Miroslav Barták

Miroslav Barták
Charles University in Prague | CUNI · Department of Addictology (1. LF)

PhD

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86
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453
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February 2006 - present

Publications

Publications (86)
Article
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Background Amphetamine-type stimulants (ATS) are globally widely used. Scientific literature generally defines four phases of substance use (initiation, continuation, increase and decrease); however, there is limited understanding of what influences these different phases of ATS use. The ATTUNE study investigated which factors shape individual phas...
Article
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Citation: Hospodková, P.; Berežná, J.; Barták, M.; Rogalewicz, V.; Severová, L.; Svoboda, R. Change Management and Digital Innovations in Hospitals of Five European Countries. Healthcare 2021, 9, 1508. https:// Abstract: The objective of the paper is to evaluate the quality of systemic change management (CHM) and readiness for change in five Centra...
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Evidence suggests that changes in alcohol consumption during the first months of the COVID-19 pandemic were unevenly distributed over consumer groups. We investigated possible inter-country differences in how changes in alcohol consumption are contingent on initial consumption (before or at the start of the pandemic), and how changes in consumption...
Preprint
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Background: Amphetamine Type Stimulants (ATS) are globally widely used. However, there is limited understanding of what influences different phases of ATS use, as well as whether this varies by type of ATS user (groups). The ATTUNE study investigated which factors shape individual ATS use patterns. In this article, we report on these phases into an...
Article
Objectives: The paper analyses real-world data on cost of treatment in patients after stroke hospitalized in early rehabilitation units within comprehensive stroke centres in the Czech Republic. This is the first study of the kind in the Czech Republic, while such information is extremely rare worldwide. Stroke treatment witnessed a dramatic devel...
Article
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Aims To investigate changes in alcohol consumption during the first months of the COVID-19 pandemic in Europe as well as its associations with income and experiences of distress related to the pandemic. Design Cross-sectional on-line survey conducted between 24 April and 22 July 2020. Setting Twenty-one European countries. Participants A total o...
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Objectives To fill the existing research gap related to long-term costs of postacute care in methanol poisoning survivors, healthcare cost for 6 years after the outbreak has been modelled and estimated. Design In a prospective longitudinal cohort study, data collected from 55 survivors of the Czech methanol mass poisoning outbreak in 2012 were col...
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Objectives: This contribution provides insights into the methodology of a pan-European population-based online survey, performed without external funding during the COVID-19 pandemic. We present the impact of different dissemination strategies to collect data from a non-probabilistic convenience sample and outline post-stratification weighting sch...
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Background SARS-CoV-2 reached Europe in early 2020 and disrupted the private and public life of its citizens, with potential implications for substance use. The objective of this study was to describe possible changes in substance use in the first months of the SARS-CoV-2 pandemic in Europe. Methods Data were obtained from a cross-sectional online...
Article
Introduction Drug‐related mortality is a key epidemiological indicator that is collected nationally and internationally. Significant efforts were made in 2006–2007 to improve the quality of data concerning drug‐related mortality in the Czech Republic. The aim of this article is to identify the effect of a quality improvement project on the drug‐ind...
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BACKGROUND: High-risk methamphetamine use is frequent in the Czech Republic and includes long-term injecting use. Relatively, the Ústí nad Labem region shows a higher level of methamphetamine use in comparison to other regions in the Czech Republic, which makes it possible to study the trajectories of drug use and its determinants in a unique manne...
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Quality of life and costs related to stroke survivors are important issues for the Czech healthcare system. Early rehabilitation after stroke has a great potential to improve patients' quality of life as well as to contribute to saving long-term societal costs. A tri-centre pragmatic longitudinal study was focused on the economic analysis of early...
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BACKGROUND: The Czech Republic has a long tradition of methamphetamine use. Less is known about the circumstances of initiation into its use at the level of individual users. The aim of the research was to analyse the biographic burden prior to initiation into the use of amphetamines. Another aim was to describe initiation into the use of amphetami...
