empirical part of the Diploma Thesis utilized the quantity research and the quantity questioning method. The Diploma Thesis conclusion, on the basis of the results processed, brings the appropriate precautions, which can be used in practice.

Abstract By the end of 2007 the parental allowance was so high that many beneficiaries, especially those without any or low qualifications, never received a similar income in their job, which obviously resulted in a situation that some parents found it financially disadvantageous to return back to work. The new system of maternity leave makes it possible to draw the parental allowance during a shorter period of time whereas the amount paid differs depending on the time during which it is received. The objective of the graduation work was to map out the situation regarding the drawing of the parental allowance and reasons for choosing various options. The following hypotheses were determined based on this objective. 1st: Women who have the employment contract for a limited period of time pick a shorter alternative of parental leave than women with a contract for an unlimited period of time. 2nd: Women with a higher income select a shorter parental leave than women with a lower income. To obtain the necessary data to fulfill the determined objectives, the author used the questionnaire technique. The questionnaire was anonymous, it was filled in by women who have recently delivered a baby and it comprised 12 questions. 159 questionnaires were distributed during two months in 2008. The determined hypotheses were confirmed by the research. The results showed that the most preferred period of parental leave is three years with an income of 7600 CZK. As a reason for choosing this option the respondents answered that their employer ``reserves`` a job for them for three years and they can devote all their time to the baby. They find the amount of the allowance satisfactory. Most of them indicated they were yet to decide whether they were going to earn extra money during the parental leave and they did not know what they would do. If mothers need to leave their baby, people from their families usually babysit. Most of them would not trust a nurse. It was mostly young women (18 {--} 25 years of age) who indicated that they would not mind a nurse looking after their child. Changes which occurred in the field of parental leave and parental allowance need to be accompanied with relevant changes in other fields related to combining work and family, such as pre-school facilities and nursing centres for children younger than three years of age and also more flexible working hours. Family and employee policy should pay more attention to programmes supporting return to the labour market after the parental leave.

Title of the thesis: Specifics of the nursing care of patients with MRSA in the operating room from an anesthesiology nurse perspective. The aim of this thesis was to identify the specifics of nursing care of a patient with the MRSA in the operating room from the perspective of nurses working in the operating room. In the theoretical part focus is given to nursing care and its specifics for a patient with MRSA. Chapters relating to the regime measures, barrier nursing procedures and the use of specific aids, instruments and tools are treated in detail. The nursing care provided by anesthesia nurses and perioperative nurses in the operating room is defined. To reach the goals the quantitative research through questionnaires was chosen. The research sample consisted of anesthesia nurses and perioperative care nurses. Two types of standardized questionnaires were used, consisted of closed questions where respondents chose an appropriate answer, and from semi-open questions where respondents could specify their answers, and in one case open questions. Both questionnaires were completed by 12 test questions, where respondents had the choice of three possible answers, where one answer was correct. The results of the investigation are summarized in two types of graphs. Bar charts were used in questions where more answers were possible to mark, and for a better clarity the results were supplemented by tables. Results to other questions, where options were limited by one answer, are shown in percentages in pie graphs. Our thesis is very narrowly focused, because we concentrated on specifics of nursing care in a patient with MRSA in the operating room. We have determined the specifics of barrier nursing, nursing problems in a patient with MRSA in the operating room. We have discovered barrier nursing procedures in a patient with MRSA in the operating room. We have also succeeded in assessing the knowledge of nurses working in the operating room. The goal was met. An interesting finding was that most of anesthetic nurses and perioperative nurses had responded that the structural and technical arrangement in the operating room was not satisfactory in terms of barrier nursing of a patient with MRSA. This problem was expected, owing to the author´s experience in operating theaters. Thus Hypothesis 1 is confirmed. In total five hypotheses were stated, four of which were confirmed and one was disproved. The aim of the thesis was to draw attention to problems in the operating room during nursing a patient with MRSA. In the course of the research work there were no problems, however, it is necessary to mention the lack of literature on MRSA with regard to nursing care in operating theaters. The theoretical section of this thesis could be recommended as a resource for the education plan created on the basis of information collected and the results of this research. The results of the research survey may serve for general public, anesthesia and perioperative nurses who could benefit from the educational plan in practice while providing nursing care for a patient with MRSA.

1 Abstract Contract for health care under the Civil Code The subject of this thesis is a new type of contract, which was brought into Czech civil law by the Civil Code effective since 1 January 2014 - contract for health care. By including this special type of contract, the legislators practically agreed with a group of legal experts stating that health care is provided under contract, even before the new Civil Code became effective. This paper deals with the very conception of health care used in Czech legislation and with its comparison with the interpretation on this matter in legal codes, which were used by the authors of the provisions on contract for health care as inspiration. First part of this thesis discusses the legal regulation of health care in the Civil Code. With aim to provide a coherent point of view of this type of contract, this part briefly describes other possible conceptions of this legal institute. Besides the solutions, which provided a source of inspiration to Czech legislators, and those which are similar to the new Czech regulation, conceptions of health care used in other states of mainly continental Europe are mentioned. That is followed by introduction of interpretation of relation between provider of care and patient applied in the Czech Republic before the new Civil Code...

The thesis deals with the problem of aging of the population in the lower territorial unit in the municipality with extended competence in Příbram. The current situation of the population is dealt with, but the future population status is projected from 2015 to 2030. For their analysis are used demographic and economic indicators, results of own projection as well as a description of social care services provided in this area. The aging of the population is related to several key themes, mainly with the provision of adequate care for the elderly, and in the work it is also addressed in terms of financing services and the increasing burden of the economically active population. The demographic data on the local population is compared with the situation in the Czech Republic. The benefit of the work is primarily to determine the need for social care services for the elderly in the future, to identify possible shortcomings in their provision, capacity, quality and financing. The aim of the thesis is also to find possible solutions that are most effective and help to ensure safe and peaceful aging for all seniors in SO ORP Příbram. The result of the work is to map the current situation and to create a future estimation that will provide the necessary documents for better planning of social services for the elderly.