The objective of this paper is to describe the recent history, current situation and perspectives for further development of the integrated system of primary care in the Czech Republic. The role of primary care in the whole health care system is discussed and new initiatives aimed at strengthening and integrating primary care are outlined. Changes brought about by the recent reform processes are generally seen as favourable, however, a lack of integration of health services under the current system is causing various kinds of problems. A new strategy for development of primary care in the Czech Republic encourages integration of care and defines primary care as co-ordinated and complex care provided at the level of the first contact of an individual with the health care system.

Department of Social Medicine and Health Care Administration Masaryk University Medical Faculty Jostova 10 662 43 Brno Czech Republic

See more in PubMed

WHO. Integration of health care delivery. Report of a WHO Study Group. Geneva: WHO; 1996. (WHO Technical Report Series 861). PubMed

Health care systems in transition: Czech Republic. European Observatory on Health Care Systems. 1999.

Massaro TA, Nemec J, Kalman I. Health system reform in the Czech Republic. Policy lessons from the initial experience of the general health insurance company. Journal of the American Medical Association. 1994;271(23):1870–4. PubMed

Drbal C. The nation and health care [in Czech] Casopis Lekaru Ceskych. 1994;133(2):35–6. PubMed

Koupilova I, McKee M, Holcik J. Neonatal mortality in the Czech Republic during the transition. Health Policy. 1998;46(1):43–52. PubMed

Meijerman A, Papes Z, Pfeiffer J, Struk P, Steflova A, editors. Development of primary care in the Czech Republic. Final report. PHARE CZ 9201-24.01-L002. Prague: 1997.

Stich Z. Health Care in Czechoslovakia. Prague: 1961.

Sipr K. How to increase the attractiveness and efficiency of the work of a general practitioner [in Czech]? Ceske Zdravotnictvi. 1971;19(9):386–9. PubMed

Seifert B, Struk P. Abstracts from the Annual Meeting of EUPHA; 9–11 December 1999. Prague: Czech initiatives and perspectives in primary health care; p. 153.

Misconiova B. Comprehensive home care in the Czech Republic. Caring. 1998;17(4):38–41. PubMed

Holcik J, Koupilova I, Gerylovova A. Health needs: geographical distribution and relation to use of health services in districts of the Czech Republic [in Czech] Casopis Lekaru Ceskych. 1997;136(21):662–5. PubMed

Zavazalova H, Bremer C, Motan J, Zaremba V, Vozehova S. General physicians at the beginning of health services transformation [in Czech] Casopis Lekaru Ceskych. 1997;136(16):507–8. PubMed

Jaros J, Kalina K, editors. Czech Health Care System: Delivery and Financing. OECD study. Czech Association for Health Services Research; 1998.

Drbal C. The role of specialist ambulatory care in the health care system [in Czech] Zdravotnictvi v Ceske republice. 1999;2(2–3):70–5.

Steflova A. Development of primary care in the Czech Republic [in Czech] Lekarske listy. 1998 Jan 16;:1–3.

Papes Z. Primary care and health care system [in Czech] Zdravotnictvi v Ceske republice. 1998;1(4):8–13.

Hrobon P, Chlumsky J, Jirasek V, Kvapil M. Assessment of the need for and length of hospitalisation at an internal medicine department [in Czech] Vnitrni Lekarstvi. 1998;44(9):541–6. PubMed

Hrobon P, Schwarz J, Smutny S, Wald M. Experience with the use of criteria for evaluation the need for hospitalisation in a surgery department [in Czech] Rozhledy v Chirurgii. 1998;77(9):408–13. PubMed

Handysides S. New roles for general practitioners. British Medical Journal. 1994;308(6927):513–6. PubMed PMC

Rosenmoller M. Health systems reforms in Central and Eastern European countries. A fondo: health systems reforms. [cited 2000 Oct 24]. Available from: URL: http://www.ee-iese.com/66/afondoart4.html.

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