Preprint
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Background: SARS-CoV-2 reached Europe in early 2020 and disrupted the private and public life of its citizens, with potential implications for substance use. The objective of this study was to describe possible changes in substance use in the first months of the SARS-CoV-2 pandemic in Europe. Methods: Data were obtained from a cross-sectional onlin...
Preprint
Full-text available
Aims: The aim of this project was to investigate changes in alcohol consumption during the first months of the pandemic in Europe as well as its associations with income and experiences of distress related to the COVID-19 pandemic. Design: Cross-sectional online survey conducted between April 24 and July 22 of 2020. Setting: 21 European countries....
Preprint
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Aims: The aim of this project was to investigate changes in alcohol consumption during the first months of the pandemic in Europe as well as its associations with income and experiences of distress related to the COVID-19 pandemic. Design: Cross-sectional online survey conducted between April 24 and July 22 of 2020. Setting: 21 European countries....
Article
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Illicit drug use and drug-related crime constitute a significant issue and create large economic and societal costs both at national and regional level. The aim of this article is to examine the differences in primary drug-related crime between urban, suburban and rural local police departments in Czechia. The primary drug-related crime rate in loc...
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Background: This study provides insight into the impact of methamphetamine precursor regulation, which is considered to be one of the most important tools of supply reduction and a tool with potential public health impact. Methods: It is based on a longitudinal and quasi-experimental design and it investigates the changes of methamphetamine prec...
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BACKGROUND: This paper deals with the territorial distribution of alcohol and drug addiction mortality at the level of the districts of the Slovak Republic. AIM: The aim of the paper is to explore the relations within the administrative territorial division of the Slovak Republic, that is, between the individual districts, and hence, to reveal poss...
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The purpose of this prospective study was to determine whether the cost and cost-effectiveness of early rehabilitation after stroke are associated with the degree of initial disability. The data for cost calculations were collected by the bottom-up (micro-costing) method alongside the standard inpatient care. The total sample included 87 patients w...
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Background and aims: The current level of knowledge concerning the effect of socioeconomic status (SES) on internet use, gambling, and substance use in structurally disadvantaged regions is scarce. The objective of this study was an investigation of the relationship between SES and risky internet use, gambling and substance use in a structurally d...
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Stroke treatment and prevention has witnessed a dramatic development in recent years, especially in developed countries. The objective of this study was to calculate the costs and cost effectiveness of the treatment of ischemic stroke in a Czech stroke center using semi-objective neurological measures-the modified Rankin Score (mRS), the National I...
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BACKGROUND: Methamphetamine use is a long-term problem in the Czech Republic. The evidence describing the individual careers of different methamphetamine users is limited. AIMS: The aim of this study is to describe the methodological approach of the qualitative arm of the ATTUNE study in the Czech Republic and the first results of the analysis. MET...
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Objective: Drawing on qualitative analysis of selected historical documents, the paper seeks to provide a definition of the general characteristics of the first institutional alcohol treatment facilities in today's Czech Republic and Slovakia, taking into account the historical context of the first half of the 20th century. An additional aim was t...
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Objectives: The study focuses on the 2012 methanol outbreak in the Czech Republic. The main goal of the present study was to apply analytical and descriptive tools to selected qualitative and quantitative processes related to the 2012 methanol outbreak in the Czech Republic. The secondary goal was to study and evaluate in detail their potential fo...
Article
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Objectives: The Czech Republic ranks among countries with the highest alcohol consumption per capita. Several older studies discuss Czech media portrayal of health effects of alcohol, but we found no recent analysis of media portrayal of harms caused by alcohol consumption. Our analysis aims to fill this gap in. Methods: The dataset of texts (n...
Article
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Introduction Amphetamine-type stimulants (ATS) including amphetamine, methylenedioxymethamphetamine/‘ecstasy’, methamphetamine, synthetic cathinones and ‘Ritalin’ are the second most commonly used illicit drugs globally. Yet, there is little evidence on which factors are associated with the development of different patterns of ATS use over the life...
