OT\u00c1ZKA: M\u00e1 \u017eena ve v\u011bku 75\u00a0let, kter\u00e1 je u\u017e del\u0161\u00ed dobu hospitalizovan\u00e1, n\u00e1rok na mamografii a\u00a0na dal\u0161\u00ed preventivn\u00ed vy\u0161et\u0159en\u00ed?<\/b><\/p>\n
ilustra\u010dn\u00ed foto: PhotoRack<\/em><\/p>\n ODPOV\u011a\u010e:<\/b><\/p>\n Preventivn\u00ed prohl\u00eddky ani souvisej\u00edc\u00ed screeningov\u00e1 vy\u0161et\u0159en\u00ed nemaj\u00ed omezen\u00ed horn\u00ed v\u011bkovou hranic\u00ed<\/b> a\u00a0VZP je pln\u011b hrad\u00ed samoz\u0159ejm\u011b i\u00a0senior\u016fm!<\/b> Na p\u00e9\u010di analogickou preventivn\u00edm prohl\u00eddk\u00e1m m\u00e1 ka\u017ed\u00fd pln\u00e9 pr\u00e1vo tak\u00e9 v\u00a0p\u0159\u00edpad\u011b d\u00e9le trvaj\u00edc\u00ed hospitalizace<\/b>, pr\u00e1v\u011b tak jako na screening rakoviny d\u011blo\u017en\u00edho hrdla, mamografii (od 45\u00a0let) \u010di na screening rakoviny tlust\u00e9ho st\u0159eva (od 50\u00a0let). Na preventivn\u00ed prohl\u00eddky si ale pacient mus\u00ed s\u00e1m myslet a po\u017e\u00e1dat si o\u00a0jejich proveden\u00ed, stejn\u011b jako kdy\u017e nen\u00ed hospitalizov\u00e1n.<\/p>\n Zdravotn\u00ed p\u00e9\u010di o\u00a0pacienta v\u00a0r\u00e1mci pobytu na l\u016f\u017eku zaji\u0161\u0165uje t\u00fdm zdravotnick\u00fdch pracovn\u00edk\u016f dan\u00e9ho smluvn\u00edho zdravotnick\u00e9ho za\u0159\u00edzen\u00ed. P\u0159\u00edpadnou sou\u010dinnost dal\u0161\u00edch odborn\u00edk\u016f mimo vlastn\u00ed pracovi\u0161t\u011b, kde je poji\u0161t\u011bnec hospitalizov\u00e1n, poskytnou na vy\u017e\u00e1d\u00e1n\u00ed jednotliv\u00e1 pracovi\u0161t\u011b l\u016f\u017ekov\u00e9ho zdravotnick\u00e9ho za\u0159\u00edzen\u00ed, v\u00a0podob\u011b konzili\u00e1rn\u00edch vy\u0161et\u0159en\u00ed. Pokud nen\u00ed mo\u017eno realizovat n\u011bkter\u00e1 preventivn\u00ed vy\u0161et\u0159en\u00ed v\u00a0r\u00e1mci p\u0159\u00edslu\u0161n\u00e9ho zdravotnick\u00e9ho za\u0159\u00edzen\u00ed,<\/b> vy\u017e\u00e1d\u00e1 si l\u016f\u017ekov\u00e9 za\u0159\u00edzen\u00ed jejich proveden\u00ed u\u00a0nejbli\u017e\u0161\u00edho ambulantn\u00edho zdravotnick\u00e9ho za\u0159\u00edzen\u00ed<\/b>. V\u00a0indikovan\u00fdch p\u0159\u00edpadech<\/b> m\u00e1 pacient n\u00e1rok na nutnou dopravu<\/b> na vy\u0161et\u0159en\u00ed a\u00a0zp\u011bt. Ta je ale hrazena jen ve v\u00fd\u0161i odpov\u00eddaj\u00edc\u00ed vzd\u00e1lenosti nejbli\u017e\u0161\u00edho zdravotnick\u00e9ho za\u0159\u00edzen\u00ed, kter\u00e9 je schopno po\u017eadovanou p\u00e9\u010di poskytnout. Kdyby pacient trval na tom, \u017ee chce nav\u0161t\u00edvit nap\u0159. sv\u00e9ho (vzd\u00e1len\u011bj\u0161\u00edho) gynekologa, stomatologa apod., musel by si rozd\u00edl ceny dopravy k n\u011bmu uhradit.<\/p>\n U\u00a0dlouhodob\u011b hospitalizovan\u00fdch je p\u00e9\u010de v\u00a0rozsahu v\u0161eobecn\u00e9 preventivn\u00ed prohl\u00eddky, <\/b>prov\u00e1d\u011bn\u00e9 jinak ambulantn\u011b praktick\u00fdmi l\u00e9ka\u0159i, sou\u010d\u00e1st\u00ed v\u00fdkonu o\u0161et\u0159ovac\u00edho dne.<\/b> Ned\u011bl\u00e1 se tedy cel\u00e1 zvl\u00e1\u0161\u0165 (n\u011bkter\u00e1 vy\u0161et\u0159en\u00ed u\u017e za\u010dast\u00e9 tak\u00e9 pacient p\u0159i hospitalizaci absolvoval) a\u00a0k\u00a0\u00fahrad\u011b lze poji\u0161\u0165ovn\u011b vyk\u00e1zat jen ty jednotliv\u00e9 v\u00fdkony, kter\u00e9 do o\u0161et\u0159ovac\u00edho dne nejsou zahrnuty (nap\u0159. stanoven\u00ed okultn\u00edho krv\u00e1cen\u00ed do stolice jako screening rakoviny tlust\u00e9ho st\u0159eva).