{"id":18568,"date":"2014-11-26T00:04:49","date_gmt":"2014-11-25T23:04:49","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=18568"},"modified":"2014-11-26T00:05:31","modified_gmt":"2014-11-25T23:05:31","slug":"ojedinela-lecba-rakoviny-zachranuje-presto-ji-pojistovny-neplati","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=18568","title":{"rendered":"Ojedin\u011bl\u00e1 l\u00e9\u010dba rakoviny zachra\u0148uje. P\u0159esto ji poji\u0161\u0165ovny neplat\u00ed"},"content":{"rendered":"

P\u0159ed rokem a p\u016fl Report\u00e9\u0159i \u010cT informovali o nov\u00e9 metod\u011b l\u00e9\u010dby rakoviny, kter\u00e1 dok\u00e1\u017ee mnohdy zachr\u00e1nit i beznad\u011bjn\u00e9 pacienty. Jde o v\u00fdplach b\u0159i\u0161n\u00ed dutiny hork\u00fdmi cytostatiky. L\u00e9\u010dit se tak daj\u00ed jen n\u011bkter\u00e9 druhy n\u00e1dor\u016f. Je tu ale z\u00e1sadn\u00ed h\u00e1\u010dek….<\/strong> <\/p>\n

zkr\u00e1cen\u00fd z\u00e1znam po\u0159adu \u010cesk\u00e9 televize<\/strong><\/em><\/p>\n

ilustra\u010dn\u00ed foto: Adam-Ciesielski-sxc.hu<\/em><\/p>\n

Metodu takzvan\u00e9 lav\u00e1\u017ee nepropl\u00e1c\u00ed zdravotn\u00ed<\/span> poji\u0161\u0165ovny, tak\u017ee ji nemocnice<\/span> mus\u00ed zaplatit bez n\u00e1hrady ze sv\u00fdch zdroj\u016f. U n\u00e1s to proto zat\u00edm d\u011bl\u00e1 jen pra\u017esk\u00e1 Bulovka a m\u00e1 takov\u00fd p\u0159etlak pacient\u016f, \u017ee \u0159ada z nich se operace ani nedo\u010dk\u00e1. Sv\u00edt\u00e1 kone\u010dn\u011b na lep\u0161\u00ed \u010dasy?<\/p>\n

Franti\u0161ek ANTO\u0160, chirurg, Nemocnice<\/span> Na Bulovce:\u00a0 Tohle konkr\u00e9tn\u011b je pacientka Krist\u00fdna, tehdy 15let\u00e1, kterou po marn\u00fdch pokusech onkolog\u016f poslali dom\u016f de facto zem\u0159\u00edt, proto\u017ee nebyla \u017e\u00e1dn\u00e1 mo\u017enost nebo \u017e\u00e1dn\u00e1 metoda, kter\u00e1 by ovlivnila jej\u00ed vz\u00e1cn\u00e9 onemocn\u011bn\u00ed n\u00e1dorov\u00e9.
\nP\u0159ed 6 lety p\u0159e\u017eila dnes 21let\u00e1 vysoko\u0161kolsk\u00e1 studentka Krist\u00fdna Vykopalov\u00e1 jen d\u00edky tomu, \u017ee pra\u017esk\u00e1 Nemocnice<\/span> Na Bulovce jako jedin\u00e1 ve st\u0159edov\u00fdchodn\u00ed Evrop\u011b prov\u00e1d\u011bla a dodnes prov\u00e1d\u00ed progresivn\u00ed zp\u016fsob l\u00e9\u010dby vz\u00e1cn\u00fdch forem rakoviny pob\u0159i\u0161nice. Metoda takzvan\u00e9ho HIPECu spo\u010d\u00edv\u00e1 v n\u011bkolikahodinov\u00e9m v\u00fdplachu b\u0159i\u0161n\u00ed dutiny hork\u00fdmi cytostatiky.<\/p>\n

Krist\u00fdna VYKOPALOV\u00c1, pacientka:\u00a0 Tak, j\u00e1 jsem si to sp\u00ed\u0161 nep\u0159ipou\u0161t\u011bla, \u017ee to dopadne blb\u011b nebo tak. Prost\u011b n\u011bjak jsem to nevn\u00edmala ani a doufala jsem asi v to nejlep\u0161\u00ed.<\/p>\n