Article
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The study is aimed at quantifying the actual costs related to the MAST (Minimal Access Spine Technique) operative technique with the MIDLF (Midline Lumbar Fusion) instrumentation as compared to the costs related to the classic technique with transpedicular instrumentation complemented with PLIF (Posterior Lumbar Interbody Fusion) in the treatment o...
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BACKGROUND: A number of studies show that an intensification of the policing of illicit drug markets impacts on public health. The impacts are largely seen as negative. AIMS: The aim of this article is to describe the basic characteristics of available data and data collection of selected indicators and to review the aspects related to data collect...
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BACKGROUND: A number of studies show that an intensification of the policing of illicit drug markets has an impact on public health. The impacts are largely seen as negative. AIMS: The aim of this paper is to describe the basic characteristics of data collection and to review the aspects related to data collection and its context that might influen...
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BACKGROUND: Technological addictions involve human-machine interaction and relate in particular to internet addiction. The question is what the status of technological addictions in socially excluded communities is. AIMS: The study aimed to identify the differences in excessive use of the internet and playing computer games among respondents from t...
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Objective: The objective of this research was to determine the prevalence of problematic and risky sexual behaviour after alcohol consumption and the correlation between this prevalence and sex, behavioural factors, problematic drinking, and alcohol consumption characteristics. Methods: A survey of students was carried out at four faculties. Dat...
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Aim of the paper is to quantify effects of socioeconomic factors on Alzheimer’s Disease Mortality in the Slovak Republic. We applied potential gains in life expectancy (PGLE) method to measure the impact of elimination of Alzheimer’s disease on life expectance in Slovak regions. PGLE is based on life table adjustment according to elimination of mor...
Article
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The evidence suggests that limited health literacy (HL) may be associated with health risk behaviour such as smoking, alcohol drinking, or substance use. The aim of this study was to examine the level of HL in people undergoing treatment for alcohol abuse and to determine the most problematic domain of HL. The cross-sectional survey included 113 pa...
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This paper studies the effect of smoking on post-operative complications in certain surgical interventions in Czech hospitals. Patients were divided into three groups – smokers, exsmokers and non-smokers. The first part was a retrospective study of cholecystectomies performed in Jihlava Hospital. The hospital provided anonymised data concerning 253...
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The objective of the paper is to make an analysis of the development of health insurance expenditures on healthcare for employees from the mass layoffs from ArcelorMittal Ostrava, a.s. The paper tests the hypothesis that closing down a large heavy industry plant in a structurally affected region will increase the risk of morbidity of the population...
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The results of previous studies have shown a significant association between alcohol abuse and eating disorders. OBJECTIVES: The aim of this study is to verify the association between alcohol abuse and eating disorders by detecting the prevalence of anorexia nervosa, bulimia nervosa, and binge eating disorder in women who are receiving treatment fo...
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The problem of smoking has to be seen as a serious public health phenomenon conditioned by many factors. OBJECTIVES: The aim of this paper was to measure the extent and type of impact of selected socio-economic variables on tobacco smoking and the views on the risks associated with its use among students. METHODS: The data set was obtained on the b...
Article
BACKGROUND: The purpose of the paper was to identify the impact of socio-economic conditions on the number of deaths caused by alcohol in Slovakia. METHODS: We used the dataset of all the deaths in the Slovak Republic from 2001 to 2015 and data about selected socio-economic indicators in Slovak regions. We calculated the potential gain in life expe...
Article
BACKGROUND: The institutional treatment of alcohol dependence in the Czech Lands at the beginning of the 20th century reflected similar abstinence-oriented therapeutic interventions which were applied abroad at the same time. The approach, which aimed at establishing and developing such therapeutic facilities in this country, was motivated not only...
