[A demographic model of hospitalization rates in the population of the Czech Republic as a tool for evaluation of inter-district differences]. / Demografický model hospitalizovanosti obyvatelstava Ceské republiky jako nástroj k posouzení meziokresních rozdílu.

The authors elaborated a computer model of the hospitalization rate of the population, using the method of indirect standardization which can apply the available specific hospitalization rate of a major territorial unit by age and sex to defined regional sub-populations. The model was used to the calculation of the theoretical standardized hospitalization rate in hospitals and sanatoria for chronic patients in Prague and different district of the Czech Republic, using the specific hospitalization rate of the whole Czech Republic as a standard for 1986 to be compared with the actual number of patients hospitalized in that year. The ratio of the actual number of hospitalized patients and the calculated standard for 1986 varied between 73.5% in the district Plzen-north and 125.9% in the Bruntal district. In the Bruntal district the age standardized hospitalization rate was thus by more than 70% higher than in the Plzen-north. In district with the highest ratio of the actual and standardized number of hospitalized patients there was in all instances a relatively great excess of beds which was obviously the main subjective reason for the high hospitalization rate of the population. In the district of Cheb, Svitavy, Most, Chomutov and Bruntal there were, as compared with the Czech average of 400 almost some 600 beds in hospitals and sanatoria for chronic patients in excess. The hospitalization rate of the population in the Czech Republic in 1986 is compared with that in Holland in 1989-1991 and it was found that the comparable Czech data were by 1.8 times higher.

[A regional health care information system used in the support of management]. / Zdravotnický informacní systém regionu, vyuzití pro podporu rízení.

The District Institute of National Health in Benesov uses automation of information oriented above all on therapeutic and preventive care. At present analyses on the assembled information are under way and are compared with the structure of analyses needed for the management of the health services. The first stage deals with the structure of dispensarized diseases which will be published by the authors.