title: [Prognosis of the level of perinatal care in the Czech Republic in near future III. From the current medicine point of view].
abstract: OBJECTIVE
  Resolution of discrepancy between advances in medicine and limited resources.
  
  
  METHODS
  Evaluation of the international stand on this issue.
  
  
  METHODS
  Comparison of international approaches and management in the Czech Republic.
  
  
  METHODS
  Institute for the Care of Mother and Child, Prague-Podolí.
  
  
  RESULTS
  The aim of international projects "The Goals of Medicine" and "Social Determinants of Health" was to solve the discrepancy in between current advances in medicine and possibilities to introduce them in the environment of limited resources, coming predominantly from general medical insurance and partly from the government budget. These advances are on one hand the possibility to prolong life of several newborns who were to die before due to better diagnosis and treatment - this though drains substantial proportion of limited resources, on the other hand the improved and resources-demanding prevention measures can maintain good health status of numerous selected risk groups of the population. One of the recommendations of these projects was suggestion to governments to relay and interpret this information to general public this conflict and in discussions with care providers and consumers to balance such level of care which is available to all with respect to social equity. The extent of completion of recommendation of the two international projects and WHO HFA 21 Goals is the matter of summary discussion of all three parts of publication. It is also a base for prognosis of perinatal care level in the Czech Republic in near future.
  
  
  CONCLUSIONS
  Two international projects suggested recommendations how to deal with disparity in between advances in medicine and limited resources. The stand of the Czech Republic on this issue is a matter of summary discussion to all three parts of this publication. It is also a basis for prognosis of level of perinatal care in the Czech Republic in near future.
authors.affiliation: Ustav pro peci o matku a dite, Praha-Podoli.
authors.forename: Z
authors.initials: Z
authors.lastname: Stembera
mesh_terms: D018153:Czech Republic / Q000453:epidemiology; D003695:Delivery of Health Care / Q000458:organization & administration*; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D007231:Infant, Newborn; D018743:Perinatal Care; D054238:Perinatal Mortality; D011247:Pregnancy