Economic and Managerial Aspects of Alzheimer's Disease in The Czech Republic

摘要

The world report about the Alzheimer's disease (World Alzheimer's Report 2013) points out that there is a lack of carers (social workers) and also lack of dependants support. The report shows, that with an aging world population the traditional informal care provided by family, friends and community ceases to be sustainable. The world report expects that in approximately 40 years the number of dependent older people will be almost three times higher-from 101 million in 2010 to 277 million in 2050. The World Health Organisation (2013) divided old age into three stages. From early old age, 60 to 74, from 74 to 89 years of age and 90 years or more is denoted like longevity. As the biggest health insurance company in the Czech Republic, the General Health Insurance Company (VZP) issues nearly 600 million Czech crowns for the treatment of patients with the Alzheimer's disease. Every year there are more and more patients, last year VZP recorded more than 27 thousand patients. While not in all cases is disease diagnosed in time. Experts estimated that Alzheimer's disease which is in most cases the most common cause of dementia is suffered by more than 130 thousand of citizens of Czech Republic. Every state creates its own program which focuses on old age and aging in the Czech Republic it is the "National program of preparation for aging of the population". The aim of this program is to create conditions for the solutions of aging issues and to achieve changes in attitudes and approaches at every level. Therefore, it is necessary provide support from state and other non-state institutions which can improve the quality of life for senior citizens. The support means some kind of handover or support in various forms of assistance in diverse situations (material, economical, informational etc.). The paper describes the latest national and regional trends for people with dementia in need of care and represents an economic and managerial analysis of the long-term care systems, in the Czech Republic.