Chronic Diseases in the Czech Republic Data and Management

1. Chronic Diseasesin the Czech RepublicData and Management 9/2010 Stanislava Panova, MD Director of the Healthcare Dept. Ministry of Health of the Czech Republic

2. The CzechRepublic • Population size: 10.3 mil. inhabitants • Total number of older people (≥ 65 years): 1 556 152 (14.9%) • Home care: 106 980 persons ≥ 65 yrs • Hospital care:24 387 persons ≥ 65 yrs • Number of persons receiving financial support for their care from the state: 286 595 persons 200 118 persons ≥ 65 years

3. Management of Chronic Diseases • Concepts of Individual Fields of Medicine • Professional Recommendations • National Action Plans and Strategies • Technical Capacity of Outpatient Care, Acute Care and Aftercare • Legislative Standards Conditioning the Health Care Sector

4. Concepts of Individual Fields of Medicine • Professional societies create their recomendations in relation to global and European concepts • There is no single approach to these concepts and no rules have been established for creating these concepts This work needs: • Interdisciplinary approach • Conformance with national strategies • Consultation with health care payers • Complexity of elaboration from the aspect of the field

5. Professional Recommendations Over the past two years, a significant shift has been noted in the following areas: • Creation of national sets of standards for health care – the ones that are frequent, costly, complicated … • Creation of unified methodology, opponency, updates • Financing from EU sources • From the area of chronic diseases, e.g. hip and knee joint replacements, hypertension, myocardial infarction and others

6. National Action Plans and Strategies • National Action Plan for Healthcare Quality and Safety and Standardised Healthcare • National Action Plan for Child Injury Prevention • National Action Plan for Rare Diseases • National Action Plan for Transplants • Programme for Equalization of Opportunities for Persons with Disabilities • Recommendation of the Government Council for seniors and the aging population to process a concept for solving the issue of Alzheimer’s Disease and similar diseases in the Czech Republic • National Action Plan for Patient Nutrition

7. Technical Capacity of Outpatient Care, Acute Care and Aftercare • 56.000 acute care beds • 28.000 aftercare beds • 106.000 people in home care • 398 hospices beds • paliative care ????

8. Legislative Standards • Backbone laws are out of date, we have new ones prepared • Subordinate standards • Decree on medical documents • Decree on dispensary • Preventive decree • List of medical procedures with point values always to 1.1 of the respective year.

9. What Do We Need for Successful Management of Chronic Diseases? • Quality data (in order to be able to evaluate the population load) 2. Information on clinical development of diseases (for comparing costs, benchmarking processes and results) • A plan for financing the entire care segment (build by insuarance companies)

10. Health Care Rationalisation • Concentration of costly and specialised care into a limited number of centres – oncology, traumatology, cardiovascular, cerebrovascular system, ….rare diseases, hemolytical, cystic fibr. • Elimination of duplicates in care – diagnostics, therapy – BSA agreement with WHO. • Correct assessment of disabilities – newly implemented ICF classification • Close cooperation with the Department of Labour and Social Affairs – multi-source financing of health care

11. Thank you for your attention! www.mzcr.cz www.uzis.cz