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Chech Republic

Population (2017): 10.58 M

Income per Capita (2018): 20,368.14 US

Percentage of GDP on Healthcare (2015): 7.31%

training

Type of Training: Residency (half in hospital, half in general practice)

Length of Training: Medical school (6 years), post-graduate program, (3 years) (Vychytil & Marx, 2009)

Year family medicine established: 1978 (Seifert, 2018)

Number of institutions that offer family medicine: There are 6 universities that offer family medicine (Brekke et al., 2013)

Number of family medicine residents graduating each year (2018): 120 family medicine residents (Seifert, 2018)

practice

Number of family doctors in country (2016): 5200 family physicians (Seifert, 2018)

Physician to population ratio (2006): 70.5 family physicians per 100,000 people (Masseria et al., 2009).

Number of family doctors in country (2016): 1,412 family physicians (Eurostat, 2016)

Physician to population ratio (2006): 56.1 family physicians per 100,000 people (Masseria et al., 2009).

DALY: 14,326 per 100,000 individuals (Due to all Causes).

Life Expectancy:

  • Females 2017: 82.6 years

  • Males 2017: 76.5 years

Mortality rate 2017:

  • 2017 Males: 109 per 1,000 male adults.

  • 2017 Females: 53 per 1,000 female adults.

Infant Immunization-HepB3: % of 1-year-old children received: 94%

College of Family Physicians (Y or N):

  • Yes: "The Czech Society of General Practice”.

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healthcare system

The healthcare system in the Czech Republic is a public insurance system.g Most general practitioners are privately-run but publicly-funded (Seifert, 2018).

Family medicine is recognized by the health care system, and there is now a task force making family medicine more valued. The Czech Society of General Practice was founded in 1980, after it became recognized as a specialty (Czech Society of General Practice, n.d.).


training

Family medicine was formally recognized in 1978 (Seifert, 2018) in the Czech Republic. The training required includes a six year program at medical school, which is followed by a 3-year post-graduate program (Vychytil & Marx, 2013).  It was previously 4 years, but was shortened to be payable by the state (Seifert, 2018).

Currently 120 family medicine residents graduate each year from the six universities offering family medicine training (Brekke et al., 2013).

The residency program for family medicine is divided into two types of training. Half of the residency is spent in hospital focusing on internal medicine, surgery, pediatrics, gynecology and anesthesiology. The other half is spent in general practice.



practice

As of 2016, there were 5200 family physicians (Seifert, 2018). Their role includes providing preventative, corrective primary care to patients. The ratio of family physicians was recorded as 70.5 per 100 000 people in 2006 (Masseria et al., 2009). Other primary caregivers include gynaecologists, dentists, and pediatricians.

While there is no formal gatekeeping system in place, 95% of people choose to see a general practitioner as a first step. The majority of GPs work in poly-clinic with other specialists, but some also work in private clinics (Seifert, 2018).


References

Bohumil, S., interviewed by Isabella Aversa, November 21, 2018.

Brekke, M., Carelli, F., Zarbailov, N., Javashvili, G., Wilm, S., Timonen, M., & Tandeter, H. 2013. “Undergraduate Medical Education in General Practice/Family Medicine throughout Europe-a Descriptive Study.” http://www.biomedcentral.com/1472-6920/13/157.

“Czech Society of General Practice” n.d. Accessed December 2, 2018. https://www.svl.cz/en/czech-society-of-general-practice/.

Masseria, C., Irwin, R., Thomson, S., Gemmill, M., & Mossialos, E. 2009. “Primary Care in Europe.” The London School of Economics and Political Science, no. December: 1–42. https://doi.org/10.1097/JAC.0b013e31824b45f4.

Vychytil, P., and Marx, D. 2009. “The Reform of Specialist Training for General Practice in the Czech Republic.” Cent Eur J Public Health. Vol. 17. http://www.uzis.cz/healt_info.php?type=8&region=100&mnu_id=3000&lng=en.