OT\u00c1ZKA:\u00a0 Zm\u011bnily se d\u00edky nov\u00e9mu indika\u010dn\u00edmu seznamu podm\u00ednky pro l\u00e1ze\u0148skou p\u00e9\u010di u\u00a0diabetik\u016f? Odpov\u00edd\u00e1 V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna.<\/b><\/p>\n
ODPOV\u011a\u010e:<\/b><\/p>\n
Ohledn\u011b l\u00e1ze\u0148sk\u00fdch pobyt\u016f u\u00a0diagn\u00f3zy diabetes mellitus se s\u00a0\u00fa\u010dinnost\u00ed nov\u00e9ho indika\u010dn\u00edho seznamu, tedy od po\u010d\u00e1tku roku 2015 prakticky nic nezm\u011bnilo. Stejn\u011b jako podle dosavadn\u00ed vyhl\u00e1\u0161ky MZ \u010d.\u00a0267\/2012 Sb., o\u00a0stanoven\u00ed Indika\u010dn\u00edho seznamu pro l\u00e1ze\u0148skou l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di o\u00a0dosp\u011bl\u00e9, d\u011bti a\u00a0dorost, ji\u017e neprob\u00edhaj\u00ed tzv. eduka\u010dn\u00ed l\u00e1ze\u0148sk\u00e9 pobyty<\/b>, p\u0159i kter\u00fdch se pacienti s\u00a0nov\u011b diagnostikovan\u00fdm diabetem u\u010dili stravovac\u00edm n\u00e1vyk\u016fm a\u00a0spr\u00e1vn\u00e9 \u017eivotospr\u00e1v\u011b.<\/p>\n
I podle nov\u00e9ho Indika\u010dn\u00edho seznamu pro l\u00e1ze\u0148skou l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di, kter\u00fd je p\u0159\u00edlohou z\u00e1kona \u010d.\u00a048\/1997\u00a0Sb., je v\u0161ak diabetes samoz\u0159ejm\u011b nad\u00e1le indikac\u00ed, u\u00a0n\u00ed\u017e je mo\u017eno poskytnout l\u00e1ze\u0148skou l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di, je-li tato p\u00e9\u010de nezbytnou sou\u010d\u00e1st\u00ed l\u00e9\u010debn\u00e9ho procesu.<\/b> Je t\u0159eba ale upozornit, \u017ee kontraindikac\u00ed l\u00e1ze\u0148sk\u00e9 l\u00e9\u010dby je prokazateln\u00e9 nedodr\u017eov\u00e1n\u00ed l\u00e9\u010debn\u00e9ho re\u017eimu.<\/p>\n
D\u00e9lku l\u00e1ze\u0148sk\u00e9 l\u00e9\u010dby nov\u00fd indika\u010dn\u00ed seznam v\u00a0p\u0159\u00edpad\u011b diabetu nem\u011bn\u00ed. Komplexn\u00ed l\u00e1ze\u0148sk\u00e1 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de<\/b> (z\u00e1kladn\u00ed pobyt, na 21\u00a0dn\u00ed) m\u016f\u017ee b\u00fdt poskytnuta, resp. schv\u00e1lena pouze u\u00a0stav\u016f s\u00a0komplikacemi<\/b> (neuropatie, mikroangiopatie a\u00a0makroangiopatie), ostatn\u00edm pacient\u016fm m\u016f\u017ee b\u00fdt jako z\u00e1kladn\u00ed pobyt hrazena jen p\u00e9\u010de p\u0159\u00edsp\u011bvkov\u00e1<\/b> (t\u00e9\u017e na 21\u00a0dn\u00ed). P\u0159\u00edpadn\u00fd opakovan\u00fd pobyt <\/b>(na 21 nebo 14 dn\u00ed), v\u017edy u\u017e jen formou p\u0159\u00edsp\u011bvkov\u00e9 p\u00e9\u010de, m\u016f\u017ee b\u00fdt hrazen pouze pacient\u016fm se zm\u00edn\u011bn\u00fdmi komplikacemi.<\/b> Podm\u00ednkou pro \u00fahradu opakovan\u00e9ho pobytu je (stejn\u011b jako podle p\u0159edchoz\u00edho indika\u010dn\u00edho seznamu) u\u00a0obezity p\u0159i BMI vy\u0161\u0161\u00edm ne\u017e 30 sn\u00ed\u017een\u00ed hmotnosti od posledn\u00edho l\u00e9\u010debn\u00e9ho pobytu o\u00a05\u00a0% a\u00a0p\u0159i BMI vy\u0161\u0161\u00edm ne\u017e 35 o\u00a010\u00a0%.<\/p>\n