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Cílem článku je představit jednu z alternativ zajišťování dostupnosti a udržitelnosti nových zdravotnických technologií prostřednictvím systému přeshraničních veřejných zakázek. Článek nabízí přehled základních zjištění publikace European Observatory on Health Systems and Policies a doplňuje je diskuzí o tématech, která by bylo v České republice vh...
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Aim: To describe the time trends, age and sex distribution of death from diabetes mellitus (E10-E14) as a significant part of endocrine, nutritional and metabolic diseases (E00-E90), during 1996-2014 in the Slovak regions, and to estimate the influence of social characteristics on mortality. Methods: Secondary data on deaths during 1996-2014 wer...
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Aim: Cancer mortality distribution was investigated by detailed neoplasms groups, age, sex, marital status of deceased, and regions in the Slovak Republic, and examined how these determinants influence the odds of dying due to cancer. Methods: A retrospective analysis of cancer mortality statistics registered in the Slovak Republic during the ye...
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Aim: The concept of amenable mortality is intended to assess health care system performance. It is defined as "premature deaths that should not occur in the presence of timely and effective health care". The purpose of paper is to analyse differences in amenable mortality across European Union countries and to determine the associations between am...
Article
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Medical equipment (ME) is often considered to be an important factor in the growth of healthcare expenditures. In the Czech Republic (CR) validated approach does not yet exist for hospitals to use to assess commercial offers, nor is there a generally accepted methodology for regulatory bodies to allow for the evaluation of the effectiveness of prio...
Conference Paper
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We summarize the criticism of utilizing the QALY and cost-effectiveness threshold concept in health-economic studies that is recently growing stronger. Despite of their strong limitations, these tools have been frequently used in many healthcare systems. However, some countries in their political decisions refuse utilization of QALYs and thresholds...
Conference Paper
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The aim of this paper is to present a specific patient population who were treated for alcohol addiction in the Department of Addictology of the General University Hospital in Prague (DoA) between 10/2016 and 02/2017, and discuss the psychopathologies, quality of life, levels of alcohol consumption and depression found in this group. After applying...
Conference Paper
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The main objective of the paper is to introduce a methodology for a quantification of social costs of elder abuse and neglect (EAN). Economic aspects of EAN have not been studied in the Czech Republic yet, and also abroad this is a quite unexplored area. Qualitative research methods are employed – the systematic review (worldwide), focus groups, an...
Conference Paper
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The objective of this study is to quantify direct costs related to different types of implanted intraocular lenses from the perspective of public health insurance and from the patient´s perspective. The calculations were carried out based on three scenarios. The first scenario describes the real current situation, when the health insurance company...
Article
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Cílem článku je stručné seznámení s nejvýznamnějšími poznatky aktuálně publikované studie OECD Nové zdravotnické technologie: řízení dostupnosti, hodnoty a udržitelnosti. Jsou představeny jednotlivé kapitoly studie věnované novým a inovativním technologiím, jejich přínosu pro zdravotnický systém i výzvám, které přinášejí do oblasti regulace, léčivý...
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BACKGROUND: The use of drugs is considered one of the serious social problems. OBJECTIVES: The aim of this paper is to measure the level and type of influence of selected socio-economic variables on the use of marijuana and opinions about related risks among Slovak university students. METHODS: The data set was obtained on the basis of a questionna...
Article
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BACKGROUND: The use of legal and illegal drugs is currently considered as one of the most serious social problems. Experts are agreed that the groups most at risk, by threatening drugs, are young people. OBJECTIVES: The aim of this paper was to measure the level and type of influence of selected socio-economic variables on alcohol use and attitudes...
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BACKGROUND: Social work students deal with the topic of alcohol both as part of their studies and later in practice as helping professionals. OBJECTIVES: The article focuses on experience with alcohol use and on experience with alcohol- related problems in bachelor’s students of social work. METHODS: The research was designed as a sample survey usi...