Franti\u0161ek ANTO\u0160, chirurg:\u00a0\u00a0 Nic jin\u00e9ho nen\u00ed. \u017d\u00e1dn\u00e9 jin\u00e9 cytostatikum ani jin\u00e1 onkologick\u00e1 l\u00e9\u010dba nep\u016fsob\u00ed tak v\u00fdzna\u010dn\u011b dob\u0159e a nem\u00e1 tak dlouhou dobu p\u0159e\u017e\u00edv\u00e1n\u00ed.<\/p>\n

Te\u010f jste byla na t\u011bch slo\u017eit\u00fdch kontrol\u00e1ch tady i vlastn\u011b v Praze. Jak ty testy dopadly?<\/strong><\/p>\n

VYKOPALOV\u00c1, pacientka: V\u0161echno je v po\u0159\u00e1dku.<\/p>\n

P\u0159ed p\u016fldruh\u00fdm rokem jsem nav\u0161t\u00edvil tak\u00e9 pan\u00ed Marcelu Hodnou, kterou p\u0159ivezli na Bulovku v polovin\u011b roku 2012 v kritick\u00e9m stavu. Onkologov\u00e9 j\u00ed d\u00e1vali 3 m\u011bs\u00edce \u017eivota.<\/p>\n

Marcela HODN\u00c1, pacientka :Doma j\u00e1 jsem ukl\u00edzela sk\u0159\u00edn\u011b, aby prost\u011b man\u017eel po mn\u011b nem\u011bl tady n\u011bco, nebo, \u0159\u00edk\u00e1m, psala jsem i inzer\u00e1t, vdovec s 2 d\u011btma hled\u00e1 maminku, a je to stra\u0161n\u011b t\u011b\u017ek\u00e1 situace, nikomu bych to nep\u0159\u00e1la za\u017e\u00edt.
\nDo b\u0159icha mi nalili ta hork\u00e1 cytostatika a je\u0161t\u011b ty mal\u00e9 \u010d\u00e1ste\u010dky, co nebyly vid\u011bt pouh\u00fdm okem, po t\u011bch hork\u00fdch cytostatik\u00e1ch zb\u011blaj\u00ed, a je\u0161t\u011b je odstranili.<\/p>\n

My jsme u v\u00e1s to\u010dili v b\u0159eznu 2013 a v t\u00e9 dob\u011b vlastn\u011b jste byla takov\u00e1 sice optimistick\u00e1, ale \u0159\u00edkala jste, \u017ee \u010dlov\u011bk nezn\u00e1 dne ani hodiny, \u017ee ta nemoc m\u016f\u017ee zase ude\u0159it. Tak …<\/strong><\/p>\n

HODN\u00c1, pacientka:Od t\u00e9 doby se nic nezm\u011bnilo. J\u00e1 prosp\u00edv\u00e1m. P\u0159ibrala jsem, nev\u00edm kolik za ten rok, ale od oper…, od t\u00e9 nejni\u017e\u0161\u00ed v\u00e1hy, jak jsem byla podvy\u017eiven\u00e1, tak m\u00e1m 20 kilo nav\u00edc. Co\u017e je n\u00e1dhera.<\/p>\n

A jak\u00fd byly v\u00fdsledky?<\/strong><\/p>\n

HODN\u00c1, :Pan profesor byl velice spokojen, \u017ee v\u00fdsledky jsou dobr\u00e9. Jak krevn\u00ed v\u00fdsledky, tak i z vy\u0161et\u0159en\u00ed z t\u011bch CT\u010dek a v\u0161eho.<\/p>\n