Pro d\u011btsk\u00e9 pacienty s\u00a0diabetem je u\u00a0z\u00e1kladn\u00edho i\u00a0opakovan\u00e9ho pobytu poskytov\u00e1na komplexn\u00ed p\u00e9\u010de a\u00a0d\u00e9lka pobytu je 28\u00a0dn\u00ed<\/b>, s\u00a0mo\u017enost\u00ed prodlou\u017een\u00ed (se souhlasem revizn\u00edho l\u00e9ka\u0159e). K\u00a0opakovan\u00e9mu l\u00e1ze\u0148sk\u00e9mu pobytu mohou b\u00fdt d\u011bti indikov\u00e1ny 1x b\u011bhem kalend\u00e1\u0159n\u00edho roku.<\/p>\n
L\u00e1ze\u0148skou p\u00e9\u010di mus\u00ed diabetikovi doporu\u010dit na z\u00e1klad\u011b zdravotn\u00edho stavu jeho o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159, a\u00a0to l\u00e9ka\u0159 odbornosti diabetologie a endokrinologie nebo rehabilita\u010dn\u00ed a fyzik\u00e1ln\u00ed medic\u00edna.<\/b> Na z\u00e1klad\u011b tohoto doporu\u010den\u00ed pak registruj\u00edc\u00ed praktick\u00fd l\u00e9ka\u0159 (nebo o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 p\u0159i hospitalizaci) pod\u00e1 \u0159\u00e1dn\u011b vypln\u011bn\u00fd n\u00e1vrh na l\u00e1ze\u0148skou p\u00e9\u010di ke schv\u00e1len\u00ed<\/b> na smluvn\u011b a m\u00edstn\u011b jemu p\u0159\u00edslu\u0161n\u00e9 region\u00e1ln\u00ed pracovi\u0161t\u011b VZP pro spr\u00e1vu agendy l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de.<\/p>\n
Revizn\u00ed l\u00e9ka\u0159 VZP posoud\u00ed opr\u00e1vn\u011bnost n\u00e1roku na \u00fahradu z prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed, zejm\u00e9na podle podm\u00ednek indika\u010dn\u00edho seznamu. V\u00a0od\u016fvodn\u011bn\u00fdch p\u0159\u00edpadech m\u016f\u017ee m\u00edsto navrhovan\u00e9 komplexn\u00ed l\u00e1ze\u0148sk\u00e9 p\u00e9\u010de schv\u00e1lit \u00fahradu p\u0159\u00edsp\u011bvkov\u00e9 formy l\u00e1ze\u0148sk\u00e9 p\u00e9\u010de, u\u00a0kter\u00e9 je z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed hrazena zdravotn\u00ed p\u00e9\u010de a\u00a0pacient si hrad\u00ed ubytov\u00e1n\u00ed a\u00a0stravov\u00e1n\u00ed. Pokud zdravotn\u00ed stav pacienta prokazateln\u011b vy\u017eaduje poskytnut\u00ed l\u00e1ze\u0148sk\u00e9 p\u00e9\u010de a\u00a0jsou spln\u011bny v\u0161echny stanoven\u00e9 podm\u00ednky pro \u00fahradu, je n\u00e1vrh revizn\u00edm l\u00e9ka\u0159em potvrzen pro po\u017eadovan\u00fd nebo p\u0159\u00edslu\u0161n\u00fd typ p\u00e9\u010de.<\/p>\n
Mgr. Old\u0159ich Tich\u00fd OT\u00c1ZKA:\u00a0 Zm\u011bnily se d\u00edky nov\u00e9mu indika\u010dn\u00edmu seznamu podm\u00ednky pro l\u00e1ze\u0148skou p\u00e9\u010di u\u00a0diabetik\u016f? Odpov\u00edd\u00e1 V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":5279,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-19451","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\/19451","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=19451"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/19451\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/5279"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=19451"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=19451"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=19451"}],"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":"