Hrazení výkonu micropigmentace prsních dvorců osobám postiženým rakovinou prsu zdravotními pojišťovnami

This diploma thesis deals with the economic evaluation of medical interventions. Thesis demonstrate the cost-effectiveness of the nipples and areola micropigmentation technique in order to introduce the reimbursement of this procedure by insurance companies. The compared alternative is the procedure of creating a new nipple and areola surgically. This procedure is defined in the Seznam zdravotních výkonů (list of medical procedures) under number 61391. For the comparison, the cost of the investigated procedure was determined through an interview with a reimbursement expert and the benefit was determined by conducting the research using the BREAST-Q questionnaire. The cost of the compared alternative was determined using the Seznam zdravotních výkonů and Zdravotní vyhláška 2022 (reimbursement ordinance) and its utility through a combination of data from the BREAST-Q questionnaire and data obtained from expert studies. The result is the demonstration of higher cost-effectiveness in the case of the micropigmentation technique than in the case of the compared alternative, demonstration of the social need and a proposal of procedure for implementation of the reimbursement of the studied procedure by health insurance companies in the Czech Republic.