\u00dasp\u011b\u0161n\u00fd zp\u016fsob l\u00e9\u010dby vz\u00e1cn\u00fdch forem rakoviny pob\u0159i\u0161nice pomoc\u00ed takzvan\u00e9 lav\u00e1\u017ee zav\u00e1d\u011bl jako 1. v postkomunistick\u00e9 Evrop\u011b pr\u00e1v\u011b profesor Franti\u0161ek Anto\u0161. Provedl jich u\u017e 300. Fakta jednozna\u010dn\u011b hovo\u0159\u00ed o \u00fasp\u011b\u0161nosti operac\u00ed, p\u0159esto\u017ee s jejich propl\u00e1cen\u00edm poji\u0161\u0165ovnami byla a je pot\u00ed\u017e. P\u0159ed p\u016fldruh\u00fdm rokem pod pr\u016fkazn\u00fdmi fakty \u00fasp\u011bchu lav\u00e1\u017e\u00ed p\u0159isl\u00edbilo opatrn\u011b ministerstvo zdravotnictv\u00ed<\/span> propl\u00e1cen\u00ed. D\u011blalo by to kolem 10 000 000 korun, co\u017e je v miliardov\u00fdch rozpo\u010dtech kapka v mo\u0159i.
\nU\u017e v\u00e1\u017en\u011b uva\u017eujete o tom, \u017ee 1. 1. 2014 by tento zp\u016fsob, takzvan\u00e9ho HIPECu, byl hrazen?<\/strong><\/p>\n

Petr NOSEK, n\u00e1m\u011bstek ministra zdravotnictv\u00ed<\/span> pro zdravotn\u00ed<\/span> poji\u0161t\u011bn\u00ed \/9. 6. 2013\/:Byl by hrazen syst\u00e9mem, prost\u0159ednictv\u00edm v\u00fdkonu, p\u0159\u00edslu\u0161n\u00e9ho seznamu v\u00fdkon\u016f.<\/p>\n

Franti\u0161ek ANTO\u0160, Nemocnice<\/span> Na Bulovce:
\nVy jste mluvil s n\u00e1m\u011bstkem ministra, kter\u00fd v\u00e1m sl\u00edbil, \u017ee to bude platit. No, a proto\u017ee od 1. ledna neplat\u00ed \u017e\u00e1dn\u00fd nov\u00fd sazebn\u00edk, tak zkr\u00e1tka to, co tam bylo schv\u00e1len\u00fd, to, co tam u\u017e m\u011blo b\u00fdt uvedeno, to tam nen\u00ed, a proto n\u00e1m to poji\u0161\u0165ovna d\u00e1l v\u016fbec neplat\u00ed.<\/p>\n

 <\/p>\n

Pro\u010d zm\u011bnil ten n\u00e1zor?<\/strong><\/p>\n

Jan VOTO\u010cEK, z\u00e1stupce \u010cesk\u00e9 chirurgick\u00e9 spole\u010dnosti pro tvorbu sazebn\u00edk\u016f:
\nProto\u017ee \u0159\u00edkal, \u017ee se to nestihne, \u017ee se mus\u00ed ud\u011blat p\u0159evodn\u00edk. A \u017ee od \u010dervna se na tom bude intenzivn\u011b pracovat 1\/2 roku tak, aby se to dalo v roce 2015 do sazebn\u00edku d\u00e1t. Pak p\u0159i\u0161ly volby, Noska spl\u00e1chla voda jako v\u0161echny ostatn\u00ed, na ministerstvo p\u0159i\u0161la jin\u00e1 parta. Nejd\u0159\u00edv 1\/2 roku nebylo nic, pak se rozhodli, \u017ee zvolej jinej syst\u00e9m.
\nJeliko\u017e nen\u00ed l\u00e9\u010dba hork\u00fdmi cytostatiky jako samostatn\u00fd \u00fakon poji\u0161\u0165ovnami propl\u00e1cena, nen\u00ed o tento n\u00e1ro\u010dn\u00fd zp\u016fsob l\u00e9\u010dby v jin\u00fdch nemocnic\u00edch<\/span> z\u00e1jem. I p\u0159i velk\u00e9 snaze pra\u017esk\u00e9 Bulovky, kter\u00e1 plat\u00ed HIPEC z jin\u00fdch \u00fakon\u016f i z takzvan\u00fdch ziskov\u00fdch operac\u00ed, ztr\u00e1c\u00ed unik\u00e1tn\u00ed HIPEC v ekonomizovan\u00e9m sv\u011bt\u011b presti\u017e.<\/p>\n

