{"id":14392,"date":"2014-01-14T10:39:20","date_gmt":"2014-01-14T09:39:20","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=14392"},"modified":"2014-01-14T10:39:20","modified_gmt":"2014-01-14T09:39:20","slug":"hrozi-mi-pokuta-kdyz-nepujdu-na-preventivni-vysetreni","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=14392","title":{"rendered":"Hroz\u00ed mi pokuta, kdy\u017e nep\u016fjdu na preventivn\u00ed vy\u0161et\u0159en\u00ed?"},"content":{"rendered":"<p><strong>DOTAZ: Je mi 63 let, k l\u00e9ka\u0159i chod\u00edm minim\u00e1ln\u011b a nikdy jsem nebyl na vy\u0161et\u0159en\u00ed st\u0159ev. Ani ho absolvovat nechci. P\u0159edpokl\u00e1d\u00e1m, \u017ee te\u010f dostanu od VZP v\u00fdzvu, abych se na n\u011bj dostavil. M\u016f\u017ee m\u011b poji\u0161\u0165ovna n\u011bjak pokutovat nebo jinak postihovat, kdy\u017e tam nep\u016fjdu?<\/strong><br \/>\n<!--more--><br \/>\n<strong>Odpov\u011b\u010f:<\/strong><\/p>\n<p>Projekt adresn\u00e9ho zvan\u00ed na onkologickou prevenci nem\u00e1 za c\u00edl pokutovat nebo postihovat klienty, kte\u0159\u00ed nechod\u00ed na vy\u0161et\u0159en\u00ed, na kter\u00e1 maj\u00ed n\u00e1rok. Je ale jak v z\u00e1jmu samotn\u00fdch klient\u016f, tak i poji\u0161\u0165ovny, aby na n\u011b p\u0159i\u0161li.<\/p>\n<p>O \u017e\u00e1dn\u00e9m postihu za ne\u00fa\u010dast se neuva\u017euje, i kdy\u017e podle z\u00e1kona o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed je poji\u0161t\u011bnec dokonce p\u0159\u00edmo povinen podrobit se na vyzv\u00e1n\u00ed preventivn\u00edm prohl\u00eddk\u00e1m. Tent\u00fd\u017e z\u00e1kon stanovil i mo\u017en\u00fd postih \u2013 p\u0159i op\u011btovn\u00e9m nespln\u011bn\u00ed povinnosti podrobit se preventivn\u00ed prohl\u00eddce m\u016f\u017ee zdravotn\u00ed poji\u0161\u0165ovna ulo\u017eit pokutu a\u017e do v\u00fd\u0161e 500 K\u010d&#8230;<\/p>\n<p>Vym\u00e1h\u00e1n\u00ed pokuty 500 K\u010d by bylo nejsp\u00ed\u0161 n\u00e1kladn\u011bj\u0161\u00ed, ne\u017e vymo\u017een\u00e1 \u010d\u00e1stka, a tak v\u011bt\u0161\u00edm rizikem p\u0159i ne\u00fa\u010dasti na screeningov\u00fdch vy\u0161et\u0159en\u00edch je, \u017ee p\u0159\u00edpadn\u00e9 onkologick\u00e9 onemocn\u011bn\u00ed bude zji\u0161t\u011bno zbyte\u010dn\u011b pozd\u011b.<\/p>\n<p>Ti poji\u0161t\u011bnci VZP, kte\u0159\u00ed se k preventivn\u00ed prohl\u00eddce nedostav\u00ed ani po adresn\u00e9m pozv\u00e1n\u00ed, budou obesl\u00e1ni pozd\u011bji znovu. M\u016f\u017eeme jen doufat, \u017ee adresn\u00e9 osloven\u00ed spolu s dostatkem informac\u00ed v\u011bt\u0161inu na\u0161ich klient\u016f p\u0159esv\u011bd\u010d\u00ed, aby na vy\u0161et\u0159en\u00ed p\u0159i\u0161li.<\/p>\n<p>Bohu\u017eel lid\u00e9 zanedb\u00e1vaj\u00ed zejm\u00e9na mo\u017enost bezplatn\u00e9ho screeningu (vyhled\u00e1v\u00e1n\u00ed) rakoviny tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku, v jej\u00edm\u017e v\u00fdskytu je na\u0161e republika na neblah\u00e9 \u0161pici sv\u011btov\u00e9ho \u017eeb\u0159\u00ed\u010dku. Screening rakoviny tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku absolvuje m\u00e9n\u011b ne\u017e 10 % klient\u016f VZP, kte\u0159\u00ed na n\u011bj maj\u00ed n\u00e1rok.