{"id":15603,"date":"2014-04-07T17:43:09","date_gmt":"2014-04-07T15:43:09","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=15603"},"modified":"2014-04-07T17:49:51","modified_gmt":"2014-04-07T15:49:51","slug":"jak-zajistit-peci-pro-seniory-a-nemocne-odpovida-marksova","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=15603","title":{"rendered":"Jak zajistit p\u00e9\u010di pro seniory a nemocn\u00e9? Odpov\u00edd\u00e1 Marksov\u00e1&#8230;"},"content":{"rendered":"<p><strong>Ministryn\u011b pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed Michaela Marksov\u00e1 poskytla rozhovor pro R\u00e1dio Impuls, ve kter\u00e9m hovo\u0159ila o pomoci senior\u016fm a zdravotn\u011b posti\u017een\u00fdm lidem ze strany st\u00e1tu v souvislosti s kapacitou slu\u017eeb p\u00e9\u010de o tyto skupiny lid\u00ed v \u010cR.<!--more--><\/strong><\/p>\n<p>T\u00e9matem diskuse byla dostupnost poskytovan\u00fdch soci\u00e1ln\u00edch slu\u017eeb a jejich budouc\u00ed v\u00fdvoj.<\/p>\n<p>Impuls, 3. 4. 2014<\/p>\n<p><b>moder\u00e1torka<\/b><br \/>\nJak zajistit p\u00e9\u010di pro v\u0161echny seniory a nemocn\u00e9? To je t\u00e9ma dne\u0161n\u00ed Kauzy dne, kterou zpracovala Zuzana \u010cern\u00e1.<\/p>\n<p><b>redaktorka<\/b><br \/>\nHospic, stacion\u00e1\u0159, l\u00e9\u010debna dlouhodob\u011b nemocn\u00fdch, chr\u00e1n\u011bn\u00e9 bydlen\u00ed nebo pe\u010dovatelsk\u00e1 slu\u017eba, to je jen n\u011bkolik mo\u017enost\u00ed v\u00a0p\u00e9\u010di o\u00a0seniory, kte\u0159\u00ed pot\u0159ebuj\u00ed pomoc. Ne v\u0161e a ne v\u0161ude je ale dostupn\u00e9, a\u0165 u\u017e m\u00edstn\u011b nebo finan\u010dn\u011b. Jak\u00e9 jsou podm\u00ednky a vyhl\u00eddky do budoucna? A\u00a0funguje p\u0159i \u010dek\u00e1n\u00ed na um\u00edst\u011bn\u00ed protekce? Zept\u00e1m se ministryn\u011b pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed Michaely Marksov\u00e9 Tominov\u00e9, kter\u00e1 je te\u010f na telefonu. Hezk\u00fd podve\u010der, pan\u00ed ministryn\u011b.<\/p>\n<p>Impuls p\u0159i sv\u00e9m p\u00e1tr\u00e1n\u00ed po lidech s\u00a0dobr\u00fdm srdcem narazil na pan\u00ed Bohumilu Hai\u0161manovou z\u00a0Plzn\u011b, kter\u00e1 p\u0159ed p\u00e1r lety za\u010dala obj\u00ed\u017ed\u011bt pacienty a poskytovala jim dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010di a nakonec zalo\u017eila rovnou stacion\u00e1\u0159. Je tohle \u010dast\u00fd p\u0159\u00edpad? Zn\u00e1te to ze sv\u00e9 praxe?<\/p>\n<p><b>Michaela MARKSOV\u00c1<\/b><br \/>\nTak v\u011b\u0159\u00edm, \u017ee \u0159ada t\u011bch stacion\u00e1\u0159\u016f vznikala pr\u00e1v\u011b tak, \u017ee se uk\u00e1zala pot\u0159eba t\u011bch lid\u00ed n\u011bkam d\u00e1t p\u0159es den nemocn\u00e9ho \u010dlena rodiny nebo t\u0159eba u\u017e seniora, kter\u00fd u\u017e nen\u00ed schopen se \u00fapln\u011b starat s\u00e1m o\u00a0sob\u011b, ale z\u00e1rove\u0148 ta rodina nechce toho \u010dlov\u011bka d\u00e1t do n\u011bjak\u00e9ho za\u0159\u00edzen\u00ed na celou dobu, chce ho m\u00edt v\u00a0t\u00e9 rodin\u011b a pokud v\u00edm, tak je\u0161t\u011b t\u0159eba p\u0159ed 10\u00a0lety t\u011bchto za\u0159\u00edzen\u00ed bylo skute\u010dn\u011b velmi m\u00e1lo.