Prague Harvard Case Solution & Analysis


Czech Republic is a significant country situated in the central Europe, sharing borders on all four sides with prominent countries like Germany, Poland, Slovakia and Austria. The landlocked country is a member of EU and has one of the most prominent economies among the new members of EU. It is considered as one of the most prosperous and stable state in Central and Eastern Europe which is depicted by its low rate of poverty of 10% and a steady economic growth of 3.6%.

Czech Republic health care system underwent a lot of changes and it is still undergoing changes for its improvement and development. It primarily has a health system of Social Health Insurance based on compulsory membership in a health insurance fund. After the Velvet Revolution in 1989 the Czech Republichad the most significant changes in its health system. A number of principles were introduced like the principle of free choice health care provider.

Medical Associations like Chamber of Pharmacists and Dental Chamber were newly founded and re-established. Another significant change was the approval of several key laws relating to new health system, including General Health Insurance Act (1991), Health Insurance Fund (1992) and General Health Insurance Fund (1991).

All these changes shifted the health care system towards the SHI model having a number of self-governing, quasi-public health insurance funds having a number of buyers and sellers of care, which are financed thorough SHI contributions. The health care system in Czech Republic has 3 main organizational featured:

The responsibility of the Ministry of Health includes setting the agenda for health care policy and monitoring the health system. The accessibility and assurance of service provision are done by regional authorities and health insurance funds. Patients in Czech Republic have many rights and obligations like having a free choice of health care provider and fund and being a part of SHI system they are obliged to pay a certain amount of contributions along with the their employers monthly.

Czech Republic despite all these facilities has certain drawbacks in its system like a sound method of assessing the quality of services and facilities provided. Steps are being taken to overcome this drawback so that information is more viable and accessible to the public. Also, some pharmaceutical prescriptions are not covered completely by SHI, in such cases, patients are pre-informed by the doctors or pharmacists if other drugs having the same effect are available and are covered by the a SHI fund or insurance or have a smaller payment.

Health Insurance in Czech Republic is compulsory and the individuals are not given an option to exclude themselves from the system. The insured individuals however do have enough rights to choose their health care system once in every 12 months. Another notable service is that the SHI individuals are also entitled to receive services which are included in statutory insurance in other European countries as it is a member of the EU.

Czech Policy holders can use the EHIC (European Health Insurance Card) to get health care provisions abroad, whichare paid by the Czech system during their temporary stays. Also the individuals also authorize the by law to register any complaints they might have regarding a physician or any service and their complaints are processed by the Czech Medical Chamber.

What are the major differences between the United States health care system and theirs?

After the Velvet Revolution, the Czech Republic had the control of 90% of hospitals throughout the country and because of this it became easy to imply insurance through insurance companies and have contributions through SHI. Because of this 37 Insurance companies are in working in the Czech Republic. The health care system of Czech Republic covers medical, maternity, gynecology, home care nurses and dentistry.

Prague Case Solution

Open access to psychologists is also available. The responsibility of district wise health is undertaken by the district health office which ensures that services and facilities of health care are available to the people in the district. Citizens also have the free right to choose their physician, psychiatrist and pediatrician. Because of such reforms life expectancy in Czech Republic went up and infant mortality rates went down.

In the US, however the health care system is undertaken by several distinct entities. The private sector majorly owns and operates the health care facilities and only around 21% are owned by the government. The US government spends a lot on introducing health care campaigns and programs such as Medicare, Medicaid and the Children’s Health Insurance Program etc. Most of the citizens are insured by their family member or employer or have even insured themselves. The health care quality is unevenly distributed and access in the US........................

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