Financial balance of home nursing care providers in the Czech Republic

Abstract Background 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 fin...

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Main Authors: Petr Fiala, Iva Holmerova, Tomas Ruda, Michal Steffl
Format: Article
Language:English
Published: BMC 2021-08-01
Series:Health Economics Review
Subjects:
Online Access:https://doi.org/10.1186/s13561-021-00331-1
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author Petr Fiala
Iva Holmerova
Tomas Ruda
Michal Steffl
author_facet Petr Fiala
Iva Holmerova
Tomas Ruda
Michal Steffl
author_sort Petr Fiala
collection DOAJ
description Abstract Background 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. Methods 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. Results 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). Conclusions 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.
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spelling doaj.art-ca7ff130ed1f4a6abe0d9c555b7f3e502022-12-21T22:54:04ZengBMCHealth Economics Review2191-19912021-08-011111710.1186/s13561-021-00331-1Financial balance of home nursing care providers in the Czech RepublicPetr Fiala0Iva Holmerova1Tomas Ruda2Michal Steffl3Faculty of Humanities, Centre of Expertise Longevity and Long Term Care and Centre of Gerontology, Charles UniversityFaculty of Humanities, Centre of Expertise Longevity and Long Term Care and Centre of Gerontology, Charles UniversityFaculty of Physical Education and Sport, Charles UniversityFaculty of Physical Education and Sport, Charles UniversityAbstract Background 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. Methods 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. Results 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). Conclusions 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.https://doi.org/10.1186/s13561-021-00331-1Direct costsIndirect costsLong-term careHome care services
spellingShingle Petr Fiala
Iva Holmerova
Tomas Ruda
Michal Steffl
Financial balance of home nursing care providers in the Czech Republic
Health Economics Review
Direct costs
Indirect costs
Long-term care
Home care services
title Financial balance of home nursing care providers in the Czech Republic
title_full Financial balance of home nursing care providers in the Czech Republic
title_fullStr Financial balance of home nursing care providers in the Czech Republic
title_full_unstemmed Financial balance of home nursing care providers in the Czech Republic
title_short Financial balance of home nursing care providers in the Czech Republic
title_sort financial balance of home nursing care providers in the czech republic
topic Direct costs
Indirect costs
Long-term care
Home care services
url https://doi.org/10.1186/s13561-021-00331-1
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