ANTO\u0160:
\n12 hodin m\u00e1me blokovan\u00fd opera\u010dn\u00ed s\u00e1l. Za tu dobu, t\u011bch 10, 12 hodin, se sta\u010d\u00ed ud\u011blat 6, 7, i t\u0159eba 8 \u017elu\u010dn\u00edk\u016f nebo operac\u00ed \u017elu\u010dn\u00edk\u016f nebo operac\u00ed k\u00fdl a podobn\u011b, \u010dili tam je ta ekonomick\u00e1 ztr\u00e1ta dvoj\u00ed. Jednak poji\u0161\u0165ovna nepropl\u00e1c\u00ed ten v\u00fdkon, a 2. ztr\u00e1ta finan\u010dn\u00ed je ta, \u017ee ten opera\u010dn\u00ed s\u00e1l je na\u0161\u00ed operac\u00ed zablokovan\u00fd a nelze prov\u00e1d\u011bt ty operace ostatn\u00ed. Mus\u00edm poslouchat to, \u017ee vlastn\u011b utr\u00e1c\u00edm pen\u00edze, ne zbyte\u010dn\u011b, ale samoz\u0159ejm\u011b, kter\u00e9 nelze refundovat z poji\u0161\u0165ovny, tak\u017ee to dob\u0159e nen\u00ed. A to ch\u00e1pu, to je pochopiteln\u011b, ekonomika je ekonomika, a m\u011blo by to b\u00fdt hrazeno. V\u0161ude ve sv\u011bt\u011b, v t\u011bch centrech, o kter\u00fdch jsme mluvili, to hrazeno n\u011bjak\u00fdm zp\u016fsobem, rozd\u00edln\u00fdm, ale n\u011bjak\u00fdm zp\u016fsobem je.
\nKv\u016fli tomu, \u017ee v\u00fdplach hork\u00fdmi cytostatiky jako samostatn\u00fd \u00fakon poji\u0161\u0165ovny nepropl\u00e1c\u00ed, nemaj\u00ed jin\u00e1 pracovi\u0161t\u011b o prov\u00e1d\u011bn\u00ed n\u00e1ro\u010dn\u00e9 operace z\u00e1jem. Bulovka p\u0159i nejlep\u0161\u00ed v\u016fli kapacitn\u011b nest\u00edh\u00e1.
\nTo je skute\u010dnost, \u017ee n\u011bkdo nemus\u00ed stihnout tu operaci a m\u016f\u017ee t\u0159eba d\u0159\u00edv zem\u0159\u00edt?<\/strong><\/p>\n

ANTO\u0160:\u00a0\u00a0 Ano, to jsou. Ty pacienti p\u0159ijdou a my jim m\u016f\u017eeme nab\u00eddnout term\u00edn za 3, 4 m\u011bs\u00edce. Ale jsou i tac\u00ed, kte\u0159\u00ed se t\u00e9 operace nedo\u017eij\u00ed.
\nBulovka je schopn\u00e1 s odborn\u011b vy\u0161kolen\u00fdm person\u00e1lem operovat kolem 20 pacient\u016f ro\u010dn\u011b. Tento druh operace by ale v \u010cesku podle dostupn\u00fdch statistik pot\u0159ebovalo je\u0161t\u011b jednou tolik pacient\u016f.<\/p>\n

Andrea VRBOVSK\u00c1, \u0159editelka Nemocnice<\/span> Na Bulovce:\u00a0 K dne\u0161n\u00edmu dni my jsme provedli 19 v\u00fdkon\u016f. Mysl\u00edm, \u017ee pl\u00e1novan\u00e9 jsou do konce roku je\u0161t\u011b 3. Co se t\u00fd\u010de kapaticy opera\u010dn\u00edch s\u00e1l\u016f, nejsme v\u017edycky s to vyhov\u011bt \u00fapln\u011b po\u017eadavk\u016fm, kter\u00e9 jsou.
\nA vrac\u00edme se op\u011bt k ekonomice. U\u017e p\u0159ed 10 lety se jednalo o tom, \u017ee \u010cesko by pot\u0159ebovalo je\u0161t\u011b 1 lav\u00e1\u017eov\u00e9 pracovi\u0161t\u011b. T\u00edm by se pokryla odhadovan\u00e1 pot\u0159eba pacient\u016f. Jen\u017ee, kv\u016fli nepropl\u00e1cen\u00e9mu z\u00e1kroku se \u017e\u00e1dn\u00e1 nemocnice<\/span> v \u010cesku do HIPECu nehrne.
\nV pr\u016fb\u011bhu nat\u00e1\u010den\u00ed t\u00e9to report\u00e1\u017ee p\u0159i\u0161lo ministerstvo zdravotnictv\u00ed<\/span> s nov\u00fdm n\u00e1vrhem, jak slo\u017eitou operaci financovat.<\/p>\n

