Kontakt 2014, 16(2):e119-e131 | DOI: 10.1016/j.kontakt.2014.04.002

Ambulatory geriatrics in the Czech Republic: A survey of geriatricians' opinionsSocial Sciences - Original article

Venuše Škampováa, Vladimír Rogalewiczb,*, Libuše Čeledováb, Rostislav Čevelab
a CzechHTA, Department of Biomedical Technology, Faculty of Biomedical Engineering, Czech Technical University in Prague, Kladno, Czech Republic
b Institute of Social Medicine, Faculty of Medicine in Pilsen, Charles University in Prague, Czech Republic

According to the latest published data, the total of 33 outpatient geriatric facilities were registered in the Czech Republic at the end of 2011 employing (mostly on a part-time basis) 63 physicians. The aim of this paper was to analyze the reasons of this situation. An extensive survey of the opinions of Czech geriatricians performed in spring 2013 addressing all the 230 geriatricians registered in the Czech Medical Association of J. E. Purkyně was focused on the situation in ambulatory geriatric care, the experience with the demand for it, the approach of health insurance companies, and the cooperation with other physicians. The survey has identified that the major obstacle to the development of geriatrics is the persisting artificial separation of medical and social care. Its negative consequence is a breach of the complexity and consistency of care and the cooperation among specialists. A real threat to the development of ambulatory geriatric care is particularly the existing financing system of ambulatory geriatric services and the unofficial "stop state" of health insurance companies that prevent new contractual relationships. Another obstacle is the lack of readily available relevant information, so that the demand for specialist care remains on a low level. The phenomenon of the ageing population is still not perceived as a major challenge by the Czech society, and this situation is also reflected by the level of awareness and interest in these issues.

Keywords: ambulatory geriatrics; demographic ageing process; high risk senior; frail senior citizen

Received: January 10, 2014; Revised: March 31, 2014; Accepted: April 16, 2014; Published: June 23, 2014  Show citation

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Škampová V, Rogalewicz V, Čeledová L, Čevela R. Ambulatory geriatrics in the Czech Republic: A survey of geriatricians' opinions. Kontakt. 2014;16(2):e119-131. doi: 10.1016/j.kontakt.2014.04.002.
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    References

    1. Czech Statistical Office. [online] [cit. 2013-09-13]. Available from: http://www.czso.cz [Remark. According to Dissemination Policy of the Czech Statistical Office of March 2013 (http://www.czso.cz/eng/redakce.nsf/i/key_documents), it is permitted to use and quote in other publications any statistical data of the Czech Statistical Office released at its website www.czso.cz provided the data source is stated.].
    2. Národní akční plán podporující pozitivní stárnutí pro období let 2013 až 2017. Praha: Ministry of Labour and Social Affairs; 2013. [online] [cit. 2013-09-13]. Available from: http://www.mpsv.cz/files/clanky/14540/III_vlada__Akcni_plan_staruti_.pdf
    3. Národní program přípravy na stárnutí na období let 2008-2012. Praha: Ministry of Labour and Social Affairs; 2008. [online] [cit. 2013-09-13]. Available from: http://www.mpsv.cz/cs/5045#zzs
    4. Škampová V, Rogalewicz V, Čeledová L. Ambulantní geriatrie v systému zdravotních služeb ČR očima geriatrů. Revizní a posudkové lékařství 2013;16:89-94.
    5. Topinková E. Geriatrické paradoxy českého zdravotnictví. Zdravotnické noviny; 19 February 2004. [online] [cit. 2013-09-13]. Available from: http://zdravi.e15.cz/clanek/priloha-lekarske-listy/geriatricke-paradoxyceskeho-zdravotnictvi-159427
    6. Czech Medical Chamber. List of members. [online] [cit. 2013-09-13]. Available from: http://www.lkcr.cz/seznam-lekaru-426.html?do[list]=1
    7. Wija P. Out-patient geriatric care between 2001 and 2011. Topical Information of the Institute of Health Information and Statistics of the Czech Republic No. 59/2012. [online] [cit. 2013-09-13]. Available from: http://www.uzis.cz/en/fast-information/out-patient-geriatriccare-between-2001-and-2011
    8. European Union of Medical Specialists. [online] [cit. 2014-03-29]. Available from: http://www.uemsgeriatricmedicine.org/uems1/switzerland1.asp
    9. European Union of Medical Specialists. [online] [cit. 2014-03-29]. Available from: http://www.uemsgeriatricmedicine.org/uems1/austria1.asp
    10. Bundesverband Geriatrie; 2012. [online] [cit. 2014-03-29]. Available from: http://www.bv-geriatrie.de
    11. Gesellschaft für Betriebswirtschaftliche Beratung, Bundesverband Geriatrie. Weißbuch Geriatrie. 2nd revised ed. Stuttgart: Kohlhammer; 2010, 322 p.
    12. Kalvach Z. Geriatr musí být především člověk. Zdravotnické noviny; 2007. [online] [cit. 2014-03-29]. Available from: http://zdravi.e15.cz/rozhovory/predstavujeme/333874
    13. EU. Your social security rights in Sweden. European Union; 2013. [online] [cit. 2014-03-29]. Available from: http://ec.europa.eu/employment_social/empl_portal/SSRinEU/Your%20social%20security%20rights%20in%20Sweden_en.pdf
    14. Kuhlmey A. Spezielle Versorgungsanforderungen bei älteren und alten Menschen. Gerontol Geriatr 2009;42:425-31. Go to original source... Go to PubMed...
    15. Anderson G, Horvath J. The growing burden of chronic disease in America. Public Health Rep 2004;119:263-70. Go to original source... Go to PubMed...
    16. Sorbero M, Saul M, Liu H, Resnick N. Are geriatricians more efficient than other physicians at managing inpatient care for elderly patients? JAGS 2012;60:869-76. Go to original source... Go to PubMed...
    17. Cruz-Jentoft AJ, Franco A, Sommer P, Baeyens JP, Jankowska E, Maggi A et al. Silver paper: the future of health promotion and preventive actions, basic research, and clinical aspects of age-related disease - a report of the European Summit on Age-Related Disease. Q2 Aging Clin Exp Res 2008;21:376-85. Go to original source... Go to PubMed...
    18. Meier-Baumgartner HP. Geriatrics-integration in the care network of Germany. Z Gerontol Geriatr 2001;34:1-9. Go to original source... Go to PubMed...
    19. Seifert B. Je geriatrie podceněným oborem? Medical Tribune; 24 November 2008. [online] [cit. 2013-03-13]. Available from: http://www.tribune.cz/clanek/13026-je-geriatriepodcenenym-oborem
    20. Kalvach Z, Čeledová L, Holmerová I, Jirák R, Zavázalová H, Wija P et al. Křehký pacient a primární péče. Praha: Grada Publishing; 2011, 399 p.
    21. Čevela R, Kalvach Z, Čeledová L. Sociální gerontologie. Úvod do problematiky; 2012, 263 p.

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