<\/p>\n<p><b>redaktorka<\/b><br \/>\nKolik jich te\u010fka funguje? M\u00e1 o\u00a0tom ministerstvo p\u0159ehled, pr\u00e1v\u011b t\u011bch za\u0159\u00edzen\u00ed, kter\u00e9 se staraj\u00ed o\u00a0star\u00e9 a nemocn\u00e9 p\u0159es den, kdy\u017e je rodina v\u00a0pr\u00e1ci?<\/p>\n<p><b>Michaela MARKSOV\u00c1 <\/b><br \/>\nK\u00a0listopadu 2013 existovalo celkem 289 denn\u00edch stacion\u00e1\u0159\u016f a 70 t\u00fddenn\u00edch. A\u00a0je dobr\u00e9 dodat, \u017ee to jsou slu\u017eby ur\u010den\u00e9 tedy pro osoby s\u00a0r\u016fzn\u00fdm zdravotn\u00edm posti\u017een\u00edm, to znamen\u00e1, \u017ee to nen\u00ed jenom pro seniory.<\/p>\n<p><b>redaktorka<\/b><br \/>\nJak je ta p\u00e9\u010de n\u00e1kladn\u00e1 a kdo to plat\u00ed? P\u0159isp\u00edv\u00e1 t\u0159eba i\u00a0st\u00e1t, proto\u017ee p\u0159edpokl\u00e1d\u00e1m, \u017ee tam jednak mus\u00ed b\u00fdt zabezpe\u010den kvalifikovan\u00fd person\u00e1l, jednak je nutn\u00e9 zabezpe\u010dit provoz tak, kde se berou pen\u00edze?<\/p>\n<p><b>Michaela MARKSOV\u00c1 <\/b><br \/>\nTak ta \u00fahrada v\u00a0t\u011bch slu\u017eb\u00e1ch je r\u016fzn\u011b nastavena, ale v\u011bt\u0161inou do toho jdou ty ve\u0159ejn\u00e9 prost\u0159edky. Co se t\u00fd\u010de denn\u00edch stacion\u00e1\u0159\u016f, tak to je hrazeno podle poskytov\u00e1n\u00ed jednotliv\u00fdch slu\u017eeb, ale je tam vlastn\u011b stanoven\u00e9 maximum, to znamen\u00e1, \u017ee maxim\u00e1ln\u011b v\u00a0sou\u010dasn\u00e9 dob\u011b je to 130 korun na hodinu a ta strava je omezen\u00e1 bu\u010f 75 korunami za ob\u011bd nebo 170 korunami za celodenn\u00ed stravu. Zase u\u00a0t\u00fddenn\u00edho stacion\u00e1\u0159e je to tak\u00e9 stanoveno jen maxim\u00e1ln\u011b 210 korun za noc a ta strava je podobn\u00e1. A\u00a0je t\u0159eba zd\u016fraznit, \u017ee taky to mus\u00ed b\u00fdt nastaveno tak, aby tomu ka\u017ed\u00e9mu u\u017eivateli a\u0165 u\u017e je to denn\u00ed nebo t\u00fddenn\u00ed stacion\u00e1\u0159, zbylo alespo\u0148 25\u00a0% jeho p\u0159\u00edjm\u016f, co\u017e znamen\u00e1, \u017ee je to v\u011bt\u0161inou starobn\u00ed nebo invalidn\u00ed d\u016fchod, aby m\u011bl dal\u0161\u00ed finan\u010dn\u00ed prost\u0159edky na n\u011bjak\u00e9 zaji\u0161t\u011bn\u00ed sv\u00fdch pot\u0159eb, tak\u017ee skute\u010dn\u011b nen\u00ed mo\u017en\u00e9, aby se stalo, \u017ee u\u017eivatel t\u00e9 slu\u017eby by nem\u011bl \u00fahradu za pobyt.