Financial balance of home nursing care providers in the Czech Republic

Health Economics Review

Iva Holmerova¹  Petr Fiala¹  Michal Steffl²  Tomas Ruda² 

[1]Faculty of Humanities, Centre of Expertise Longevity and Long Term Care and Centre of Gerontology, Charles University, Prague, Czech Republic

[2]Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic

关键词: Direct costs;    Indirect costs;    Long-term care;    Home care services;   

DOI  :  10.1186/s13561-021-00331-1

来源: Springer

【 摘 要 】

BackgroundTo enable people to live in old age in their own homes often requires specialised home care services. Despite the high importance of these services, the finance of home nursing care (HNC) is still under-investigated in many countries. The aim of this paper was to describe the finance of HNC in the Czech Republic.MethodsBalancing of revenues and costs was done using structured questionnaires from the closed accounting year 2018 as a monthly average. Nonparametric Kruskal-Wallis and Wilcoxon signed ranks tests were used to test hypotheses.ResultsData from 62 providers were analysed. The data included information from a total of 2297 patients and 995 employees. The average of total costs were € 17,591.7 (95% CI 14,175.3 - 21,008.1) and average of total revenues were € 17,276.5 (95% CI 13,923.5 - 20,629.5). The average cost per a patient was € 516.0 (95% CI 465.9–566.1) and the average revenues were € 500.1 (95% CI 457.0–543.3).ConclusionsThe overall financial balance of HNC providers seems to be balanced in the Czech Republic. Nevertheless, insurance, although it should, did not cover all the costs. Micro- providers tended to be cheaper regarding the hours worked by nurses.

【 授权许可】

CC BY