The subject of this research is one of the main preconditions for the provision of high-quality social care services for people over the age of 65 with lowered self-sufficiency. It involves the spatial accessibility of formally established nursing services examined in 76 districts of the Czech Republic. The aim of this article is to identify and evaluate the gaps in spatial accessibility of the selected residential and outpatient-clinic services at the level of districts in individual regions of the Czech Republic in 2018. A three-phase analysis was performed, including an ArcGIS network analysis, multi-criteria evaluation according to the TOPSIS method, and a correlation analysis encompassing the confidence interval gained via the Bootstrap method. Seven indicators were selected—recipients of the allowance for the care, capacity of residential and outpatient-clinic services, and four indicators of accessibility via individual and public transport within the set time intervals. The results show good availability of residential care (no gap) within 30 min. by individual and public transport in most districts (94%). However, day services centers do not have a space gap in only 28% of districts by individual transport, and 8% of districts by public transport. In the case of day care centers, 54% of districts by individual transport, and 29% of districts by public transport do not have a space gap. The results also show that the level of spatial availability of care (gaps) in the district is not related to the number of people aged 65+ with reduced self-sufficiency in the district. On the contrary, the correlation analysis shows that with the growing number of people aged 65+ with reduced self-sufficiency in the district, the capacity of residential and outpatient services increases and the gaps in spatial accessibility do not decrease.
The research address a partial issue of market failure in the form of information asymmetry. Within the public sector, social services, together with health services, belong to typical sectors where the information superiority of supply against demand is detected. The presence of asymmetrical/imperfect information within the social care has a significant effect on retired people who demand the services of retirement homes, and this effect occurs before as well as during the consumption of this service. The paper aims to identify and evaluate the information gaps of 159 official websites of retirement homes in the Czech Republic that are related to the supply of offered services. The evaluated websites of the retirement homes were selected in a way including all three types of the legal form of retirement homes (semi-budgetary units of regions, limited liability companies, church legal entities) that are present in this category of social services in the Czech Republic. The multi-criteria evaluation, performed by using the TOPSIS method, included 14 types of information (criteria). The TOPSIS method is based on the selection of the variant that is the closest one to the ideal variant and that is characterized by a vector. The results show that retirement homes insufficiently disclose several types of information. These include the conditions of acceptance into the retirement home, annual reports, some types of contact information, internal rules of the home, and the electronic link for the communication with the retirement home. In relation to the evaluation of the total level of 14 types of information being disclosed on the websites of retirement homes, it was revealed that 3% of them achieve an excellent level, 30% achieve a lesser than excellent level, 60% achieve a low level, and 7% of retirement homes achieve a very low level.
Příspěvek je zaměřen na zhodnocení technické efektivity a produktivity vybraných 33 pobytových sociálních zařízení, a to dle základních modelů Data Envelopment Analysis (CCR a BCC modely) a Malquistova indexu za období let 2011 a 2016. Při výběru domovů pro seniory byl kladen důraz na srovnatelnost poskytovaných sociálních služeb. Pro odhadování efektivity byl vytvořen model pracující se čtyřmi vstupními a dvěma výstupními proměnnými. Zvolené vstupy-počet lůžek na jednoho zaměstnance; výše mzdových nákladů na jednoho zaměstnance (v tis. Kč); počet lůžek na jednoho zaměstnance v přímé péči; výše celkových nákladů na jedno lůžko (v tis. Kč), zvolené výstupy-výše vlastních příjmů na jedno lůžko (v tis. Kč) a výše transferů na jedno lůžko (v tis. Kč). Výsledky ukazují, že počet efektivních domovů pro seniory ve výstupně orientovaném modelu v roce 2011 v rámci variabilních výnosů z rozsahu bylo 57,57 % a v případě konstantních výnosů z rozsahu se jednalo o 24,26 % domovů. Vstupně orientovaný model prokázal v daném roce efektivnost u 57,58 % domovů za předpokladu variabilních výnosů z rozsahu a ve 24,25 % u konstantních výnosů. V roce 2016 počet efektivních domovů v rámci výstupně a vstupně orientovaného modelu bylo 51,51 % v případě variabilních výnosů z rozsahu a 27,27 % v konstantních výnosech z rozsahu.
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