scholarly journals "ENGAGING WITH THE BENEFICIARIES IN REFORMING HEALTH CARE. A CASE STUDY OF PATIENT INVOLVEMENT IN THE REFORM OF PSYCHIATRIC CARE IN THE CZECH REPUBLIC"

2021 ◽  
Vol 63 E ◽  
pp. 30-48
Author(s):  
Karolína DOBIÁŠOVÁ ◽  
Miriam KOTRUSOVÁ ◽  
Magdalena WOLFOVÁ
Keyword(s):  
Czech Republic ◽  
Mentally Ill ◽  
Patient Involvement ◽  
Psychiatric Care ◽  
Care Providers ◽  
The Czech Republic ◽  
Key Stakeholders ◽  
Current Reform ◽  
Depth Interviews

"The involvement of patients and their families in healthcare policymaking has been a general trend in recent years. This tendency can be observed also in the process of the current reform of psychiatric care in the Czech Republic, which should gradually shift the focus of psychiatric care from large facilities to community care. Organizations representing patients and their families are among the key stakeholders in this reform. The present study analyses semi-structured in-depth interviews and documents with the objective to map and evaluate the process of patient involvement in the reform from its launch to its implementation in 2012-2019. The study identifies the major barriers to patient involvement – on the part of the patients and their organizations, professionals (healthcare professionals, care providers, administration, policymakers), as well as the whole society. It becomes clear that the reform encourages patient involvement, with a palpable shift from consultation to involvement. Still, there are many obstacles to patient involvement in the Czech Republic: the mental state, social and economic situation of the patients, paternalism on the part of care providers, tokenism or stigmatization of mentally ill people."

Public leadership and strategies of Czech municipalities during the COVID-19 pandemic – municipal activism vs municipal passivism

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Michal Plaček ◽  
David Špaček ◽  
František Ochrana
Keyword(s):  
Czech Republic ◽  
Local Governments ◽  
Strategic Behavior ◽  
Participant Observation ◽  
Capital City ◽  
The Czech Republic ◽  
Content Type ◽  
Public Leadership

PurposeThis paper discusses the role of public leadership and the strategic response of local governments to the external shock caused by the COVID-19 pandemic. The authors examine the typical Czech response with regard to how the leadership of municipalities in the Czech Republic responded to this extremely negative external stimulus.Design/methodology/approachThe authors use qualitative research methods for this investigation. They have chosen the case study method (see Yin, 2009; Stake, 1995; Klonoski, 2013). The general case is the Czech Republic. Mini-cases consist of municipalities from the Znojmo region, municipalities of the Central Bohemian region and the municipal districts in the capital city of Prague. Furthermore, the method of participant observation was used.FindingsThe authors’ analysis of the problem of local government responses to the pandemic crisis shows that municipal leaders responded with a variety of (non-)adaptation strategies. It appears that certain framework factors influenced the various local governments' behavior.Originality/valueThe article examines the strategic behavior of Czech municipal leaders regarding the pandemic crisis based on the observation of the reactions of local governments in the Czech Republic to the pandemic crisis and strives to define their basic strategies.

scholarly journals Is Long-Term Care Person Centred? A Case Study

2021 ◽  
Author(s):  
Katarina Young
Keyword(s):  
Long Term Care ◽  
Direct Care ◽  
Care Providers ◽  
Term Care ◽  
Study Approach ◽  
Key Stakeholders ◽  
Direct Care Providers ◽  
Government Legislation

In Ontario long-term care (LTC) settings, person-centred care (PCC) is promoted by government legislation, accreditation organizations and professional practice guidelines aiming to integrate this approach. However, there is currently no standardized approach to providing PCC in LTC. The purpose of this study was to examine public policies on PCC in Ontario and explore how they are interpreted and translated into practice in LTC. A qualitative case study approach was used to examine the perspectives of key stakeholders at one LTC facility in Ontario. Focus groups were conducted with residents, family members, direct care providers and managers. Through content analysis, findings were organized into four categories showcasing both overlapping and differential understandings of PCC in practice: 1) conceptualization, 2) barriers, 3) facilitators, and 4) evaluation. Identified tensions between policy and the delivery of PCC highlight systemic issues that must be addressed to enable equitable person-centred LTC rooted in resident-identified priorities.

scholarly journals The importance of historical maps for man-made pond research: From the past extent of ponds to issues of the present landscape. A case study from the Czech Republic

2021 ◽  
Vol 29 (3) ◽  
pp. 184-201
Author(s):  
Jindřich Frajer ◽  
Jana Kremlová ◽  
David Fiedor ◽  
Renata Pavelková ◽  
Miroslav Trnka
Keyword(s):  
Czech Republic ◽  
Landscape Planning ◽  
Historical Maps ◽  
Water Shortages ◽  
Historical Gis ◽  
The Czech Republic ◽  
Landscape Water ◽  
Agricultural Areas ◽  
Agricultural Regions

Abstract Historical maps are a valuable resource in landscape research. The information gathered from them facilitates the cognisance of landscapes and may assist current landscape planning. This study focuses on the historical occurrence and spatial extent of man-made ponds in the Czech Republic. Based on the 1st Military Survey maps (1764–1783) of the Habsburg Monarchy, we use Historical GIS to identify 7,676 man-made ponds in the historical landscape. Compared to the 2nd Military Survey maps (1836–1852), 56% of these man-made ponds had been drained. Such disappearances mostly affected large ponds in fertile agricultural areas, but also affected small reservoirs in less fertile areas at higher altitudes. As the current maps and spatial datasets (Water reservoirs, Landscape water regime, Farming areas) show, a number of these agricultural regions have been affected by climate changes and face water shortages. The historical map information of former ponds has the potential to contribute to their restoration in areas where water retention in the landscape needs to be increased.

scholarly journals The Technical Efficiency of Local Action Groups: a Czech Republic Case Study

2017 ◽  
Vol 65 (3) ◽  
pp. 1065-1074 ◽  
Author(s):  
Iveta Vrabková ◽  
Pavel Šaradín
Keyword(s):  
Czech Republic ◽  
Technical Efficiency ◽  
Comprehensive Evaluation ◽  
Local Action ◽  
Economic Returns ◽  
Evaluation Tool ◽  
The Czech Republic ◽  
The One ◽  
Action Groups

Local Action Groups (LAGs) represent a dynamic platform for inter-municipal cooperation in Europe. Their principal advantages include EU funding and the capacity to generate economic returns and stimulate the development of local communities. The methodology used for the evaluation of the performance of LAGs is defined by the EU on the one hand and by national authorities on the other. Furthermore, there are an entire array of evaluation tools and academic experiments available. The present paper does not aim at a comprehensive evaluation of LAGs, but instead only examines the technical efficiency of LAGs. Using the Czech Republic as an example, the paper introduces an evaluation tool to measure the technical efficiency of LAGs and describes how it can be applied. The adoption of this tool is seen as a means of improving one of the parameters of the performance of LAGs.

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