Czech health two decades on from the Velvet Revolution

Antonová, Petra; Jacobs, Daniel; Bojar, Martin; Černý, Rudolf; Ciharová, Katerina; Frick, Melissa A.; Fintel, Bara; DeHovitz, Jack; Bennett, Charles L.

doi:10.1016/s0140-6736(09)61293-9

Cited by 7 publications

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“…In Central and Eastern countries there was a steady increase in physician paternalism together with a decline in open communication between patients, families and medical staff [7]. Concomitantly, medical technologies progressed very slowly compared to Western countries.…”

Section: Introductionmentioning

confidence: 99%

“…During the second half of the 20th century, for historical reasons, medical facilities and communication skills took different evolutionary paths in West and Central/East European countries. In Central and Eastern countries there was a steady increase in physician paternalism together with a decline in open communication between patients, families and medical staff [ 7 ]. Concomitantly, medical technologies progressed very slowly compared to Western countries.…”

Section: Introductionmentioning

confidence: 99%

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Limited family members/staff communication in intensive care units in the Czech and Slovak Republics considerably increases anxiety in patients ́ relatives – the DEPRESS study

et al. 2014

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BackgroundSymptoms of anxiety and depression are common among family members of ICU patients and are culturally dependent. The aim of the study was to assess the prevalence of symptoms of anxiety and depression and associated factors in family members of ICU patients in two Central European countries.MethodsWe conducted a prospective multicenter study involving 22 ICUs (250 beds) in the Czech and Slovak Republics. The Hospital Anxiety and Depression Scale (HADS) was used to assess symptoms of anxiety and depression in family members of ICU patients. Family member understanding of the patient’s condition was assessed using a structured interview and a questionnaire was used to assess satisfaction with family member/ICU staff communication.ResultsTwenty two intensive care units (both adult and pediatric) in academic medical centers and community hospitals participated in the study. During a 6 month period, 405 family members of 293 patients were enrolled. We found a high prevalence of anxiety and depression symptoms – 78% and 54%, respectively. Information leaflets distributed to family members did not lower incidences of anxiety/depression. Family members with symptoms of depression reported higher levels of satisfaction according to the modified Critical Care Family Needs Inventory. Extended contact between staff and family members was the only related factor associated with anxiety reduction (p = 0.001).ConclusionFamily members of ICU patients in East European countries suffer from symptoms of anxiety and depression. We identified limited family member/ICU staff communication as an important health care professional-related factor associated with a higher incidence of symptoms of anxiety. This factor is potentially amenable to improvement and may serve as a target for proactive intervention proactive intervention.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Limited family members/staff communication in intensive care units in the Czech and Slovak Republics considerably increases anxiety in patients ́ relatives – the DEPRESS study

et al. 2014

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“…Despite the modest amount of these so called patient fees (less than 1.5 euro for a single use of medical services) and caps on the annual expenditure of the individual patient, they became a flagship of social democratic opposition which called them "anti-social". The original intent of the fees was dual: to limit the excessive outpatient contacts with medical personnel and to increase the financial stability of the system by diversifying the sources of its financing (Antonova et al 2010). Though the data does not indicate a radical increase in the financial burden even among the vulnerable groups, Kru ˚tilova ´and Yaya conclude that they resulted in catastrophic payments by pensioners and low earners (2012).…”

Section: Healthmentioning

confidence: 99%

“…Though the data does not indicate a radical increase in the financial burden even among the vulnerable groups, Kru ˚tilova ´and Yaya conclude that they resulted in catastrophic payments by pensioners and low earners (2012). The fees might have played a positive role in keeping the healthcare budget sustainable (Antonova et al 2010). The private health spending remained comparatively low, on the same level as the lowest share of out-of-pocket expenditures in France and the Netherlands, well below a country of the CEE (EUROSTAT 2013).…”

Section: Healthmentioning

confidence: 99%

Beyond the Dutch Miracle? Challenges to and Responses of the Dutch Welfare System

Gerven

2016

Challenges to European Welfare Systems

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the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made.

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The Czech Republic

Popic

2023

Health Reforms in Post-Communist Eastern Europe

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Czech health two decades on from the Velvet Revolution

Cited by 7 publications

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Limited family members/staff communication in intensive care units in the Czech and Slovak Republics considerably increases anxiety in patients ́ relatives – the DEPRESS study

Limited family members/staff communication in intensive care units in the Czech and Slovak Republics considerably increases anxiety in patients ́ relatives – the DEPRESS study

Beyond the Dutch Miracle? Challenges to and Responses of the Dutch Welfare System

The Czech Republic

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