Czech Republic Health System Overview
Health System Rankings
Health System Outcomes
Health System Coverage
Costs for Consumers
Health System Expenditures
Health System Financing
Czech Republic COVID-19 Policy
Health System Personnel
Health System Physical Resources and Utilization
Long-Term Care
Health Information and Communications Technologies
Medical Training
Pharmaceuticals
Wasteful Spending
Political System
Economic System
Population Demographics
People With Disabilities
Aging
Social Determinants & Health Equity
Health System History
Health System Challenges
Population, Midyear 2022: 10,493,986
Population Density (Number of Persons per Square Kilometer): 135.93
Life Expectancy at Birth, 2022: 78.13
Projected Population, Midyear 2030: 10,515,199
Percentage of Total Population Aged 65 and Older, Midyear 2022: 20.64%
Projected Percentage of Total Population Aged 65 and Older, Midyear 2030: 21.65%
Projected Percentage of Total Population Aged 65 and Older, Midyear 2050: 26.14%
Source: United Nations, Department of Economic and Social Affairs, Population Division (2023). Data Portal, custom data acquired via website. United Nations: New York. Accessed 12 May 2023.
Share Of The Population Aged Over 65, 2019: 19.6%
Projected Share Of The Population Aged Over 65, 2050: 28.3%
Share Of The Population Aged Over 80, 2019: 4.1%
Projected Share Of The Population Aged Over 80, 2050: 8.7%
Adults Aged 65 And Over Rating Their Own Health As Fair, Poor, Or Very Poor, 2019 (%): 72.4%
Estimated Prevalence Of Dementia Per 1,000 Population, 2021: 11.2
Projected Prevalence Of Dementia Per 1,000 Population, 2050: 19.2
Source: OECD (2021), Health at a Glance 2021: OECD Indicators, OECD Publishing, Paris, https://doi.org/10.1787/ae3016b9-en.
“Anecdotal evidence suggests that residential long-term social care facilities for the elderly within the price range available for most of the population in the Czech Republic have long waiting lists. This lack of capacity in the social care system has led to a bottleneck in hospitals offering long-term inpatient care, as a large number of hospital stays have been lengthened beyond medical necessity. As for the capacities of these services, in 2012 the Ministry of Employment and Social Affairs recorded 13,820 beds in facilities for the disabled and 37,477 beds in residential social long-term care for the elderly (Ministry of Employment and Social Affairs, 2013).
“Apart from residential settings, comprehensive home care (CHC) is also available. First introduced in the Czech Republic in the early 1990s, CHC is an integrated form of care and assistance provided to patients within their own social environments. A key component of CHC is home health care, which is a particular form of outpatient care provided by nurses under physician supervision. After a drop possibly attributable to the adoption of the Act on Social Services, the volume of home care has been increasing substantially. In 2008 home care health personnel conducted 5,514,780 visits, but in 2012 the number of visits rose to 6,006,011 (ÚZIS, 2009b; 2013k). The services provided by home care providers paid from SHI must be strictly medical in nature. Non-medical services such as meal delivery are not paid by SHI, but the patient can purchase them using care allowances.”
Source: Alexa J, Rečka L, Votápková J, van Ginneken E, Spranger A, Wittenbecher F. Czech Republic: Health system review. Health Systems in Transition, 2015; 17(1):1–165.
“The share of spending allocated to long-term care (14 %) is lower than the EU average (16 %), but much higher than in neighbouring countries such as Poland and Slovakia. However, this is partly due to a change of methodology in 2011, when Czechia designated expenditure in long-term social care institutions as health spending.”
Source: OECD/European Observatory on Health Systems and Policies (2021), Czechia: Country Health Profile 2021, State of Health in the EU, OECD Publishing, Paris/European Observatory on Health Systems and Policies, Brussels.
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Page last updated May 12, 2023 by Doug McVay, Editor.