<\/p>\n<p><b>redaktorka<\/b><br \/>\nKa\u017ed\u00fd, kdo se neobejde bez pomoci n\u011bkoho dal\u0161\u00edho, tak m\u016f\u017ee po\u017e\u00e1dat i\u00a0o\u00a0p\u0159\u00edsp\u011bvek na p\u00e9\u010di. Co kdy\u017e ale ten senior nebo n\u011bkdo dal\u0161\u00ed je v\u00a0za\u0159\u00edzen\u00ed dlouhodob\u011b? Kdo ten p\u0159\u00edsp\u011bvek na p\u00e9\u010di dostane potom?<\/p>\n<p><b>Michaela MARKSOV\u00c1 <\/b><br \/>\nP\u0159\u00edsp\u011bvek na p\u00e9\u010di, kdy\u017e byl zaveden, tak ta my\u0161lenka byla, \u017ee to je na toho \u010dlov\u011bka, na toho, kter\u00fd tu slu\u017ebu pot\u0159ebuje a on se m\u016f\u017ee rozhodnout, jestli ho odevzd\u00e1 za\u0159\u00edzen\u00ed, ve kter\u00e9m je, anebo jestli bude doma a odevzd\u00e1 ho n\u011bjak\u00e9mu \u010dlov\u011bku, kter\u00fd se o\u00a0n\u011bj star\u00e1 t\u0159eba doma.<\/p>\n<p><b>, redaktorka<\/b><br \/>\nA\u00a0kdy\u017e je v\u00a0za\u0159\u00edzen\u00ed a doma pob\u00edraj\u00ed vlastn\u011b jakoby ten p\u0159\u00edsp\u011bvek za n\u011bj, je to v\u016fbec mo\u017en\u00e9?<\/p>\n<p><b>Michaela MARKSOV\u00c1 <\/b><br \/>\nPokud v\u00edm, tak to je mo\u017en\u00e9, to si n\u011bjak neodporuje, proto\u017ee ten p\u0159\u00edsp\u011bvek na p\u00e9\u010di je vlastn\u011b v\u00e1z\u00e1n na m\u00edru z\u00e1vislosti toho klienta nebo klientky a jak \u0159\u00edk\u00e1m, je na n\u011bm, jak on ho p\u0159\u00edpadn\u011b rozd\u011bl\u00ed nebo jak ho vyu\u017eije na tu svoji p\u00e9\u010di. Ten st\u00e1t vlastn\u011b \u0159\u00edk\u00e1 &#8211; ano, j\u00e1 jako st\u00e1t jsem uznal, \u017ee tento \u010dlov\u011bk pot\u0159ebuje tu p\u00e9\u010di v\u00a0tom p\u0159\u00edslu\u0161n\u00e9m rozsahu podle \u00farovn\u011b nebo podle stupn\u011b t\u00e9 z\u00e1vislosti, abych se vyjad\u0159ovala spr\u00e1vn\u011b, a jak \u0159\u00edk\u00e1m, pak na tom \u010dlov\u011bku je, jak ten p\u0159\u00edsp\u011bvek na p\u00e9\u010di a za co, konkr\u00e9tn\u011b za jak\u00e9 slu\u017eby vlastn\u011b vyd\u00e1.<\/p>\n<p><b>redaktorka<\/b><br \/>\nA\u00a0nen\u00ed to pak nespravedliv\u00e9, pokud \u010dlov\u011bk je tedy v\u00a0za\u0159\u00edzen\u00ed, kde mu poskytuj\u00ed p\u00e9\u010di, ale doma \u010derpaj\u00ed p\u0159\u00edsp\u011bvek, i\u00a0kdy\u017e se o\u00a0n\u011bj vlastn\u011b de facto nestaraj\u00ed?<\/p>\n<p><b>Michaela MARKSOV\u00c1 <\/b><br \/>\nTak ale tam se asi p\u0159edpokl\u00e1d\u00e1, \u017ee on \u010d\u00e1st toho p\u0159\u00edsp\u011bvku na p\u00e9\u010di, on n\u011bjak si mus\u00ed hradit ty slu\u017eby, kter\u00e9 pou\u017e\u00edv\u00e1, tak jako tak to stoj\u00ed pen\u00edze a ono t\u011bch 25\u00a0% p\u0159\u00edjmu, kter\u00e9 mu mus\u00ed zb\u00fdt, to m\u016f\u017ee b\u00fdt naprosto sm\u011b\u0161n\u00e1 \u010d\u00e1stka.<\/p>\n<p><b>\u00a0redaktorka<\/b><br \/>\nPan\u00ed ministryn\u011b, jak se \u010dlov\u011bk do stacion\u00e1\u0159e dostane? M\u00e1 t\u0159eba n\u011bkdo p\u0159ednost?