Fiala Petr, Holmerova Iva, Ruda Tomas, Steffl Michal
Faculty of Humanities, Centre of Expertise Longevity and Long Term Care and Centre of Gerontology, Charles University, Prague, Czech Republic.
Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic.
Health Econ Rev. 2021 Aug 18;11(1):32. doi: 10.1186/s13561-021-00331-1.
To 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.
Balancing 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.
Data 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).
The 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.
让人们能够在自己家中安享晚年通常需要专业的居家护理服务。尽管这些服务非常重要，但在许多国家，居家护理（HNC）的资金投入仍未得到充分研究。本文旨在描述捷克共和国居家护理的资金情况。
利用2018年封闭会计年度的结构化问卷按月平均进行收入与成本的平衡分析。使用非参数Kruskal-Wallis检验和Wilcoxon符号秩检验来检验假设。
分析了62家服务提供商的数据。这些数据包括来自总共2297名患者和995名员工的信息。总成本平均为17,591.7欧元（95%置信区间14,175.3 - 21,008.1），总收入平均为17,276.5欧元（95%置信区间13,923.5 - 20,629.5）。每位患者的平均成本为516.0欧元（95%置信区间465.9 - 566.1），平均收入为500.1欧元（95%置信区间457.0 - 543.3）。
在捷克共和国，居家护理服务提供商的总体财务状况似乎是平衡的。然而，保险虽然应该覆盖，但并未涵盖所有成本。就护士工作时长而言，小型服务提供商往往成本更低。
