{"id":11616,"date":"2013-10-10T08:35:33","date_gmt":"2013-10-10T06:35:33","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=11616"},"modified":"2013-10-10T08:37:48","modified_gmt":"2013-10-10T06:37:48","slug":"czechmed-pacienti-hlidejte-pojistovnu-dozadujte-se-svych-naroku","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=11616","title":{"rendered":"CzechMed: Pacienti, hl\u00eddejte poji\u0161\u0165ovnu, do\u017eadujte se sv\u00fdch n\u00e1rok\u016f!"},"content":{"rendered":"<p lang=\"cs-CZ\"><strong>V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna zah\u00e1jila rozs\u00e1hlou revizi zdravotn\u00edch prost\u0159edk\u016f, kter\u00e9 plat\u00ed. Firmy, kter\u00e9 zdravotnick\u00e9 prost\u0159edky dod\u00e1vaj\u00ed,\u00a0 se ale boj\u00ed, \u017ee n\u011bkter\u00e9 produkty by mohly b\u00fdt z \u00fahrad zdravotn\u00ed poji\u0161\u0165ovnou vy\u0159azeny. Vyz\u00fdvaj\u00ed pacienty, aby sledovali, zda n\u011bkter\u00e9 hrazen\u00e9 v\u00fdrobky nemiz\u00ed. <!--more--><\/strong><\/p>\n<p lang=\"cs-CZ\" align=\"justify\">CzechMed upozor\u0148uje na praxi V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny, kter\u00e1 zasahuje do rozsahu \u00fahrad zdravotnick\u00fdch prost\u0159edk\u016f. Stalo se tak ji\u017e za\u010d\u00e1tkem roku v oblasti inkontinen\u010dn\u00edch a stomick\u00fdch pom\u016fcek. Nyn\u00ed jde podle Czechmedu o to, aby se tato praxe neopakovala.<\/p>\n<p lang=\"cs-CZ\" align=\"justify\">Po seskupen\u00ed v\u00fdrobk\u016f do kategori\u00ed, m\u016f\u017ee VZP v\u00a0konkr\u00e9tn\u00ed kategorii pova\u017eovat v\u00fdrobky za \u201epln\u011b zam\u011bniteln\u00e9\u201c. N\u00e1sledn\u011b pak hroz\u00ed riziko, \u017ee jednostrann\u011b rozhodne o \u00fahrad\u011b jen prvn\u00edho, druh\u00e9ho \u010di t\u0159et\u00edho nejlevn\u011bj\u0161\u00edho v\u00fdrobku. Ale p\u0159itom v\u016fbec nikdo nev\u00ed, zda pln\u00e1 zam\u011bnitelnost je stanovena spr\u00e1vn\u011b.<\/p>\n<p lang=\"cs-CZ\" align=\"justify\">\u201eM\u00e1me dobr\u00fd d\u016fvod se domn\u00edvat, \u017ee po sesyp\u00e1n\u00ed v\u0161ech v\u00fdrobk\u016f do p\u0159\u00edslu\u0161n\u00fdch kategori\u00ed m\u016f\u017ee nastat situace, kdy si n\u011bkdo v\u00a0tmav\u00e9 kom\u016frce vezme dva \u010di t\u0159i nejlevn\u011bj\u0161\u00ed v\u00fdrobky v\u00a0kategorii a prohl\u00e1s\u00ed, \u017ee \u00fahrada je do t\u00e9to v\u00fd\u0161e. Ostatn\u00ed budou muset odej\u00edt z\u00a0trhu, anebo zlevnit na stanovenou \u00farove\u0148 \u00fahrady,&#8220; tvrd\u00ed \u0161\u00e9f asociace CzechMed Miroslav Pal\u00e1t.<\/p>\n<p lang=\"cs-CZ\" align=\"justify\">VZP v\u00fd\u0161e uveden\u00e9 kroky obhajuje t\u00edm, \u017ee dodavatel\u00e9 nakonec v\u017edy zlevn\u00ed. Ale ve skute\u010dnosti se jedn\u00e1 o \u201ezlevn\u011bn\u00ed\u201c v\u00a0t\u00edsni, aby se v\u016fbec na trhu mohli udr\u017eet.<\/p>\n<p lang=\"cs-CZ\" align=\"justify\">O \u010dem v\u0161ak VZP podle Czechmedu ml\u010d\u00ed je, jak\u00fdm zp\u016fsobem napl\u0148uje druhou p\u016flku v\u011bty z\u00a0citovan\u00e9ho odstavce \u00a715 z\u00e1kona 48\/1997 Sb. a sice: \u201e&#8230;zdravotnick\u00e9ho prost\u0159edku v\u00a0proveden\u00ed nejm\u00e9n\u011b ekonomicky n\u00e1ro\u010dn\u00e9m V\u00a0Z\u00c1VISLOSTI NA M\u00cd\u0158E A ROZSAHU ZDRAVOTN\u00cdHO POSTI\u017dEN\u00cd.