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Clinical |
ek
efrna
Department of Medicine I, Charles University Medical School, Pilsen, Czech Republic
Correspondence to: S. Opatrná, Department of Medicine I, Charles University Medical School, Alej Svobody 80, 304 60 Pilsen, Czech Republic. opatrna{at}fnplzen.cz
The healthcare system of the Czech Republic at the time the country was
made part of the Eastern Bloc was characterized by scarcity of funds as a
result of its poorly functioning economy combined with difficult access to
up-to-date medical information because of restricted communication with
Western democracies. These were the main causes for Czech medicine lagging
behind that of industrialized nations. The political changes occurring in 1989
were soon followed by economic and societal changes that led to, among other
things, badly needed healthcare reform, gradually involving all areas of
medicine. This resulted in extending, over the period from 1989 to 2004, life
expectancy at birth (from 71.8 to 75.8 years); this figure is still below the
average of the 15 Western European nations that were European Union members
prior to 1 May 2004 (79.4 years in 2004). The availability of all methods of
renal replacement therapy also increased, particularly peritoneal dialysis,
which was virtually unavailable prior to 1990.
KEY WORDS: KEY WORDS:; Renal replacement therapy; hemodialysis; end-stage renal disease; transition, healthcare system.
Received 18 May 2006; accepted 16 January 2007.
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