<\/p>\n<p><b>Michaela MARKSOV\u00c1 <\/b><br \/>\nTohle to je na jednotliv\u00fdch za\u0159\u00edzen\u00edch a z\u00e1le\u017e\u00ed na tom jednotliv\u00e9m provozovateli, jak si tohle to stanov\u00ed. Tam j\u00e1 t\u011b\u017eko dohl\u00e9dnu, ale samoz\u0159ejm\u011b v\u00a0p\u0159\u00edpad\u011b, \u017ee t\u00edm z\u0159izovatelem je kraj nebo p\u0159\u00edpadn\u011b obec, tak p\u0159edpokl\u00e1d\u00e1m, \u017ee tam jsou naprosto jasn\u00e1 dan\u00e1 krit\u00e9ria a nem\u011blo by se samoz\u0159ejm\u011b st\u00e1vat, \u017ee n\u011bkdo t\u0159eba p\u0159edb\u011bhne ten po\u0159adn\u00edk, ale to j\u00e1 samoz\u0159ejm\u011b nemohu zaru\u010dit.<\/p>\n<p><b>\u00a0redaktorka<\/b><br \/>\nA\u00a0co ti, kdo se tam nedostanou, proto\u017ee v\u00a0tom \u00favodu jsme zmi\u0148ovali, \u017ee jsou prost\u011b p\u0159\u00edpady, kdy lid\u00e9 se nemohou protla\u010dit p\u0159es ty \u010dekac\u00ed listiny, tak maj\u00ed potom n\u00e1rok na n\u011bjakou jinou podporu od st\u00e1tu?<\/p>\n<p><b>Michaela MARKSOV\u00c1 <\/b><br \/>\nO\u00a0t\u011bch podpor\u00e1ch od st\u00e1tu, j\u00e1 jsem vlastn\u011b o\u00a0nich hovo\u0159ila, ti lid\u00e9 bu\u010f maj\u00ed invalidn\u00ed d\u016fchod, maj\u00ed starobn\u00ed d\u016fchod, v\u00a0p\u0159\u00edpad\u011b toho, \u017ee prok\u00e1\u017e\u00ed n\u011bjak ten stupe\u0148 z\u00e1vislosti, maj\u00ed p\u0159\u00edsp\u011bvek na p\u00e9\u010di a to potom, jak\u00e9 jsou dostupn\u00e9 slu\u017eby v\u00a0m\u00edst\u011b, kde ten \u010dlov\u011bk bydl\u00ed, tak to u\u017e je na t\u00e9 p\u0159\u00edslu\u0161n\u00e9 obci, p\u0159\u00edpadn\u011b na kraji, jak to za\u0159\u00edd\u00ed, jak vyhodnot\u00ed, kter\u00e9 ty slu\u017eby jsou pot\u0159eba a kter\u00e9 chyb\u00ed. Tam u\u017e ten st\u00e1t tolik nedohl\u00e9dne.<\/p>\n<p><b>\u00a0redaktorka<\/b><br \/>\nPan\u00ed ministryn\u011b, \u010desk\u00e1 populace st\u00e1rne, na tom se ur\u010dit\u011b shodneme. Podle propo\u010dt\u016f prognostik\u016f bude v\u00a0roce 2050 t\u0159etina z\u00a0n\u00e1s star\u0161\u00edch ne\u017e 65\u00a0let. Vzhledem k\u00a0tomu, \u017ee se zvy\u0161uje pr\u016fm\u011brn\u00fd v\u011bk do\u017eit\u00ed, ale ne v\u011bk do\u017eit\u00ed ve zdrav\u00ed, d\u00e1 se o\u010dek\u00e1vat, \u017ee zdravotn\u00ed a soci\u00e1ln\u00ed p\u00e9\u010de bude pot\u0159eba \u010d\u00edm d\u00e1l v\u00edc. Co s\u00a0t\u00edm budete d\u011blat?<\/p>\n<p><b>Michaela MARKSOV\u00c1 <\/b><br \/>\nTak m\u00e1te pravdu, \u017ee toto se o\u010dek\u00e1vat d\u00e1 a vlastn\u011b cel\u00e9 ty zm\u011bny v soci\u00e1ln\u00edch slu\u017eb\u00e1ch, i\u00a0t\u0159eba to, \u017ee se m\u00e1 financov\u00e1n\u00ed te\u010f od 1. ledna 2015 p\u0159ev\u00e9st na kraje s\u00a0ur\u010dit\u00fdmi podm\u00ednkami, aby ty kraje si zjistily, co vlastn\u011b, kter\u00e9 slu\u017eby jsou pot\u0159eba i\u00a0na z\u00e1klad\u011b demografick\u00e9ho