\u201c Tedy, z\u00e1kon p\u0159edpokl\u00e1d\u00e1, \u017ee nejm\u00e9n\u011b ekonomicky n\u00e1ro\u010dn\u00e1 varianta nemus\u00ed b\u00fdt ta nejlevn\u011bj\u0161\u00ed. Je v\u017edy zapot\u0159eb\u00ed m\u00edt na pam\u011bti zdravotn\u00ed posti\u017een\u00ed konkr\u00e9tn\u00edho pacienta a my k\u00a0tomu je\u0161t\u011b uv\u00e1d\u00edme, \u017ee krit\u00e9ria pro hrazen\u00ed prost\u0159edk\u016f z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed nemohou omezovat volbu l\u00e9ka\u0159e, kter\u00fd jedin\u00fd je schopen rozhodnout, co je pro \u201ejeho\u201c pacienta, to nejlep\u0161\u00ed. Tedy, kter\u00fd prost\u0159edek je vhodn\u00fd s\u00a0ohledem na rozsah zdravotn\u00edho posti\u017een\u00ed.<\/p>\n<p lang=\"cs-CZ\" align=\"justify\">P\u0159itom pou\u017eit\u00ed nejlevn\u011bj\u0161\u00edch v\u00fdrobk\u016f paradoxn\u011b \u010dasto znamen\u00e1 naopak zv\u00fd\u0161en\u00ed celkov\u00fdch n\u00e1klad\u016f l\u00e9\u010dby, proto\u017ee nejsou dostate\u010dn\u011b zohledn\u011bny m\u00edra a rozsah zdravotn\u00edho posti\u017een\u00ed a mohou znamenat dal\u0161\u00ed komplikace a n\u00e1klady na l\u00e9\u010dbu. Zdravotn\u00ed poji\u0161\u0165ovna se sv\u00fdmi postupy zcela m\u00edj\u00ed smyslu ustanoven\u00ed z\u00e1kona, jak je uvedeno v\u00fd\u0161e.<\/p>\n<p lang=\"cs-CZ\" align=\"justify\">M\u016f\u017ee se st\u00e1t, \u017ee n\u011bkter\u00e9 v\u00fdrobky p\u0159estane poji\u0161\u0165ovna hradit.<\/p>\n<p lang=\"cs-CZ\" align=\"justify\">&#8222;Pacienty mus\u00edme upozornit, \u017ee je pot\u0159eba \u2013 cestou z\u00e1jmov\u00fdch sdru\u017een\u00ed a pacientsk\u00fdch organizac\u00ed \u2013 sledovat, zda-li se v\u00a0portfoliu hrazen\u00fdch v\u00fdrobk\u016f neztr\u00e1c\u00ed \u010di nem\u011bn\u00ed polo\u017eky. Je t\u0159eba se m\u00edt na pozoru a nev\u011b\u0159it b\u00e1chork\u00e1m o tom, \u201e\u017ee p\u0159ece ur\u010dit\u011b jeden pln\u011b hrazen\u00fd v\u00fdrobek pro danou kategorii najdou\u201c. Dodavatel\u00e9 l\u00e9\u010div i pacienti by mohli vypr\u00e1v\u011bt. Z\u00e1kon stanovuje n\u00e1rok a pacienti se o n\u011bj mus\u00ed p\u0159ihl\u00e1sit!&#8220; vyz\u00fdv\u00e1 Czechmed.<\/p>\n<p lang=\"cs-CZ\" align=\"justify\">V\u00a0p\u0159\u00edpad\u011b, \u017ee nastane situace, kdy se VZP jednostrann\u011b rozhodne \u201evyzob\u00e1vat\u201c z\u00a0v\u00fdrobk\u016f obsa\u017een\u00fdch v\u00a0\u010d\u00edseln\u00edku pouze ty, co eufemisticky ozna\u010duje \u201ev proveden\u00ed ekonomicky nejm\u00e9n\u011b n\u00e1ro\u010dn\u00e9m\u201c, p\u0159ipravuje asociace CzechMed pr\u00e1vn\u00ed kroky.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna zah\u00e1jila rozs\u00e1hlou revizi zdravotn\u00edch prost\u0159edk\u016f, kter\u00e9 plat\u00ed. Firmy, kter\u00e9 zdravotnick\u00e9 prost\u0159edky dod\u00e1vaj\u00ed,\u00a0 se ale boj\u00ed, \u017ee n\u011bkter\u00e9 produkty by mohly b\u00fdt z <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=11616\" title=\"CzechMed: Pacienti, hl\u00eddejte poji\u0161\u0165ovnu, do\u017eadujte se sv\u00fdch n\u00e1rok\u016f!\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":673,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-11616","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-politika"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/11616","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11616"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/11616\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/673"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11616"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11616"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11616"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}