Andrea VRBOVSK\u00c1:\u00a0 Dovedeme si p\u0159edstavit p\u0159i\u0159adit tomuto opera\u010dn\u00edmu v\u00fdkonu takzvan\u011b vy\u0161\u0161\u00ed koeficient obt\u00ed\u017enosti, a co\u017e by si nepochybn\u011b zaslou\u017eil, je to pom\u011brn\u011b jednoduch\u00e1 cesta, je \u0159e\u0161iteln\u00e1 \u00fahradovou vyhl\u00e1\u0161kou, v tomto duchu komunikujeme i s panem n\u00e1m\u011bstkem Philippem, \u017ee tento vy\u0161\u0161\u00ed koeficient obt\u00ed\u017enosti by vyrovnal v\u0161echny ty na\u0161e probl\u00e9my, kter\u00e9 s t\u00edm souvis\u00ed, a dal by tomu v\u00fdkonu i pat\u0159i\u010dn\u00fd v\u00e1hu. Asi by ho tro\u0161ku zatraktivnil t\u0159eba i pro dal\u0161\u00ed pracovi\u0161t\u011b, kter\u00e9 by si \u0159ekly, ano, takhle bysme do toho \u0161ly.<\/p>\n

Tom PHILIPP, n\u00e1m\u011bstek ministra zdravotnictv\u00ed<\/span> \/KDU-\u010cSL\/:\u00a0\u00a0 Bude asi p\u0159edev\u0161\u00edm pot\u0159eba, aby tento speci\u00e1ln\u00ed \u00fakon prov\u00e1d\u011blo i dal\u0161\u00ed komplexn\u00ed onkologick\u00e9 centrum. A mysl\u00edm si, \u017ee pro \u010ceskou republiku by 2 m\u011bla sta\u010dit. A j\u00e1 se zasad\u00edm v\u0161ema silama, aby i dal\u0161\u00ed komplexn\u00ed onkologick\u00e9 centrum, nap\u0159\u00edklad v Brn\u011b nebo prost\u011b na Morav\u011b, tak aby to bylo plo\u0161n\u011b rozlo\u017eeno na celou republiku, tento v\u00fdkon d\u011blalo.<\/p>\n

A nejde o stovky milion\u016f. Jde o 10 milion\u016f nejv\u00edc.<\/p>\n

VRBOVSK\u00c1: Rozhodn\u011b se nejedn\u00e1 o stovky, v podstat\u011b ani ne o des\u00edtky milion\u016f nav\u00fd\u0161en\u00ed.<\/p>\n

Tom PHILIPP,:\u00a0 J\u00e1 si v tuto chv\u00edli netroufnu \u0159\u00edct, jestli to bude rok nebo 2, ale, ale mysl\u00edm si, \u017ee by to v horizontu 2 let m\u011blo v ka\u017ed\u00e9m p\u0159\u00edpad\u011b b\u00fdt realizovateln\u00e9.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

P\u0159ed rokem a p\u016fl Report\u00e9\u0159i \u010cT informovali o nov\u00e9 metod\u011b l\u00e9\u010dby rakoviny, kter\u00e1 dok\u00e1\u017ee mnohdy zachr\u00e1nit i beznad\u011bjn\u00e9 pacienty. Jde o v\u00fdplach b\u0159i\u0161n\u00ed dutiny hork\u00fdmi […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14511,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-18568","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/18568","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=18568"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/18568\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14511"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18568"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18568"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}