“The inequity of population health outcomes is a further concern. Health outcome differences are documented along socioeconomic groups, for example, for disabled persons, the Roma population, and by age, employment status and along educational lines. Other factors, such as marital status, also seem to have an impact on health outcomes in Czechia (Tillmann et al., 2017). Finally, regional disparities hinder the realization of health equity across the population. With the country administratively divided into 14 regions, Prague and the Středočeský Region have a unique role in health service provision due to the concentration of highly specialized services in Prague and the use of these services by people travelling from the Středočeský Region. The Karlovarský and Ústecký Regions, on the other hand, register fewer human resources, based on 2017 data (Winkelmann, Muench, & Maier, 2020; Dlouhý, 2021). Beyond physical and human resources, it is likely that disparities are not following a clear urban–rural divide and that perhaps socioeconomic factors and health behaviour are creating sub-regional disparities (Hübelová & Kozumplíková, 2022). For instance, stark regional variations are documented in screening attendance for breast and cervical cancer across Czech municipalities: VZP claims data from 2017 show screening that varied from 38.3% to 69.8% for breast cancer and from 32.5% to 55.0% for cervical cancer (Altová et al., 2021).”
Source: Bryndová L, Šlegerová L, Votápková J, Hrobonˇ P, Shuftan N, Spranger A. Czechia: Health system review. Health Systems in Transition, 2023; 25(1): i–183.
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