Czech Republic Region

Medium HALE and Life Expectancy
High Gap between HALE and Life Expectancy

Final Longevity Progressiveness Ranking: #38

Final Longevity Progressiveness Score: 0.602

Practical Recommendation Summary: There is a regional variations in health outcomes in the country. It is important to develop targeted policy solutions, as institutions, life-style and socio-economic characteristics are considered to be the main explanatory factors that affect HALE.

Practical Recommendations (Full):
● Reduce high disparities in healthcare status across regions. Health and socio-economic inequality inevitably influence the overall health status of the nation. The provision of the activities to enhance and maintain qualitative medicine in rural areas can bring more health-adjusted years for the Czechs.
● Prepare new job orientations and train the young staff in the healthcare system in the Czech Republic. New challenges are arising with the increasing global trend of the ageing population. The government should prepare the new staff to minimise the future risk concerning the shortage of personnel.
● Increase healthcare spendings. The lack of financing is a key reason for limited access and affordability of healthcare services. Investments can help to combat the disparities in the region with investments in innovations and breakthrough approaches such as 3D-printing, P4 medicine and artificial intelligence.
● Addressing global longevity challenge through the focus on the elderly’s well-being. Longevity planning can certainly define the key strategies and steps on the way to Healthy Longevity. The government should accumulate affords to build a broad ecosystem for support by enabling scientists, engineers, policymakers, and other stakeholders to coordinate performance for healthy longevity progressiveness.
● Address the rising burden of non-communicable disease. Lifestyle risk behaviours are responsible for a large proportion of disease burden and premature mortality worldwide. Risk behaviours tend to cluster in populations. Non-communicable disease is caused by the set of emerging risk factors (sleep, sitting time, and social participation) and unique risk combinations and their associations with all-cause and cardio-metabolic mortality.
● Health records and linkage to survey data should be used more extensively to refine disease prevalence estimates and provide more reliable data to guide policy and programmes to address these causes of ill health.

SWOT Analysis

Strengths:
● Amenable mortality has decreased greatly and tended to reach the OECD average indicator.
● Relatively low amount of unmet needs for medical care in comparison to other countries and fewer disparities among different income groups.
● Quality of medicine and its accessibility is relatively high and reached 89.0 in 2016.
● There is a slight decrease in the key risk factors for the country such as tobacco and dietary habits.
● Infant mortality is one of the lowest and rates 2.5 infant death per 1000 live birth in 2015.

Weaknesses:
● The age-standardised mortality rate for cardiovascular diseases is 60% higher than the EU average. CDV cause about half of the deaths.
● Levels of Ischaemic heart disease, stroke and others remains to be the highest than the EU average while lung cancer is the leading cause.
● Nearly 1 in 4 people of Czechs reports living with hypertension and 1 in 13 with diabetics.
● Only 61% of Czechs feel that they are healthy that is generally lower than in other EU countries.

Opportunities:
● There are certain improvements in the prevention of premature deaths, for example, from cardiovascular diseases.
● The healthcare system is financed by the public sources that are 82.4% and private sector spendings have been stable for the past years because of the financial protection.
● The decrease is amenable mortality is a good springboard for the boost of primary and preventive care and also public services.
● There is a sufficient decline in smoking (from 24% to 18%).

Threats:
● The increase in death from diabetes, cancer, dementia and other diseases are the major risk and issue to resolve. ● CVD mortality though is the main cause of death and is double high than OECD average.
● Smoking rates in Czech are higher than in OECD.
● There are more obese than in other EU countries and this risk factor is on the rise that creates great concern for society.
● Traditions influenced alcohol consumption in the Czech that is 11.9 litres and higher than the OECD average.
● No political concerns on health problems.

SWOT Conclusions

Strengths Analysis:
● Death from the respiratory and mental, behavioural disorders are lower than the OECD average.
● The life expectancy of Czech women after 65 years was 19.5 years in 2015.
● The healthcare in the Czech Republic is based on the Social Health Insurance scheme and provides the generally good basket of benefits.
● Czech Republic has the fours public funding share of 82.4% after such countries as Germany, Denmark and Sweden.
● There is a good number of acute beds for long-term care that is above the EU average.
● The amount of doctors and specialists per population seems to be very high and complete. The stuff in the Czech Republic is qualified and well trained.

Weaknesses Analysis:
● Musculoskeletal problems and depressive disorders are some of the leading determinants for disability-adjusted life years.
● The high level of correlation with education, so the population with the lowest levels of education are more likely to have the diabetics and others.
● 29% of 15-year-old girls and 32% of boys have been drunk more than twice and it is above the EU average.
● Nearly 1 in 5 adults (19%) are now obese and the obesity for adolescents is 18% and has been doubled twice.
● There are usually delays in the implementation processes for enhances the services and the effectiveness of the healthcare system.
● Many institutions and long-term care facilities in the remote area require a certain modernization.
● The physician personnel is ageing and over 30% of general practitioners and 40% of pediatrics are after 60.