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In the Czech environment, the WHOQOL-BREF questionnaire has been rather frequently used for quality-of-life assessment in the case of different diseases or different health limitations. The questionnaire exists in two Czech translations with different wording. The differences are so considerable that they might cause interpretation shifts in resear...
Article
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Controversies around QALYs The paper summarizes the criticisms of the QALY concept utilization in health-economic evaluations that has been growing stronger in the last years. Despite of its limitations, the QALY concept has been routinely used in many countries incl. the Czech Republic. However, some states disapproved QALYs as an optimizing crite...
Article
Full-text available
The paper summarizes the criticisms of the QALY concept utilization in health-economic evaluations that has been growing stronger in the last years. Despite of its limitations, the QALY concept has been routinely used in many countries incl. the Czech Republic. However, some states disapproved QALYs as an optimizing criterion at the level of their...
Article
Full-text available
In the Czech environment, the WHOQOL-BREF (WHO Quality of Life-BREF) questionnaire has been rather frequently used for quality-of-life assessment in the case of different diseases or different health limitations. The questionnaire exists in two Czech translations with different wording. The differences are so considerable that they might cause inte...
Article
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Currently, the cross-border healthcare still represents a marginal part of the Czech healthcare system's performance, though. Compared to the total healthcare expenditures in the Czech Republic that accounted for CZK 299.9 billion in 2014, the costs of the treatment provided to Czech patients abroad constitute mere 0.27%, and the (subsequently refu...
Article
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For full text see http://www.prolekare.cz/casopis-lekaru-ceskych Přeshraniční zdravotní péče v rámci EU je jedním z aspektů fungování volného trhu. Podle dostupných dat byla v roce 2014 poskytnuta zdravotní péče na základě práva EU a mezinárodních smluv ve vztahu k ČR ve více než 270 000 případech. Celkový objem nově vzniklých závazků a pohledávek...
Conference Paper
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The paper deals with costs of the treatment of acute myocardial infarction treated with percutaneous coronary intervention in the General University Hospital in Prague, Czech Republic in 2012. The average amount of the cost of treatment in patients with ST segment elevation myocardial infarction (STEMI) was CZK 119 600 when figured out by the botto...
Article
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A603 tion of all direct costs we determined that the total average cost of uncomplicated hypothyroidism during pregnancy and childbed per women was € 124.79. In the cost structure of health care provision for pregnant women with uncomplicated hypothyroidism the most significant costs are spent on thyroid laboratory tests.
Conference Paper
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Health technology assessment (HTA) studies can provide healthcare decision makers with valuable data concerning effectiveness of medical interventions. The main purpose of an economic evaluation within HTA may be seen in measuring, valuing and comparing the costs and consequences of alternatives to support economic judgments about an intervention o...
Book
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Výkladový slovník základních pojmů a konceptů prevence rizikového chování je po mnoha různých pokusech o sjednocení terminologie v oblasti školské prevence v České republice ojedinělou publikací, doplňující vznikající původní základní učební texty. Kniha je určena všem pracovníkům v primární prevenci bez ohledu na jejich resortní a institucionální...
Book
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Kniha Prevence rizikového chování ve školství vznikala téměř 4 roky a podílely se na ní více než dvě desítky domácích autorů, reprezentujících různé instituce a tematické oblasti primární prevence. Druhé vydání bylo doplněno o další klíčová témata refle-kutjící vývoj teorie i praxe školské prevence v České republice v posledních letech. Současně je...
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This work aims to develop a methodology for determining the qualitative composition of an expert group and the weighting factor regarding the importance of expert’s judgments for the purpose of participating in decision-making. It is based on the expert’s overall work experience, experience in solving tasks, level of education and scientific record...
Article
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Background: In the Czech Republic, 7% of patients with senile cataract are indicated for surgery each year, which means ten thousand of these interventions annually. The aim of this study is to quantify direct costs in relation to the implanted intraocular lens (IOL) type from both the public health insurance perspective and the patient's perspecti...