<\/p>\n<p>Pokud ale m\u00e1te obavu z &#8222;vy\u0161et\u0159en\u00ed st\u0159ev&#8220;, chceme zd\u016fraznit, \u017ee tento screening se prim\u00e1rn\u011b prov\u00e1d\u00ed jednoduch\u00fdm testem odhaluj\u00edc\u00edm skryt\u00e9 krv\u00e1cen\u00ed do stolice. V\u011bt\u0161inou se u\u017e pou\u017e\u00edv\u00e1 modern\u011bj\u0161\u00ed test, kter\u00fd vy\u017eaduje odebr\u00e1n\u00ed jen jednoho mal\u00e9ho vzorku stolice, a to ud\u011bl\u00e1 pacient v klidu s\u00e1m doma. Tento vzorek stolice pak l\u00e9ka\u0159 vyhodnot\u00ed, zda neobsahuje stopy krve, kter\u00e9 mohou signalizovat onkologick\u00e9 onemocn\u011bn\u00ed st\u0159eva \u010di kone\u010dn\u00edku. Pouze kdy\u017e je test pozitivn\u00ed (krev ve stolici je), odes\u00edl\u00e1 se pacient na kolonoskopick\u00e9 vy\u0161et\u0159en\u00ed. To m\u016f\u017ee b\u00fdt sice pon\u011bkud nep\u0159\u00edjemn\u00e9, ale jednozna\u010dn\u011b se p\u0159i n\u011bm potvrd\u00ed nebo vylou\u010d\u00ed onkologick\u00e9 posti\u017een\u00ed st\u0159eva \u010di kone\u010dn\u00edku, zjist\u00ed se p\u016fvod krv\u00e1cen\u00ed (mohou to b\u00fdt i hemoroidy) a z\u00e1rove\u0148 je mo\u017eno odstranit p\u0159\u00edpadn\u00e9 polypy na st\u0159evn\u00ed st\u011bn\u011b, kter\u00e9 b\u00fdvaj\u00ed rizikov\u00e9 a tak\u00e9 mohou krv\u00e1cet. Ve v\u011bku 50 &#8211; 55 let by tento test m\u011bl ka\u017ed\u00fd podstoupit 1x ro\u010dn\u011b, od 55 let 1x za 2 roky. Jen ten, kdo chce, se m\u016f\u017ee ve v\u011bku nad 55 let rozhodnout m\u00edsto toho j\u00edt na screeningovou kolonoskopii; pokud je v\u0161e v po\u0159\u00e1dku, je interval do dal\u0161\u00edho vy\u0161et\u0159en\u00ed 10 let.<\/p>\n<p>Proto\u017ee jste stanoven\u00e1 vy\u0161et\u0159en\u00ed neabsolvoval, za\u0159ad\u00ed v\u00e1s n\u00e1\u0161 informa\u010dn\u00ed syst\u00e9m mezi adres\u00e1ty &#8222;zvac\u00edho dopisu&#8220;. V pr\u016fb\u011bhu roku 2014 bude takto obesl\u00e1no v\u0161ech 1,2 mil. poji\u0161t\u011bnc\u016f VZP nach\u00e1zej\u00edc\u00edch se v rizikov\u00fdch skupin\u00e1ch, kte\u0159\u00ed neabsolvovali p\u0159\u00edslu\u0161n\u00e9 screeningov\u00e9 vy\u0161et\u0159en\u00ed. V projektu adresn\u00e9ho zvan\u00ed se nejedn\u00e1 jen o prevenci rakoviny tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku, ale i o screening n\u00e1dor\u016f prsu a n\u00e1dor\u016f d\u011blo\u017en\u00edho hrdla. Mamografick\u00e9 vy\u0161et\u0159en\u00ed m\u00e1 absolvovat ka\u017ed\u00e1 \u017eena od 45 let 1x za 2 roky, gynekologick\u00e9 preventivn\u00ed vy\u0161et\u0159en\u00ed v\u010detn\u011b st\u011bru z d\u011blo\u017en\u00edho hrdla se m\u00e1 d\u011blat ka\u017edoro\u010dn\u011b. \u017deny jsou ke sv\u00e9mu zdrav\u00ed zodpov\u011bdn\u011bj\u0161\u00ed \u2013 45 % na tyto prohl\u00eddky chod\u00ed.<\/p>\n<p>Old\u0159ich Tich\u00fd \u2013 tiskov\u00fd mluv\u010d\u00ed VZP<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>DOTAZ: Je mi 63 let, k l\u00e9ka\u0159i chod\u00edm minim\u00e1ln\u011b a nikdy jsem nebyl na vy\u0161et\u0159en\u00ed st\u0159ev. Ani ho absolvovat nechci. P\u0159edpokl\u00e1d\u00e1m, \u017ee te\u010f dostanu od <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=14392\" title=\"Hroz\u00ed mi pokuta, kdy\u017e nep\u016fjdu na preventivn\u00ed vy\u0161et\u0159en\u00ed?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14164,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18,11],"tags":[],"class_list":["post-14392","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/14392","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=14392"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/14392\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14164"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=14392"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=14392"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=14392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}