v\u00fdvoje a napl\u00e1novaly to, tak v\u0161echny tyto zm\u011bny tady k\u00a0tomu vedou a tak\u00e9 to, \u017ee se bude hovo\u0159it o\u00a0n\u011bjak\u00e9m nadsazen\u00ed d\u016fchodov\u00e9ho syst\u00e9mu, bude se \u010d\u00edm d\u00e1l t\u00edm v\u00edc, my budem s\u00a0panem ministrem zdravotnictv\u00ed jednat o\u00a0tom, jak tady nastavit ty zdravotn\u011b-soci\u00e1ln\u00ed slu\u017eby takzvan\u00e9, kter\u00e9 tak\u00e9 jsou a budou \u010d\u00edm d\u00e1l t\u00edm v\u00edc pot\u0159eba, to v\u0161echno k\u00a0tomu sm\u011b\u0159uje, ale jsou to samoz\u0159ejm\u011b syst\u00e9my, kter\u00e9 je pot\u0159eba nastavit dlouhodob\u011b a bude to vlastn\u011b n\u011bjakou dobu trvat.<\/p>\n<p><b>\u00a0redaktorka<\/b><br \/>\nM\u011bl by ten hlavn\u00ed d\u00edl objemu p\u00e9\u010de o\u00a0star\u00e9 a nemocn\u00e9 z\u00a0n\u00e1s b\u00fdt na st\u00e1tu, anebo na soukromn\u00edc\u00edch?<\/p>\n<p><b>Michaela MARKSOV\u00c1<\/b><br \/>\nTady ur\u010dit\u011b to mus\u00ed b\u00fdt rozlo\u017eeno mezi ob\u011b ty \u010d\u00e1sti, samoz\u0159ejm\u011b \u017ee ten ve\u0159ejn\u00fd sektor v\u00a0tom hraje nezastupitelnou roli, ale p\u0159edev\u0161\u00edm to mus\u00ed b\u00fdt rodina, kter\u00e1 se o\u00a0toho \u010dlov\u011bka m\u00e1 postarat.<\/p>\n<p><b>\u00a0redaktorka<\/b><br \/>\nNa ot\u00e1zky Impulsu dnes odpov\u00eddala ministryn\u011b pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed Michaela Marksov\u00e1 Tominov\u00e1. D\u011bkuji za rozhovor, pan\u00ed ministryn\u011b, a t\u011b\u0161\u00edm se n\u011bkdy p\u0159\u00ed\u0161t\u011b. Na sly\u0161enou.<\/p>\n<p><em>Zdroj: Impuls<\/em><\/p>\n<p><em>ilustra\u010dn\u00ed foto: Jari MorgueFile<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Ministryn\u011b pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed Michaela Marksov\u00e1 poskytla rozhovor pro R\u00e1dio Impuls, ve kter\u00e9m hovo\u0159ila o pomoci senior\u016fm a zdravotn\u011b posti\u017een\u00fdm lidem ze strany st\u00e1tu <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=15603\" title=\"Jak zajistit p\u00e9\u010di pro seniory a nemocn\u00e9? Odpov\u00edd\u00e1 Marksov\u00e1&#8230;\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14571,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[],"class_list":["post-15603","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rozhovory"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15603","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=15603"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15603\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14571"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15603"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15603"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15603"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}