<\/p>\n Zdravotn\u00ed p\u00e9\u010de v\u00a0rozsahu a\u00a0intervalech <\/span><\/span>preventivn\u00ed gynekologick\u00e9 prohl\u00eddky<\/b><\/span><\/span> bude dlouhodob\u011b hospitalizovan\u00e9 pacientce poskytnuta na vy\u017e\u00e1d\u00e1n\u00ed jej\u00edho o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e a\u00a0m\u016f\u017ee b\u00fdt poji\u0161\u0165ovn\u011b vyk\u00e1z\u00e1na jako konzili\u00e1rn\u00ed (c\u00edlen\u00e9 klinick\u00e9) vy\u0161et\u0159en\u00ed, pokud ji nem\u016f\u017ee zajistit p\u0159\u00edmo l\u00e9ka\u0159 (gynekolog) dan\u00e9ho l\u016f\u017ekov\u00e9ho pracovi\u0161t\u011b. Sou\u010d\u00e1st\u00ed gynekologick\u00e9 preventivn\u00ed prohl\u00eddky je screening rakoviny d\u011blo\u017en\u00edho hrdla, tedy odb\u011br vzorku z d\u011blo\u017en\u00edho hrdla a jeho cytologick\u00e9 vy\u0161et\u0159en\u00ed.<\/span><\/span><\/span><\/span><\/p>\n Hospitalizovan\u00e9 poji\u0161t\u011bnky star\u0161\u00ed 45\u00a0let (bez horn\u00ed v\u011bkov\u00e9 hranice!) maj\u00ed pr\u00e1vo i\u00a0na <\/span><\/span>proveden\u00ed screeningov\u00e9ho mamografick\u00e9ho vy\u0161et\u0159en\u00ed.<\/b><\/span><\/span> \u017d\u00e1danku (doklad\u00a006) \u017een\u011b vystav\u00ed o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 l\u016f\u017ekov\u00e9ho zdravotnick\u00e9ho za\u0159\u00edzen\u00ed, pop\u0159. l\u00e9ka\u0159 ambulantn\u00edho gynekologick\u00e9ho pracovi\u0161t\u011b, kter\u00fd poskytl konzili\u00e1rn\u00ed vy\u0161et\u0159en\u00ed. Mamografii poji\u0161\u0165ovn\u011b norm\u00e1ln\u011b vyk\u00e1\u017ee k\u00a0\u00fahrad\u011b p\u0159\u00edslu\u0161n\u00e9 centrum pro mamografick\u00fd screening (jde sice o\u00a0ambulantn\u00ed v\u00fdkon, ale hospitalizace poji\u0161t\u011bnky nebr\u00e1n\u00ed jeho opr\u00e1vn\u011bn\u00e9mu vyk\u00e1z\u00e1n\u00ed a\u00a0v\u00fdkon bude samoz\u0159ejm\u011b poji\u0161\u0165ovnou uhrazen).<\/span><\/span><\/span><\/span><\/p>\n Stomatologickou p\u00e9\u010di<\/b> v\u00a0rozsahu a\u00a0intervalech preventivn\u00ed prohl\u00eddky v\u00a0oboru stomatologie poskytne hospitalizovan\u00e9mu poji\u0161t\u011bnci ambulantn\u00ed zubn\u00ed l\u00e9ka\u0159 (na vy\u017e\u00e1d\u00e1n\u00ed o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e pacienta p\u0159i hospitalizaci), op\u011bt pokud ji nem\u016f\u017ee zajistit p\u0159\u00edmo l\u00e9ka\u0159 p\u0159\u00edslu\u0161n\u00e9 odbornosti dan\u00e9ho l\u016f\u017ekov\u00e9ho pracovi\u0161t\u011b.<\/p>\n Mgr. Old\u0159ich Tich\u00fd OT\u00c1ZKA: M\u00e1 \u017eena ve v\u011bku 75\u00a0let, kter\u00e1 je u\u017e del\u0161\u00ed dobu hospitalizovan\u00e1, n\u00e1rok na mamografii a\u00a0na dal\u0161\u00ed preventivn\u00ed vy\u0161et\u0159en\u00ed?<\/p>\n<\/div>","protected":false},"author":1,"featured_media":14574,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-18955","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/18955","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=18955"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/18955\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14574"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18955"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18955"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18955"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\n<\/b>vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed<\/p>\n","protected":false},"excerpt":{"rendered":"