Rozvoj služeb dlouhodobé sociálně zdravotní péče v České republice v letech 2000-2022

The diploma thesis deals with the analysis of long-term care in the Czech Republic in the years 2020-2022 from the economical and financial point of view. Within the stated objective, possible solutions for more efficient and sustainable financing of this care are proposed. The theoretical part of the thesis introduces and explains the concept of long-term care in the Czech Republic and its important aspects. The practical part of the thesis focuses on the analysis of demographic development, which indicates the future growth of the number of people aged 65+, i.e. people requiring long-term care. It is forecasted that in 2101 the number will reach 3 107 845 persons, which means the increase will be by 52,4 % compared to the base year 2018. At the same time, the number of economically active population is expected to decrease by 14,6 %. Furthermore, long-term care expenses are analysed, which increased by 113 % between 2010 and 2020. The largest part of these expenses consists of inpatient care and cash benefits, with the most costly component of cash benefits being the care allowance. The majority of care allowance recipients are seniors aged 65+, who represented 68 % of all recipients in 2021. The expected number of recipients of the care allowance in 2030 is calculated to be 465 093, which represents an increase of almost 30 % compared to 2021. By the deep interview it is revealed that reimbursements from the health insurance companies for long-term care do not cover the real costs of care. Based on the analysis, a SWOT matrix is compiled and national economic recommendations for long-term care are formulated.